Nikhil Kumta, MD, from Weill Cornell Medical College in New York, New York, USA presents this VideoGIE case "Cleaning the paracolic gutter: transcutaneous endoscopic necrosectomy through a fully covered metal esophageal stent." Transgastric endoscopic necrosectomy with nasocystic lavage is accepted as one of the standards of care for the management of walled-off necrosis secondary to …
Tag: GIE
Anchor technique to prevent stent migration
Truptesh H. Kothari MD, MS from the University of Rochester Medical Center in Rochester, New York, USA discusses this VideoGIE case "Anchor technique: prevention of intraluminal stent migration with the help of loop and clips." Our video describes one of the various methods to anchor the intraluminal stent from migration. A 50-year-old male with Roux-en-Y …
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EUS-guided pancreatic duct access and wire placement
Rajeev Attam, MD, from Kaiser Permanente, Downey, in Los Angeles, California, USA presents this video case "EUS-guided pancreatic duct access and wire placement to facilitate dorsal duct cannulation after failed ERCP." A 62-year-old woman was referred to us for management of recurrent pancreatitis in a setting of pancreatic divisum. Imaging confirmed pancreatic divisum and revealed mildly …
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Optical coherence tomography after POEM
Amy Tyberg, MD, from Weill Cornell Medical College in New York, New York, USA presents this video case "Endoscopic optical coherence tomography as a tool to evaluate successful myotomy after a peroral endoscopic myotomy." This case describes a 51-year-old woman with achalasia who underwent a per-oral endoscopic myotomy (POEM) with complete resolution of her symptoms …
Pulsating pseudoaneurysm in a walled-off necrosis
Shuntaro Mukai from the Department of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan describes this VideoGIE case "Pulsating pseudoaneurysm in a walled-off necrosis." Our video case describes a pulsating pseudoaneurysm in the cavity of a walled-off necrosis (WON) diagnosed by endoscopy through a fully-covered biflanged metal stent (BFMS). Subsequently, the pseudoaneurysm was …
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Cholangioscopic evaluation of sectoral biliary stricture
Shyam Menon, MD, MRCP, MRCP(Gastro), PGDip (Epid), PGDip (Nutr), from the Department of Gastroenterology at the University Hospital Aintree in Liverpool, United Kingdom shares this VideoGIE case "Cholangioscopic evaluation of a sectoral biliary stricture." This video case demonstrates the application of a multidisciplinary approach to the management of a complex biliary stricture. A patient was …
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Endoscopic removal of eroded gastric lap band
Christopher J. DiMaio, MD, FASGE from the Icahn School of Medicine at Mount Sinai in New York, New York, USA shares this VideoGIE case "Mechanical lithotriptor-assisted endoscopic removal of an eroded gastric lap band." Our case involved a patient who experienced partial erosion of a gastric lap band into the stomach. Initial attempt at removing …
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Editor’s Choice- Endoscopy in IBD
GIE Associate Editor Alessandro Repici, MD, recommends this article from the May issue "The role of endoscopy in inflammatory bowel disease" from the ASGE Standards of Practice committee, Amandeep K. Shergill, Jenifer R. Lightdale, David H. Bruining, et al. This is a valuable study because it is an excellent update on how endoscopy should be used …
Fistula closure using a ventricular septal occluder
Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this video case "Closure of a large, persistent enterocutaneous fistula by use of a ventricular septal occluder." We demonstrate the use of a ventricular septal occluder (Amplatzer; St Jude Medical, Plymouth, …
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Endoscopy in the bariatric surgery patient
John A. (Jerry) Evans, MD, MMSc from Wake Forest University Medical Center describes this latest document from the ASGE Standards of Practice committee titled “The role of endoscopy in the bariatric surgery patient.” This guideline updates the current recommendations on the endoscopic management of issues that come up in patients who have had or will …
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