Colonoscopy insertion pain: water exchange vs water immersion

Sergio Cadoni, MD from the Digestive Endoscopy Unit at S. Barbara Hospital in Iglesias, Italy discusses this Original Article "A randomized, controlled trial comparing real-time insertion pain during colonoscopy confirmed water exchange to be superior to water immersion in enhancing patient comfort." Water immersion (WI) and water exchange (WE) entail infusion of water to distend …

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Intraoperative laparoscopic-assisted pancreatoscopy

Toufic Kachaamy, MD and Rahul Pannala, MD present this case from the VideoGIE section "Intraoperative laparoscopic-assisted pancreatoscopy and its role in differentiating main duct intraductal papillary mucinous neoplasm from chronic pancreatitis." This case describes the multidisciplinary management of a patient with a severely dilated pancreatic duct suspicious for main duct intraductal papillary mucinous neoplasm (IPMN). …

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EUS-guided hepaticojejunostomy

Takeshi Ogura, MD, PhD and Kazuhide Higuchi, MD, PhD from the 2nd Department of Internal Medicine at Osaka Medical College in Osaka, Japan present this video case "EUS-guided hepaticojejunostomy combined with antegrade stent placement." In our video, we described technical tips of endoscopic ultrasound-guided hepaticojejunostomy (EUS-HJS) combined with EUS-guided antegrade stenting. This patient was admitted …

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ESD in pyloric neoplasms

Gwang Ha Kim, MD from the Department of Internal Medicine at Pusan National University School of Medicine in Busan, Republic of Korea discusses his article "Factors associated with the outcomes of endoscopic submucosal dissection in pyloric neoplasms." Endoscopic submucosal dissection (ESD) is a widely accepted treatment for premalignant lesions and early cancers in the stomach. …

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Hemorrhagic pancreatic necrosis drainage

Prashant Kedia, MD from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College at Cornell University in New York, New York, USA shares this video case "Hemorrhagic pancreatic necrosis drainage by using an esophageal stent." This video highlights the case of a patient with infected hemorrhagic pancreatic necrosis treated with endoscopic debridement through a …

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Reversal of complete rectal anastomotic stenosis

Payal Saxena, MD from Johns Hopkins Hospital in Baltimore, Maryland, USA shares this video case "EUS-guided rendezvous and reversal of complete rectal anastomotic stenosis after Hartmann's reversal." A 54-year-old man was found to have complete rectal anastomotic stenosis. He underwent left hemicolectomy, Hartmann’s pouch, and colostomy for management of ischemic colitis. Several months later he …

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Treatment for malignant gastric outlet obstruction

Chan Hyuk Park, MD and Jun Chul Park, MD from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Institute of Gastroenterology at Yonsei University College of Medicine in Seoul, Republic of Korea discuss their article "Impact of carcinomatosis and ascites status on long-term outcomes of palliative treatment for patients with gastric outlet obstruction …

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Control of immediate post-EMR bleeding

Srinadh Komanduri, MD from the Division of Gastroenterology, Feinberg School of Medicine at Northwestern University in Chicago, Illinois, USA presents this case from the VideoGIE series, "Control of immediate post-EMR bleeding by using monopolar hemostatic forceps." The video depicts a case of a significant post-polypectomy arterial bleed and the appropriate management of this adverse event. …

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Plastic biliary stent patency

Phillip S. Ge, MD and V. Raman Muthusamy, MD from the Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, California, USA discuss their Original Article, "Plastic biliary stent patency in patients with locally advanced pancreatic adenocarcinoma receiving downstaging chemotherapy." Malignant biliary obstruction due to pancreatic cancer is a challenging clinical …

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Adult ileocolic intussusception

Rodrigo de Rezende Zago, MD from Hospital Sírio-Libanês and Hospital Alemão Oswaldo Cruz in São Paulo, Brazil presents this VideoGIE case "Adult ileocolic intussusception: endoscopic treatment." This case demonstrates a 21-year-old woman with abdominal pain who was diagnosed with ileocolic intussception on CT scan. We decided to perform colonoscopy with anterograde bowel cleaning due to …

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