Submucosal injection to facilitate needle-knife sphincterotomy: a novel technique

Post written by Kambiz Kadkhodayan, MD, and Muhammad K. Hasan, MD, FACG, FRCP (Glasg), from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. We present a patient with obstructive jaundice and a flat (type 1) ampulla in whom conventional biliary cannulation using a standard sphincterotome was unsuccessful despite prolonged attempts. Given the unfavorable papillary morphology and need for …

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Needle-knife incision and drainage of duodenal intramural hematoma relieving duodenal and biliary obstruction

Post written by Bakht S. Cheema, MD, from Digestive Disease Consultants, and Yusuke Hashimoto, MD, MMA, from the University of Florida Health, Jacksonville, Florida, USA. A 44-year-old man presented with postprandial vomiting and jaundice. He had an episode of acute-on-chronic pancreatitis complicated with a pseudocyst and a spontaneous large duodenal intramural hemorrhage causing duodenal luminal obstruction …

Continue reading Needle-knife incision and drainage of duodenal intramural hematoma relieving duodenal and biliary obstruction

Flexible endoscopic management of Zenker’s diverticulum

Post written by Kondal Kyanam Kabir Baig, MBBS, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. We described a case of an elderly gentleman with cardiac comorbidities with symptomatic Zenker’s diverticulum and, in particular, a history of undergoing a Heimlich maneuver for choking. We used …

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