Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. Endoscopic management of gastrointestinal fistula and leak is increasingly utilized. One of the options is to apply over-the-scope (OTS) clipping devices to close the defect. During pulling the grasped walls into the …
Continue reading Double-channel double-grasper technique in over-the-scope clip deployment
Post written by Paola Soriani, MD, from the Digestive Endoscopy Unit, Azienda USL Modena, Ramazzini Hospital, Carpi, Italy. An 89-year-old woman underwent colonoscopy. In a setting of severe diverticular disease, a perforation of 20-25 mm occurred in the sigmoi-rectal juntion. The leakage was completely closed after the deployment of 2 over-the-scope clips, tightly adjacent to …
Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 52-year-old man was found to have a flat-elevated tumor measuring approximately 10 mm in diameter in the second part of the duodenum. First, the border of the target lesion was marked using the tip of …
Post written by Ashish Sharma, MD, and Robert J. Sealock, MD, from the Department of Gastroenterology & Hepatology at Baylor College of Medicine in Houston, Texas, USA. An 80-year-old male presented to the GI lab for an endoscopic retrograde cholangiopancreatography (ERCP) for gall stone pancreatitis and high probability of choledocholithiasis. He developed an iatrogenic duodenal …
Continue reading Managing GI bleeding from a created endoscopic omental patch
Shashideep Singhal, MD, from the University of Texas Health Science Center in Houston, Texas describes this video case "Over-the-scope clip-assisted endoscopic resection of gastric submucosal nodule." A 61-year-old woman with refractory dyspepsia underwent upper endoscopy, which showed an incidental gastric submucosal nodule. EUS showed a 1.4-cm nodule arising from the muscularis propria. FNA results were …
Continue reading OTSC-assisted endoscopic resection of gastric submucosal nodule
Shashideep Singhal, MD, form the Division of Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center, in Houston, Texas, USA presents this video case, "Endoscopic closure of iatrogenic duodenal perforation using dual over-the-scope clips." A 44-year-old female was referred for endoscopic retrograde cholangiography (ERC) after an intraoperative cholangiogram done during laparoscopic cholecystectomy for acute …
Continue reading Endoscopic closure of iatrogenic duodenal perforation
James Y. W. Lau, MD, from the Department of Surgery, Chinese University of Hong Kong, in Hong Kong presents this VideoGIE case, “Over-the-scope clip treatment of refractory peptic ulcer bleeding.” This video describes the use of an over-the-scope clip (OTSC) in treating the chronic peptic ulcerations with refractory bleeding that fail angiographic embolization and endoscopic …
Continue reading OTSC treatment of refractory peptic ulcer bleeding
Brian P. Riff, MD from the Division of Gastroenterology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania in Philadelphia, Pennsylvania, USA describes this VideoGIE case, "A novel technique for over-the-scope clip application: a safer and more secure method." The video case demonstrates our preferred technique for closing persistent gastrocutaneous fistulas (GCF). …
Continue reading Novel technique for over-the-scope clip application
Brian S. Lim, MD, MCR from Kaiser Permanente Riverside Medical Center at the University of California Riverside School of Medicine presents this video case titled "Over-the-scope clip for closure of persistent post-esophagectomy gastric conduit fistula." A 69-year-old man had an Ivor-Lewis esophagectomy for esophageal carcinoma. On postoperative day 6, the patient developed severe chest pain; CT …
Continue reading Over-the-scope clip for post-esophagectomy fistula
Shashideep Singhal, MD, and colleagues from the Brooklyn Hospital Center in Brooklyn, New York present this video case titled "Endoscopic closure of gastric perforation using Over-the-Scope Clip: a surgery-sparing approach." A 61-year-old woman with history of diabetes mellitus, sarcoidosis, and chronic oral steroid therapy presented for EGD for evaluation of dysphagia. The patient was found …
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