Endoscopic treatment of bile duct stones with benign choledochojejunal anastomotic stenosis

Post written by Akihiko Kida, MD, PhD, from the Department of Gastroenterology, Public Central Hospital of Matto Ishikawa, Hakusan, Japan, and the Department of Gastroenterology, Kanazawa University Hospital, Kanazawa, Japan. The number of patients with biliopancreatic malignancies with long-term survival after surgery has increased with advances in chemotherapy, and there have been many opportunities to treat benign …

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Retrograde balloon pull-through technique for benign esophageal strictures: a single-center pilot experience

Post written by Shae Patel, DO, from Loma Linda University, Loma Linda, California, USA, and Wasseem Skef, MD, from the Michael E. DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas, USA. The focus of this study was to evaluate the efficacy and safety of retrograde balloon dilation compared with traditional antegrade savary dilation …

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Novel use of an endoscopic morcellator to assist in removal of a fully embedded esophageal stent

Post written by Wasseem Skef, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. We present a case of a patient with a refractory benign stricture treated with a fully covered metal stent who was lost to follow-up during the COVID-19 pandemic and developed severe progressive dysphagia …

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Circumferential endoscopic submucosal dissection of distal rectal polyp in a patient with portal hypertension complicated by bowel obstruction

Post written by Siddharth B. Javia, MD, from Confluence Health, Wenatchee, Washington, USA. Our video demonstrates a technique for circumferential endoscopic submucosal dissection (ESD) without using any traction accessories. This was performed in a patient who had significant scarring from Crohn’s colitis and portal hypertension with large blood vessels in the submucosa, which made ESD challenging. …

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Endoscopic tunneled stricturotomy in the treatment of stenosis after sleeve gastrectomy

Post written by Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. We present a case of a 22-year-old obese woman with a history of laparoscopic sleeve gastrectomy. The surgery was uncomplicated; however, the patient was slow in advancing her diet. For the first …

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A rare case of biliary tract stenosis

Claudio Zulli, MD, from the Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, AUSL, Modena presents this video case. A 58-year-old man was referred to the Transplant Unit for an “urgent” orthotopic liver transplantation (OLT) due to decompensated alcoholic liver cirrhosis. Abdominal ultrasound (US) and a CT-scan revealed a mild left intra-hepatic biliary duct dilation and an …

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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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