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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