Esophageal stent placement without optical or fluoroscopic visualization

Post written by Michael M. Mwachiro, MBChB, from Tenwek Hospital, Bomet, Kenya. In this video, we describe the technique for placement of self-expanding metal stents (SEMS) for palliation of dysphagia due to esophageal malignancy without the use of optical or fluoroscopic visualization. The patient undergoes a video-endoscopic procedure to assess tumor length and proximal tumor …

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Successful EUS-guided nondilated pancreatic duct stent placement

Post written by Kazuhiro Minami, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. Recently, the interventional EUS procedure has been performed in many facilities; however, EUS-guided pancreatic drainage (EUS-PD) remains extremely technically challenging. Generally, the normal pancreatic duct is too narrow to cannulate, and …

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Stent as bridge to surgery for left-sided malignant colonic obstruction

Post written by Alberto Arezzo, MD, from the Department of Surgical Sciences, University of Torino, Turin, Italy. Twenty years after the first description of the technique, the debate is still open on the role of self-expandable metallic stent (SEMS) placement as a bridge to elective surgery for symptomatic left-sided malignant colonic obstruction. The focus of …

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Editor’s Choice: Outcomes after endoscopic duodenal stent placement for malignant GOO

Associate Editor Fauze Maluf-Filho, MD, PhD, FASGE, highlights this Original Article from the September issue: "Survival and clinical outcome after endoscopic duodenal stent placement for malignant gastric outlet obstruction: comparison of pancreatic cancer and nonpancreatic cancer." The literature supports the concept that patients with malignant gastric outlet obstruction with a predicted survival longer than 3 …

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