Editor’s Choice: Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation

GIE Senior Associate Editor John R. Saltzman, MD, highlights this article from the February issue: “Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video)” by Tala Mahmoud, MD, et al. Large mucosal defects that occur after snare resection, EMR, or ESD can be …

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Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy

Post written by Bachir Ghandour, MD, from Johns Hopkins Medicine, Baltimore, Maryland, USA. EUS-guided gastroenterostomy (EUS-GE) is a minimally invasive procedure that is increasingly performed for the management of patients with gastric outlet obstruction (GOO). Stent misdeployment (SM) during EUS-GE remains the most common cause for technical failure and adverse events, hindering its widespread dissemination. …

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Prophylactic appendiceal retrograde intraluminal stent placement (PARIS)

Post written by Margaret G. Keane, MBBS, MSc, from the Johns Hopkins Hospital, Department of Gastroenterology and Hepatology, Baltimore, Maryland. In our video, we describe the case of a 52-year-old man who was referred to our institution for the management of a 1.5-cm semi-pedunculated polyp that was found during a routine screening colonoscopy. The polyp …

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Novel suture placement to affix overlapping metal stents in the treatment of an acute leak after sleeve gastrectomy

Post written by Jessica Yu, MD, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan. We present a case of a 45-year-old woman who presented with a leak and peri-gastric fluid collection 6 weeks after a vertical sleeve gastrectomy (VSG). This was initially treated with percutaneous drainage and placement of a …

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Stent-in-stent self-expandable metallic stent placement under direct cholangioscopy

Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. Managing consequent jaundice caused by malignant hilar biliary obstruction (MHBO) is important. Endoscopic biliary drainage is the treatment of choice because of its limited invasiveness. However, in patients with surgically altered anatomy, especially those who have undergone Roux-en-Y …

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Single-step EUS-guided stent puncture and delivery

Anthony Yuen Bun Teoh, FRCSEd (Gen) from the Department of Surgery at the Prince of Wales Hospital at the Chinese University of Hong Kong in Hong Kong SAR, China shares this video case from the VideoGIE section "Single-step EUS-guided puncture and delivery of a lumen-apposing stent for gallbladder drainage using a novel cautery-tipped stent delivery system." …

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EUS-Guided Drainage of Pseudocyst

Payal Saxena, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology at Johns Hopkins Hospital in Baltimore, Maryland, USA presents this video case "EUS-Guided Drainage of a Giant Hemorrhagic Pseudocyst by a Through-the-scope Esophageal Metal Stent." A 78-year-old man with hemorrhagic transformation of a 17cm pseudocyst was hemodynamically unstable requiring splenic artery embolization. …

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Novel EUS-guided gastrojejunostomy technique

Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan discusses his article "Novel EUS-guided gastrojejunostomy technique using a new double-balloon enteric tube and lumen-apposing metal stent (with videos)" from the New Methods section of the December issue. Advanced gastric, duodenal, and peri-pancreatic cancers can show gastric outlet obstruction (GOO) at the …

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