Post written by Agnieszka Maniak, MD, and Irving Waxman, MD, from Rush University Medical Center, Center for Interventional Endoscopy, Chicago, Illinois, USA. Our case features a 74-year-old woman who presented with recurrent hematochezia despite conventional endoscopic hemostasis following endoscopic submucosal dissection (ESD) of a 50-mm rectal polyp. During her second presentation for hematochezia, the patient underwent a CT angiography that …
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Overcoming challenges in the endoscopic resection of a giant esophageal fibrovascular polyp
Post written by Ahmad Madkour, MD, and Amr Elfouly, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, and Hassan Atalla, MD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Esophageal fibrovascular polyps are rare benign tumors. Huge polyps usually necessitate an aggressive type of surgery. Endoscopic removal of …
Segmental layered incision and circumferential endoscopic dissection technique of endoscopic stricturotomy for safe, staged endoscopic dissection of complex luminal stricture
Post written by Partha Pal, MD, DNB, MRCP (UK), FASGE, from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. This video demonstrates a staged endoscopic stricturotomy using the segmental layered incision and circumferential endoscopic dissection (SLICE) technique in a patient with a long, tight fibrotic colonic stricture at the splenic flexure. The stricture was …
Submucosal injection to facilitate needle-knife sphincterotomy: a novel technique
Post written by Kambiz Kadkhodayan, MD, and Muhammad K. Hasan, MD, FACG, FRCP (Glasg), from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. We present a patient with obstructive jaundice and a flat (type 1) ampulla in whom conventional biliary cannulation using a standard sphincterotome was unsuccessful despite prolonged attempts. Given the unfavorable papillary morphology and need for …
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Endoscopic ultrasound—guided duodenojejunostomy for a duodenal duplication cyst presenting with duodenal obstruction
Post written by Shanshan Shen, MD, PhD, from the Department of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. A 50-year-old woman with refractory vomiting and severe electrolyte imbalance was diagnosed with a cystic-communicating duodenal duplication causing duodenal obstruction. As the patient declined surgical intervention, we performed EUS-guided duodenojejunostomy (EUS-DJ). Under the guidance …
Thulium laser–assisted colorectal endoscopic submucosal dissection
Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This video demonstrates the use of a thulium laser system for colorectal endoscopic submucosal dissection (ESD) in a 68-year-old man with a 3.5-cm rectal lesion detected following a positive fecal immunochemical test result. The lesion was classified as Paris Is and …
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Tumor enhancement by magnetic resonance imaging after endoscopic ultrasound–guided radiofrequency ablation for small pancreatic neuroendocrine tumors
Post written by José Celso Ardengh, PhD, from the Digestive Endoscopy Service, Hospital Moriah, São Paulo, and Department of Surgery and Anatomy, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, and André Orsini Ardengh, MD, from the Digestive Endoscopy Service, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. …
Gastroscope-assisted oral cavity and nasopharynx examination
Post written by Aman Yadav, MD, and Alexander Huelsen, MD, from Department of Gastroenterology & Digestive Health, Gold Coast University Hospital, Southport, Australia. In our video, we demonstrate a simple and reproducible gastroscope-assisted method to examine the oral cavity and nasopharynx during routine EGD. With the use of a standard diagnostic gastroscope equipped with a distal cap, the oral …
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Peroral endoscopic 2-way tunneling and lumen restoration for complete esophageal obstruction
Post written by Prakash Zacharias, MD, DM, and Mathew Philip, MD, DM, from the Lisie Institute of Gastroenterology, Hepatology and Transplantation, Lisie Hospital, Kochi, India. This article highlights the application of a third-space endoscopic technique to restore luminal continuity in a patient with complete esophageal obstruction at the postcricoid region. We successfully created a neo-lumen by performing submucosal tunneling from …
Endoscopic freehand full-thickness resection of a gastric leiomyosarcoma initially diagnosed as gastric leiomyoma on endoscopic ultrasound—guided fine-needle biopsy
Post written by Michael Yulong Wu, BMedSt, MD, MSurg, from Port Macquarie Private Hospital, Port Macquarie, and Port Macquarie Gastroenterology, Thrumster, and Stuart Kostalas, MBBS (Hons 1), MM (Clin Epi), MSc (Oxon), MBiostatistics, FRACP, from Port Macquarie Private Hospital, Port Macquarie, Port Macquarie Gastroenterology, Thrumster, and UNSW Rural Clinical Campus, University of New South Wales, Port Macquarie, Australia. This …
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