Post written by Georgios Mavrogenis, MD, from the Third Space Endoscopy Unit, Mediterraneo Hospital, Athens, Greece. Resection of submucosal tumors by means of endoscopic submucosal dissection (ESD) or submucosal tunneling endoscopic resection (STER) is associated with several technical challenges. In particular, access to the tumor base is often limited because of firm attachment to the muscularis propria. …
Tag: VideoGIE
Expanded options for removal of an old over-the-scope clip
Post written by Ka-Kin Sze, FHKCP, from the Division of Gastroenterology and Hepatology, Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, Hong Kong SAR, China. We present a case of a patient who had an over-the-scope clip (OTSC) in situ for more than 2 years. A decision was made to remove the OTSC using the …
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Ischemic polypectomy for small-bowel polyps in pediatric Peutz-Jeghers syndrome
Post written by Brett J. Hoskins, DO, from the Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children at IU Health, Indianapolis, Indiana, USA. This video demonstrates ischemic polypectomy during balloon-assisted enteroscopy in a 12-year-old girl with Peutz-Jeghers syndrome and chronic iron deficiency anemia. Seven pedunculated small-bowel …
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Farewell: Reflecting on 5 years as VideoGIE Editor-in-Chief
Post written by VideoGIE Editor Emeritus Field F. Willingham, MD, MPH, FASGE, from Emory University Hospital, Atlanta, Georgia, USA. I cannot believe how fast it went. What an honor to have had the opportunity to lead VideoGIE for these past 5 years. I loved every minute we spent working on and evolving the journal. I …
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Bleeding rectal pseudoaneurysm following endoscopic submucosal dissection managed with endoscopic ultrasound—guided absorbable gelatin sponge injection
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 …
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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