Post written by Rizwan Ahamed, MD, DM, Sasidharan Rajesh, MD, PDCC, and Cyriac Abby Philips, DM, from the Division of Gastroenterology and Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Kochi, India. A 41-year-old man with alcohol-related Child-Pugh B cirrhosis was referred to us after failed endoscopic glue injection for bleeding fundal varices. CT showed a …
Tag: VideoGIE
Endoscopic vacuum therapy for a refractory sigmoid fistula
Post written by Connor John Rodriguez, MD, and Robert Jay Sealock, MD, from Baylor College of Medicine, Ben Taub Hospital, Houston, and University of North Texas Health, Fort Worth, Texas, USA. We present the case of a 52-year-old man who developed a chronic sigmoid cutaneous fistula following abdominal operations after a severe motor vehicle collision. Despite fecal diversion, percutaneous drainage, …
Continue reading Endoscopic vacuum therapy for a refractory sigmoid fistula
Salvage reconstruction of an endoscopic ultrasound–guided gastroenterostomy using a tubular enteral stent after inadvertent transcolonic lumen-apposing metal stent deployment
Post written by Miguel Martins, MD, Joana Mota, MD, and Filipe Vilas-Boas, MD, PhD, from the Gastroenterology Department, Centro Hospitalar Universitário São João, and Faculty of Medicine of University of Porto, Porto, Portugal. A 59-year-old woman receiving chemotherapy for adenocarcinoma of the third duodenal portion developed gastric outlet obstruction from disease progression and underwent EUS-guided gastroenterostomy (EUS-GE). During EUS-GE, an unrecognized transverse …
Endoscopic ultrasound—assisted rendezvous technique followed by dual-duct drainage using a double-lumen papillotome: a salvage strategy for postendoscopic papillectomy stricture
Post written by Go Endo, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology in Organ Pathophysiology Program, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 70-year-old woman developed acute cholangitis and pancreatitis 3 months after hybrid endoscopic papillectomy (EP) of a 25-mm ampullary adenoma. The papillary orifice was completely obstructed by a fibrotic post-EP …
Multiple traction band—assisted endoscopic submucosal dissection of a giant colorectal lipoma after unsuccessful unroofing
Post written by Hiroshi Yamazaki, MD, and Ken Ohata, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. This video demonstrates endoscopic en bloc resection of a large colorectal lipoma by endoscopic submucosal dissection (ESD), facilitated by multiple traction bands. Unroofing was initially attempted on a 70-mm lipoma, but due to its size and the …
Saline-immersion technique for endoscopic submucosal dissection with traction for an ileocecal adenoma involving the ileal outlet
Post written by Georgios Mavrogenis, MD, from the Third Space Endoscopy Unit, Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video demonstrates endoscopic submucosal dissection (ESD) of a 4-cm nongranular adenoma involving the ileocecal valve with extension into the terminal ileum—one of the most technically demanding locations for colorectal ESD. The procedure combined saline-immersion ESD with dynamic …
Therapeutic endoscopic ultrasound with a novel adaptable endoscopic ultrasound probe and vision system
Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Instituto Ecuatoriano de Enfermedades Digestivas and Endoscopy Net, Guayaquil, Ecuador. This video presents our early clinical experience with the EndoSound Vision System (Portland, Ore, USA), a compact, portable, disposable EUS probe that clips onto a flexible upper GI endoscope while preserving the working channel. We demonstrate device …
Continuous carbon dioxide flow via a modified 4-way stopcock to prevent hemostatic spray catheter clogging
Post written by Mina Alkomos, MD, DABOM, from the Gastroenterology Department, Mount Sinai South Nassau, Oceanside, New York, and Walid Baddoura, MD, from the Gastroenterology Department, St Joseph’s University Medical Center, Paterson, New Jersey, USA. This video demonstrates a simple modification to the delivery system used during application of hemostatic powder to reduce catheter clogging. Catheter occlusion remains …
Multitraction point strategy for endoscopic submucosal dissection in managing difficult colorectal lesions
Post written by Abdulrahman Qatomah, MBBS, from Gastroenterology, Endoscopy and Hepatology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. We present a multitraction point (MTP) technique designed to facilitate endoscopic submucosal dissection (ESD) for difficult-to-access colorectal lesions. This approach is particularly useful for large lesions with suboptimal submucosal exposure, where perpendicular rather than tangential dissection …
Robotic-assisted traction and closure during colorectal endoscopic submucosal dissection
Post written by Carlos E. Bertran-Rodriguez, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. Our video demonstrates use of a novel robotic—assisted traction device (TraCloser; EndoRobotics, Seoul, South Korea) during colorectal endoscopic submucosal dissection (ESD) of a rectal 60-mm laterally spreading granular tumor. The robotic gripper arm allowed real-time adjustments for dynamic …
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