The descending gastric fundus in endoscopic sleeve gastroplasty

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina. We demonstrated that not only does the gastric body shorten during endoscopic sleeve gastroplasty, but the gastric fundus descends as well. This often brings the fundus below the GE junction and increases the …

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Endoscopic closure of a large perforation during pneumatic dilation of a sleeve gastrectomy stricture

Post written by Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA. The case described here is a 71-year-old woman with a history of laparoscopic sleeve gastrectomy performed 1 year prior who presented with nausea, vomiting, reflux, and inability to tolerate …

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Management of a windsock diverticulum by the use of novel submucosal dissection scissors

Post written by Ryan Law, DO, from the Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA. A 41-year-old woman presented with a 2-year history of nausea, post-prandial pain, dysphagia to solid food, and intermittent regurgitation. During her evaluation, she was found to have a 4-cm long outpouching suggestive of an epiphrenic diverticulum as …

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Endoscopic removal of a migrated plastic stent from the peritoneal cavity after EUS-guided gallbladder drainage

Post written by Mayu Nishiyama, MD, Shigeto Ishii, MD, Toshio Fujisawa, MD, PhD, Hiroaki Saito, MD, PhD, and Hiroyuki Isayama, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan. This is a case of unresectable hilar cholangiocarcinoma in a 74-year-old man. He developed acute cholecystitis after biliary stent placement …

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EUS-guided drainage of a pelvic abscess

Post written by Ignacio Fernández-Urién, MD, PhD, from the Gastroenterology Department, Complejo Hospitalario de Navarra, Navarra, Spain. We presented the case of a 50-year-old woman with an 8-cm pelvic abscess secondary to an acute diverticulitis that was drained guided by EUS. First, we punctured the lesion with a 19-gauge needle, and 5 mL of purulent …

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Hybrid argon plasma coagulation: a new modality for treatment of a diffuse foregut anastomotic dysplastic lesion

Post written by Truptesh H. Kothari, MD, from the Center for Advanced Therapeutic Endoscopy, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, United States. Our case was an elderly patient who had history of Roux-en-y gastric bypass many years ago, now presented to his gastroenterologist for abdominal pain. On upper …

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ESD and submucosal tunneling endoscopic resection for obstructive lipomas

Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video describes the resection of an obstructive duodenal lipoma by means of submucosal tunneling endoscopic resection (STER) and the resection of obstructive colonic lipoma by means of endoscopic submucosal dissection (ESD) Big lipomas are always challenging to remove. The …

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