A convenient and reliable method for endoscopic mapping biopsy of cholangiocarcinoma using a double-lumen cytology device

Post written by Masanori Kobayashi, MD, PhD, from the Department of Endoscopy, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. We present a novel mapping biopsy method using a cytology device as a double-lumen sheath. With this method, it was possible to perform optimal surgery for hilar cholangiocarcinoma in a 65-year-old patient. Diagnosis of the …

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A novel and effective EUS training program that enables visualization of the learning curve: Educational Program of Kindai system (EPOK)

Post written by Mamoru Takenaka, MD, PhD, and Shunsuke Omoto, MD, PhD, both from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-sayama, Japan. This video shows a novel and effective EUS training program that enables the visualization of the learning curve of a trainee in every training session through the evaluation …

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Endoscopic submucosal dissection of a symptomatic giant colonic lipoma: technical tips for resection and specimen retrieval

Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Our video presents a case of endoscopic submucosal dissection (ESD) of a symptomatic giant colonic lipoma that was challenging during both resection and specimen retrieval. A 59-year-old man without comorbidities presented to our …

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Endoscopic fenestration for benign complete anastomotic obstruction following rectal surgery

Post written by Jun Takada, MD, PhD, from the Department of Gastroenterology, Gifu University Graduate School of Medicine, Gifu, Japan. This video case is about a 62-year-old man who developed an obstruction in the anastomotic region 6 months after Hartmann’s surgery for rectal cancer. Colonoscopies performed through the anal and ileal stoma showed complete anastomotic …

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Pancreatoscopy-guided laser dissection of obstructing pancreatic duct stricture: pancreas-preserving endotherapy

Post written by Emily R. Jonica, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In our video, we showcase the use of per-oral pancreatoscopy (POP) with holmium laser therapy during ERCP to address a nontraversable severe stricture and upstream large main pancreatic duct (MPD) stone in …

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Multilevel stenting of malignant colonic obstructions from multilevel breast cancer colonic metastasis

Post written by Andrew Alabd, MD, from Cooper University Hospital, Camden, New Jersey, USA. A 54-year-old woman with known stage IV breast cancer presented with colonic obstruction and was found to have proximal, middle, and distal colonic strictures that were all secondary to metastatic breast cancer. An upper endoscope was advanced up to the proximal …

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Successful endoscopic ultrasound-guided nasocavitary catheter drainage of abscess caused by delayed perforation after gastric endoscopic submucosal dissection

Post written by Shunya Takayanagi, MD, from the Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan. In this study, we reported the use of EUS-guided nasocavitary catheter drainage to treat an intra-abdominal abscess caused by delayed perforation after gastric endoscopic submucosal dissection (ESD). A 78-year-old man with early gastric cancer in the lesser curvature …

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Cholangioscopic diagnosis of hemobilia: an unusual case of left hepatic portal hypertension by plasma cell tumor

Post written by Kyosuke Goda, MD, and Yusuke Hashimoto, MD, MMA, from the National Cancer Center, Hospital East Hepatobiliary Pancreatic Oncology, Chiba, Japan. A 68-year-old man with a history of diabetes mellitus was referred to our institution for evaluation of a bulky tumor in the head of the pancreas. Abdominal CT revealed a large hyperdense …

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A novel approach for weight regain after Roux-en-Y gastric bypass: Staged transoral outlet reduction (TORe) followed by surgical type 1 distalization

Post written by Omar M. Ghanem, MD, from the Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA. The video describes a case of a patient suffering from weight regain after open Roux-en-Y gastric bypass (RYGB) in 2003. The patient’s presenting BMI was 59. We elected to perform a novel staged endo-laparoscopic approach with transoral outlet …

Continue reading A novel approach for weight regain after Roux-en-Y gastric bypass: Staged transoral outlet reduction (TORe) followed by surgical type 1 distalization

Gauze extension method for specimens resected by endoscopic submucosal dissection

Post written by Satoshi Ono, MD, PhD, from the Department of Gastroenterology, Chiba-Nishi General Hospital, Matsudo, Chiba, Department of Gastroenterology, Tokyo Metropolitan Geriatric Medical Center, and Department of Gastroenterology, The University of Tokyo Hospital, Tokyo, Japan. Nowadays, endoscopic resection has been accepted as a reliable choice for gastrointestinal neoplasms. Many endoscopists perform endoscopic resections, including …

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