Hybrid endoscopic submucosal dissection with novel helix tacking system for defect closure

Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts. This case video demonstrates a hybrid endoscopic submucosal dissection (ESD) with a novel ESD knife, followed by mucosal defect closure using an innovative endoscopic helix tacking system. A 60-year-old man …

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Endoscopic hemostatic spray for uncontrolled bleeding after complicated endoscopic mucosal resection or endoscopic submucosal dissection

Post written by Kayla M. Hartz, DO, from the Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania. These are 2 cases in which hemostatic spray was used as a bail-out method for hemostasis when other standard methods failed. These cases show the value in using a hemostatic spray as …

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EUS-guided ethanol ablation of metastatic functional insulinoma

Post written by Ahmed Altonbary, MD, FRCP, from the Department of Gastroenterology and Hepatology, Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of EUS-guided ethanol ablation (EA) of metastatic functional insulinoma in a young male with recurrent attacks of hypoglycemia requiring intravenous glucose infusion.    Management of functioning pancreatic NETs is challenging; …

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A case of improved visibility with gel immersion in the presence of ongoing bleeding during colorectal endoscopic submucosal dissection

Post written by Takafumi Maruyama, MD, Takashi Murakami, MD, PhD, Yoichi Akazawa, MD, PhD, Tomoyoshi Shibuya, MD, PhD, and Akihito Nagahara, MD, PhD, from the Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan. Here, we present a case of improved visibility with gel immersion in the presence of ongoing bleeding during colorectal endoscopic …

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Remote training in flexible gastrointestinal endoscopy

Post written by Jerome D. Waye, MD, from the Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York. This is the first report of training doctors to adequately perform endoscopy using the internet. We used the internet to teach endoscopy with the trainee in Uganda and the instructor in New York. …

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Cholangioscopy in primary sclerosing cholangitis

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This is a case series of 5 patients, demonstrating several unique and varied benign features of PSC. We describe a novel phenotypic classification of benign features, whereby we categorize findings into …

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Disposable digital percutaneous cholangioscope-aided retrieval of a plastic biliary stent after failed retrieval at ERCP

Post written by Sooraj Tejaswi, MD, MSPH, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. We describe the collaborative effort of the use of the novel short cholangioscope-aided percutaneous retrieval of a plastic biliary stent after being unable to retrieve the stent during ERCP. The patient was …

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Nonsurgical rescue after basket-stone impaction by endoscopic cutting of a metallic lithotripter and laser lithotripsy

Post written by Toshiaki Terauchi, MD, from the Department of Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan. This report presents a 64-year-old male who underwent successful rescue using a nonsurgical endoscopic approach to remove an impacted mechanical lithotripter basket, due to a 17-mm common bile duct stone. The basket impaction occurred at an outside hospital, and …

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The pocket-creation method facilitates gastric ESD and overcomes challenging situations

Post written by Masafumi Kitamura, MD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Gastric ESD using the PCM can be performed with a uniform strategy, regardless of the location of the lesion, and it is more straightforward for the operator than conventional methods. We here present 2 representative cases …

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Successful removal of a giant esophageal lipoma with hybrid endoscopic submucosal dissection

Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University - SOM, St. Louis, Missouri. In this video, we showcase the removal of a 7-cm esophageal lipoma in a patient who presented with dysphagia (Eckardt score of 6) and weight loss. Endoscopic submucosal dissection (ESD) was used to expose the …

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