Endoscopic intra-abdominal rescue therapy of a dislodged EUS-guided hepaticogastrostomy stent

Post written by Johannes Maubach, MD, from the Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. We report a case of an 86-year-old fragile woman who was admitted with painless jaundice and massively congested intrahepatic ducts. An outside MRCP showed a suspicious lesion in the tail of the …

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ESD of a large cecal polyp using a scissor-type knife

Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Laboratory, Harvard Medical School, Brigham and Women’s Hospital, and the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. In this video, we present a case of a large flat lesion in the cecum that was removed by ESD using …

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Excavation of a fossilized biliary stent

Post written by Brian S. Lim, MD, MCR, FASGE, from the School of Medicine, University of California, and the Department of Gastroenterology, Kaiser Permanente Riverside Medical Center, Riverside, California, USA. A 60-year-old male presented with right lower-quadrant pain and fever. CT (computed tomography) abdomen showed acute appendicitis, but also an incidental biliary stent. The atient …

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Endoscopic drainage of pancreatic fluid collections by use of a novel biflanged stent

Post written by D. Nageshwar Reddy, MD, DM, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case series, we described 5 cases with pancreatic fluid collections (4 walled-off necrosis and 1 pseudocyst) that underwent endoscopic ultrasound-guided drainage using a new biflanged metal stent with electrocautery-enhanced delivery system (Hot Nagi, Taewoong Medical, Gyenoggi- …

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Recurrent acute pancreatitis in a toddler: a “wormy surprise”

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. The video case describes a 3-year-old child presenting with recurrent episodes of acute pancreatitis. Etiological evaluation revealed multiple calculi in the gallbladder on transabdominal ultrasonography. Expecting a calculus in the bile duct, we performed an endosonography to confirm. Surprisingly, endosonography …

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Successful removal of duodenal submucosal tumors with ESD

Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA. Endoscopic submucosal dissection (ESD) allows for en bloc resection of gastrointestinal lesions, which theoretically results in lower recurrence rates. However, ESD in the duodenal bulb is technically challenging …

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Argon plasma coagulation treatment of intraductal papillary neoplasm of biliary tract

Post written by Shyam Thakkar, MD, from the Division of Gastroenterology, Allegheny Health Network, Pittsburgh, Pennsylvania, USA. An 86-year-old woman was referred for ascending cholangitis, resulting in obstructive jaundice and sepsis. Her initial MR cholangiopancreatography revealed dilated bile ducts without any mass or stone in the ductal system. Endoscopic retrograde cholangiopancreatography revealed soft filling defects …

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