Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife

Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan. We described a case of a giant fibrovascular esophageal polyp endoscopically resected by use of a scissor-type knife. Fibrovascular esophageal polyps are rare, and most of these are enormous and arise from the cricopharynx or upper …

Continue reading Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife

Gastric and duodenal pseudomelanosis: a new insight into its pathogenesis

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a case of gastric and duodenal pseudomelanosis; its full development was documented on serial upper endoscopies over 2 years, preceded by an 18-month daily iron supplement, interval development of iron …

Continue reading Gastric and duodenal pseudomelanosis: a new insight into its pathogenesis

Duodenal ESD for a large protruded lesion located just behind the pyloric ring

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 72-year-old man was found to have a large protruded tumor measuring approximately 60 mm in diameter in the duodenal bulb. He underwent ESD under general anesthesia in the operating room. After local injection of sodium hyaluronate …

Continue reading Duodenal ESD for a large protruded lesion located just behind the pyloric ring

Electrohydraulic lithotripsy through a fistula of EUS-guided hepaticogastrostomy

Post written by Tatsuya Sato, MD, Yousuke Nakai, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 50-year-old man with a history of hepaticojejunostomy and Roux-en-Y reconstruction suffered from recurrent cholangitis due to bilateral intrahepatic stones. After failed double-balloon endoscope-assisted ERCP and percutaneous transhepatic biliary drainage, …

Continue reading Electrohydraulic lithotripsy through a fistula of EUS-guided hepaticogastrostomy

EUS-guided natural orifice transluminal endoscopic surgery for rescue of a fractured Jackson-Pratt drain

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA. We describe our experience rescuing a Jackson-Pratt drain that was inadvertently severed using transduodenal puncture into the peritoneum followed by passage of a linear echoendoscope into …

Continue reading EUS-guided natural orifice transluminal endoscopic surgery for rescue of a fractured Jackson-Pratt drain

Laser dissection for recalcitrant pancreaticojejunostomy anastomotic stricture

Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this video case report, we describe the use of laser dissection to treat a refractory pancreaticojejunostomy anastomotic stricture. Using a holmium laser fiber (272 µm), we treated the stricture in 3 quadrants …

Continue reading Laser dissection for recalcitrant pancreaticojejunostomy anastomotic stricture

Management of a refractory leak after sleeve gastrectomy: the endoscopic armamentarium

Post written by Jessica X. Yu, MD, MS, and Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We described the case of a 48-year-old woman with a history of a sleeve gastrectomy complicated by a refractory staple line leak. The patient presented 2 weeks …

Continue reading Management of a refractory leak after sleeve gastrectomy: the endoscopic armamentarium