Post written by Dennis Wang, MD, from the Division of Gastroenterology and Hepatology, University of Rochester Medical Center Department of Medicine, Rochester, and Gregory Haber, MD, MASGE, from the Division of Gastroenterology and Hepatology, New York University Department of Medicine, New York, New York, USA. We present a case of a patient with a symptomatic …
Continue reading Piecemeal submucosal tunneling endoscopic resection of a 4-cm esophageal leiomyoma
Post written by Babak Mirminachi, MD, MPH, and Sultan Mahmood, MD, from the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Our video shows endoscopic resection of a distal rectal GI stromal tumor located 1.5 cm proximal to the dentate line using endoscopic intermuscular dissection. EUS initially suggested a submucosal origin, but during endoscopic submucosal …
Continue reading Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor
Post written by Rahul Karna, MD, and Stuart K. Amateau, MD, PhD, FASGE, FACG, AGAF, from the University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Our article highlights a case of an 80-year-old white woman who presented for evaluation of biliary obstruction in the setting of indeterminate gastric outlet obstruction. The accompanying video demonstrates use …
Post written by Rinrada Worapongpaiboon, MD, and Clement Wu, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medicine, Baltimore, Maryland, USA, Kasenee Tiankanon, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medicine, and Division of Gastroenterology, Department of Medicine, King Chulalongkorn Memorial Hospital and Chulalongkorn University, Bangkok, Thailand, and Saowanee Ngamruengphong, …
Post written by Samer Al-Dury, MD, PhD, from Muscat Endoscopy Academy, Endoscopy Unit, Division of Gastroenterology and Hepatology, Medical City for Military and Security Services, Muscat, Oman. This video presents a low-cost simulator designed specifically for hands-on training in both GI bleeding control and perforation management. The platform can use ex vivo animal tissue or, where available, …
Post written by Rizwan Ahamed, MD, DM, Sasidharan Rajesh, MD, PDCC, and Cyriac Abby Philips, DM, from the Division of Gastroenterology and Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Kochi, India. A 41-year-old man with alcohol-related Child-Pugh B cirrhosis was referred to us after failed endoscopic glue injection for bleeding fundal varices. CT showed a …
Post written by Connor John Rodriguez, MD, and Robert Jay Sealock, MD, from Baylor College of Medicine, Ben Taub Hospital, Houston, and University of North Texas Health, Fort Worth, Texas, USA. We present the case of a 52-year-old man who developed a chronic sigmoid cutaneous fistula following abdominal operations after a severe motor vehicle collision. Despite fecal diversion, percutaneous drainage, …
Continue reading Endoscopic vacuum therapy for a refractory sigmoid fistula
Post written by Miguel Martins, MD, Joana Mota, MD, and Filipe Vilas-Boas, MD, PhD, from the Gastroenterology Department, Centro Hospitalar Universitário São João, and Faculty of Medicine of University of Porto, Porto, Portugal. A 59-year-old woman receiving chemotherapy for adenocarcinoma of the third duodenal portion developed gastric outlet obstruction from disease progression and underwent EUS-guided gastroenterostomy (EUS-GE). During EUS-GE, an unrecognized transverse …
Post written by Go Endo, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology in Organ Pathophysiology Program, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 70-year-old woman developed acute cholangitis and pancreatitis 3 months after hybrid endoscopic papillectomy (EP) of a 25-mm ampullary adenoma. The papillary orifice was completely obstructed by a fibrotic post-EP …
Post written by Hiroshi Yamazaki, MD, and Ken Ohata, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. This video demonstrates endoscopic en bloc resection of a large colorectal lipoma by endoscopic submucosal dissection (ESD), facilitated by multiple traction bands. Unroofing was initially attempted on a 70-mm lipoma, but due to its size and the …
