Endoscopic full-thickness resection of a stomach gastrointestinal stromal tumor using a dedicated full-thickness resection device

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida. We present a case of a 60-year-old man with a 15-mm gastrointestinal stromal tumor (GIST) in the stomach. The patient elected for resection instead of surveillance. After multidisciplinary discussion, the decision was to proceed with endoscopic removal. …

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Motorized spiral enteroscope-assisted retrieval of video capsule in a patient with Crohn’s disease

Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. We describe a case of  young man with history of chronic kidney disease on maintenance hemodialysis. He underwent capsule endoscopy (CE) 6 months ago for evaluation of obscure occult gastrointestinal bleeding requiring multiple transfusions. CE revealed ileal stricture, …

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Lessons learned from a salvage procedure for LAMS misplacement during EUS-guided gastrojejunal bypass

Post written by Bruno Costa Martins, MD, PhD, from the Hospital Alemão Oswaldo Cruz, Endoscopy Unit, São Paulo, Brazil. We described a case of an 88-year-old patient with obstructive symptoms due to advanced head pancreatic neoplasm. EUS-guided gastrojejunal bypass (EUS-GJ) was chosen to palliate gastric outlet obstruction symptoms. EUS-GJ bypass was attempted with the aid …

Continue reading Lessons learned from a salvage procedure for LAMS misplacement during EUS-guided gastrojejunal bypass

Endoscopic resection of a duodenal Brunner gland hamartoma presenting with GI bleeding

Post written by Tara Keihanian, MD, MPH, and Sunil Amin, MD, MPH, from the Department of Medicine, Division of Gastroenterology, University of Miami Miller School of Medicine, Miami, Florida. A 64-year-old man with multiple comorbidities presented to our hospital with a 3-day history of weakness, melena, and acute anemia. Upper endoscopy (EGD) showed a large …

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Endoscopic management of symptomatic walled-off omental fat necrosis

Post written by C. Roberto Simons-Linares, MD, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe a case a 57-year-old man with a history of neuroendocrine tumor of the pancreas status post-laparoscopic distal pancreatectomy and splenectomy that presented to us with severe abdominal pain and found …

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Lumen-apposing metal stent use to maintain a surgical anastomosis

Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we show the use of a lumen-opposing metal stent (AXIO stent) to maintain a stenosing gastroenterostomy in a patient with superior mesenteric artery syndrome. This video is meant to show one of …

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Safety of EUS-guided gallbladder drainage using a LAMS in patients requiring anticoagulation

Post written by Catherine Frakes Vozzo, DO, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. The purpose of our case series was to assess the safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) in patients requiring chronic anticoagulation. EUS-GBD is performed to treat acute cholecystitis in patients who …

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Same-session endoscopic sleeve gastroplasty and transoral incisionless fundoplication

Post written by Reem Z. Sharaiha, MD, from the Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital and Weill Cornell Medical Center, New York, New York. In this video we present a 63-year-old woman with class II obesity (BMI 36 kg/m 2 ), 236 lbs, proton-pump inhibitor (PPI)-responsive GERD, who was referred for further management …

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Endoscopic shield: barrier enclosure during the endoscopy to prevent aerosol droplets during the COVID-19 pandemic

Post written by Ryota Sagami, MD, from the Department of Gastroenterology, Oita San-ai Medical Center, Oita, Japan. This device is a plastic cube with sides of 45 centimeters. Four square plastic plates were glued together. With the patient in a left lateral position, the foot side and left side of the cube are open, and …

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Blue rubber bleb nevus syndrome in a 10-year-old child treated with loop ligation facilitated by double-balloon enteroscopy

Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD(Res), from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Hampstead, London, United Kingdom. This short video demonstrates the usefulness of loop ligation facilitated by double-balloon enteroscopy (DBE) for endotherapy of gastrointestinal …

Continue reading Blue rubber bleb nevus syndrome in a 10-year-old child treated with loop ligation facilitated by double-balloon enteroscopy