Endoscopic restoration of completely transected and prolapsed common bile duct

Post written by Jorge Vargas, MD, from the Social Security System of Costa Rica, Hospital of Liberia, Guanacaste, Costa Rica. During a regular ERCP, a forceful stone extraction of a big stone was performed, and a frightening complication occurred. The common bile duct prolapsed into the duodenal lumen. After several cannulation attempts, we were able …

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Precutting EMR with full or partial circumferential incision with a snare tip

Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. We herein introduce 2 cases in which precutting EMR with a snare was performed. The first case was a IIa+IIc lesion 10 mm in size on the sigmoid …

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Pulley traction-assisted colonic ESD affords good visibility of submucosal layer

Post written by Satoki Shichijo, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading tumor involving a diverticulum in the posterior wall of ascending colon. We performed traction-assisted colonic ESD using a clip-and-line, which usually makes ESD safe and efficient by …

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In vivo diagnosis of intraductal papillary mucinous neoplasm with per-oral pancreatoscopy–guided confocal laser endomicroscopy

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. Our patient was a 79-year-old man in whom computed tomography indicated expansion of the main pancreatic duct. Endoscopic ultrasound (EUS) showed expansion of the entire pancreatic duct but could not detect the villous protrusions. Endoscopic …

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Endoscopic vacuum therapy for a large esophageal perforation after bariatric stent placement

Post written by Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Endoscopy Unit, Gastrointestinal Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. In this video, we present a case of a large esophageal perforation that occurred after a bariatric stent placement for the treatment of …

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Endoscopic management of gossypiboma

Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 30-year-old woman underwent cholecystectomy 3 weeks earlier and developed abdominal pain, vomiting, and low-grade fever within 2 weeks of surgery. On contrast-enhanced computed tomography, a large lesion with an internal reticular pattern was seen in the gastro-hepatic region. She …

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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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