Stent-in-stent self-expandable metallic stent placement under direct cholangioscopy

Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. Managing consequent jaundice caused by malignant hilar biliary obstruction (MHBO) is important. Endoscopic biliary drainage is the treatment of choice because of its limited invasiveness. However, in patients with surgically altered anatomy, especially those who have undergone Roux-en-Y …

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EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction

Post written by Shelini Sooklal, MD, and Anand Kumar, MD, MPH, from the Division of Gastroenterology, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. Our video case describes the implementation of a therapeutic endoscopic ultrasound (EUS) technique to provide palliative relief of recurrent small bowel obstruction in a patient with metastatic adenocarcinoma of the colon …

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Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction

Post written by Keshav Kukreja, MD, Aman Deep, MD, and Tomas DaVee, MD, MSCI, from the Department of Gastroenterology, USF Health Morsani College of Medicine, Tampa, Florida, and the Interventional Gastroenterology at the University of Texas (iGUT), McGovern Medical School at UTHealth, Memorial Hermann Hospital, Houston, Texas, USA. Our video case describes a 57-year-old woman …

Continue reading Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction

Type VI choledochal cyst diagnosed on ERCP with direct cholangioscopy

Post written by Lawrence Ku, MD, from the Division of Gastroenterology, Harbor-UCLA Medical Center, Torrance, California, USA. This case highlights the diagnostic dilemma of differentiating between 2 types of choledochal cysts, type II versus type VI. Although rare, these choledochal cysts have significant malignant potential, ranging from 5 to 7.5%. Malignant transformation of type VI …

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Combination of immersion in saline solution, pocket-creation method, water-jet hydrodissection, and hybrid knife “probe mode”

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, Boadilla del Monte, and the Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Madrid, Spain. In this video case report, we describe an endoscopic submucosal dissection (ESD) of a giant rectal polyp with granular nodular …

Continue reading Combination of immersion in saline solution, pocket-creation method, water-jet hydrodissection, and hybrid knife “probe mode”

Wide-field underwater EMR followed by line-assisted complete closure for a large duodenal adenoma

Post written by Hiroko Nakahira, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Underwater endoscopic mucosal resection (EMR) was performed for a large duodenal adenoma in a patient with familial adenomatous polyposis, and the mucosal defect after underwater EMR was closed with line-assisted complete closure technique. Endoscopic mucosal resection for …

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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 …

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