Post written by Muhammad Ahmad Bashir, MD, and Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Our video demonstrates the use of EUS-guided radiofrequency ablation (RFA) to control bleeding GI tract malignancies in 2 patients. Under real-time sonographic guidance, we advanced a RFA needle directly into the core of each malignant mass. …
Tag: VideoGIE
Real-time tele-endoscopic guidance for endoscopic antireflux mucosectomy using a novel high-speed mobile network system
Post written by Fumisato Sasaki, MD, PhD, from Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. We present the case of an 80-year-old man with a history of distal gastrectomy who had GERD refractory to medical therapy. Endoscopy revealed Los Angeles grade B reflux esophagitis, bile retention in …
Endoscopic ultrasound–directed transenteric endoscopic retrograde cholangiopancreatography for biliary interventions in altered anatomy: tips and techniques
Post written by Michael Lajin, MD, from Sharp HealthCare, La Mesa, California, USA. In this case series, we present 3 patients who underwent EUS-directed transenteric ERCP (EDEE) (2 with Roux-en-Y hepaticojejunostomy [RYHJ] and 1 with Roux-en-Y distal gastrectomy) to treat biliary strictures or stones or to replace percutaneous transhepatic biliary drainage (PTBD) with endoscopic stent …
Contrast-enhanced harmonic endoscopic ultrasound–guided pancreatic duct drainage: a practical troubleshooting for the obscured main pancreatic duct
Post written by Soma Fukuda, MD, from the Department of Gastroenterology, Institute of Medicine, University of Tsukuba, Ibaraki, Japan. We present a case of obstructive pancreatitis in a 70-year-old woman with pancreatic head cancer undergoing chemotherapy. Transpapillary pancreatic duct drainage failed because of complete ductal obstruction by the tumor. EUS-guided pancreatic duct drainage was therefore …
Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls
Post written by Abdulrahman Qatomah, MBBS, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, and Marvin Ryou, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard …
Continue reading Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls
From indeterminant to septic: the rapid transformation of a pancreatic lesion
Post written by Shyam Thakkar, MD, and Ayowumi A. Adekolu, MD, from the Department of Gastroenterology & Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present 2 cases involving patients with undifferentiated pancreatic lesions (pancreatic head in case 1 and pancreatic uncinate process in case 2) concerning for malignancy who underwent EUS-guided sampling. In …
Continue reading From indeterminant to septic: the rapid transformation of a pancreatic lesion
Enhanced endoscopic papilla visualization for endoscopic retrograde cholangiopancreatography under indocyanine green: proof of concept in a preclinical model
Post written by Ariosto Hernández-Lara, MD, MSc, from the Institute of Image-Guided Surgery, Angeles Health System, Strasbourg, France. In this video, we present proof of concept of indocyanine green (ICG)-guided ERCP in a 30-kg pig that underwent duodenoscopy with a therapeutic colonoscope to reach the pig’s papilla and maintain insufflation while receiving 0.1 mg/kg ICG …
Piecemeal submucosal tunneling endoscopic resection of a 4-cm esophageal leiomyoma
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
Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor
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
Through-the-scope fully covered self-expandable metal stent with biflanged ends for ampullary access in severe duodenal obstruction
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 …
