Endoscopic esophageal reconstruction in epiphrenic diverticulum: septotomy-free diverticulectomy and suturing

Post written by Fatih Aslan, MD, from Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. The procedure was performed with the patient under general anesthesia using a standard gastroscope. A submucosal tunneling approach was initiated proximal to the diverticulum. The surrounding tissue was carefully dissected, allowing the diverticulum to be mobilized into the lumen and subsequently inverted. After …

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Application of a novel endoscopic ultrasound–guided motorized fine needle for liver and pancreatic lesion biopsy

Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. This video presents 2 clinical cases demonstrating the use of a second-generation motorized fine-needle biopsy (mFNB) device (Precision-GI; Limaca Medical, Ein Ha Emeq, Israel) for EUS-guided tissue acquisition in hepatic and pancreatic lesions. The first case involves a 56-year-old woman with …

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Peroral endoscopic myotomy for esophageal motility disorders

Post written by Mark Solinski, MD, and Aziz Aadam, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University, Chicago, Illinois, USA. Our video was designed to educate patients about peroral endoscopic myotomy (POEM). In the video, we walk viewers through the indications and contraindications, provide a detailed procedural description, and explain postprocedural expectations. We believe a …

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Endoscopic reversal of Roux-en-Y gastric bypass using lumen-apposing metal stent for the treatment of excessive weight loss and hyperammonemic encephalopathy

Post written by Ricardo Almeida, MD, from the Universidade Federal de São Paulo, São Paulo, Hugo Guedes, MD, Liliana Mendes, MD, and Carlos Rassi, MD, from the Department of Gastroenterology, Hospital Sírio-Libanês, Brasília, Brazil, Roberto Simons-Linares, MD, MSc, from the Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, Prabhleen Chahal, MD, MASGE, FACG, and …

Continue reading Endoscopic reversal of Roux-en-Y gastric bypass using lumen-apposing metal stent for the treatment of excessive weight loss and hyperammonemic encephalopathy

Endoscopic tunneling and subserosal dissection using a natural orifice transluminal endoscopic surgery approach for a gastrointestinal stromal tumor

Post written by Amol Bapaye, MD (MS), FASGE, MSGEI, FISG, FJGES, and Sanjana Bhagwat, MD, DNB, from Deenanath Mangeshkar Hospital and Research Center, Pune, India. We highlight a case of a 74-year-old woman presenting with a 3.8- x 3.3-cm exophytic gastrointestinal stromal tumor on the lesser curvature that was treated using a unique strategy and technique. The strategy: After …

Continue reading Endoscopic tunneling and subserosal dissection using a natural orifice transluminal endoscopic surgery approach for a gastrointestinal stromal tumor

Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection

Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. Our video showcases the practical implementation of the “Asclepius tube,” an innovative, simple drainage system designed for …

Continue reading Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection

Endoscopic mesorectal dissection for precise pathologic staging and potential treatment of locally advanced rectal cancer

Post written by Varun Jain, MD, MBA, and Sultan Mahmood, MD, FASGE, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. We present a case of endoscopic mesorectal dissection (EMD) performed for staging and potential treatment of a residual rectal adenocarcinoma following incomplete hot snare polypectomy. A 67-year-old man underwent colonoscopy after a …

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The saline-immersion/irrigation technique for endoscopic submucosal dissection of a challenging colonic lesion using double-balloon endoscopy and a novel type of advanced imaging

Post written by Edward John Despott, MD, FRCP, FEBGH, FASGE, FJGES, FESGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. We present a case of endoscopic submucosal dissection (ESD) of an 80-mm sessile lesion of …

Continue reading The saline-immersion/irrigation technique for endoscopic submucosal dissection of a challenging colonic lesion using double-balloon endoscopy and a novel type of advanced imaging

A >30-cm circumferential rectal laterally spreading tumor treated with multitunnel endoscopic submucosal dissection and suturing

Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This video presents a case of multitunnel endoscopic submucosal dissection (ESD) followed by endoscopic suturing in a patient with an approximately >30-cm-long circumferential laterally spreading tumor located in the rectum. A 51-year-old woman presenting with diarrhea underwent colonoscopic evaluation, which revealed a large circumferential laterally …

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Saline-tunneling endoscopic submucosal dissection for residual rectal lesion at anastomotic staple line

Post written by Taranika Sarkar Das, MD, from The Brooklyn Hospital, Brooklyn, New York, and Matheus Franco, MD, PhD, from the Division of Gastroenterology and Human Nutrition at the University of Texas Health San Antonio and UT Health San Antonio’s Multispecialty and Research Hospital, San Antonio, Texas, USA. We present a case of a 67-year-old man with prior T3N1M0 rectal …

Continue reading Saline-tunneling endoscopic submucosal dissection for residual rectal lesion at anastomotic staple line