Tag: VideoGIE

Directional movement guide for digital single-operator cholangioscopy system

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Post written by Justin Ryan L. Tan, MD, from the Section of Gastroenterology, Chinese General Hospital and Medical Center, Manila, Philippines, and Weigang Gu, MD, from the Department of Gastroenterology, Affiliated Hangzhou First People's Hospital, Hangzhou, China. Although cholangioscopy has undergone increasing therapeutic applications, standardized training remains a significant challenge. Our team has focused on simplifying device …

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Novel approach for weight reduction after Roux-en-Y gastric bypass with weight regain: a combination of Bariatric Anastomotic Reduction System with tubularization of residual gastric pouch

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Post written by Rakesh Kalapala, MD, DNB, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. The combination of the Bariatric Anastomotic Reduction System (BARS) with endoscopic sleeve gastroplasty (ESG) of the residual gastric pouch would cause significant anastomotic lumen reduction, with decrease of the size of the residual gastric pouch …

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The open accordion: a novel application of endoscopic sleeve gastroplasty for the treatment of refractory gastroparesis

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Post written by Alexander J. Podboy, MD, from the University of Virginia, Charlottesville, Virginia, USA. Gastroparesis is a debilitating condition that leads to poor quality of life. Although gastric peroral endoscopic myotomy (G-POEM) has emerged as a novel treatment, its success rates are variable, and options for patients with refractory symptoms remain limited. This video case introduces …

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EUS-guided glue injection for managing torrential bleeding during gastric neuroendocrine tumor endoscopic submucosal dissection: sealing the storm

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Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. A 24-year man diagnosed with a type II gastric neuroendocrine tumor (NET) (size <20 mm) underwent endoscopic submucosal dissection (ESD) after multidisciplinary discussion. During distal extension of the initial incision, bleeding started and abruptly became profuse. Initial attempts to control the bleeding using …

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Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD

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Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video case introduces the effectiveness of antireflux mucoplasty (ARM-P) with valve (ARM-P/V) for proton pump inhibitor—refractory GERD. Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) are effective treatments for proton pump inhibitor—refractory or dependent GERD, as supported …

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Star-Loop: a novel, low-cost method of multipoint traction for colonic endoscopic submucosal dissection

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Post written by Ciaran Judge, MD, MB, BCh, BAO, and Niroshan Muwanwella, MD, from the Royal Perth Hospital, Perth, Western Australia, Australia. Endoscopic submucosal dissection (ESD) is an important tool for resection of colorectal lesions with features suggestive of superficial submucosal invasion. However, resection of proximal lesions can be challenging for several reasons. We present the case of a 68-year-old man …

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Immersion endoscopic submucosal dissection with saline pressure method for duodenal sessile serrated lesion with severe surgical scar fibrosis

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Post written by Chen-Shuan Chung, MD, MSc, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan. In this case, we described a modified endoscopic submucosal dissection (ESD) method for management of a fibrotic duodenal neoplasm. A 77-year-old woman presented with a 2.5-cm 0-IIa lesion on a surgical …

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Endoscopic tips for intragastric balloon use for obesity: what you need to know

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Post written by Carlos Paolo Francisco, MD, FPCP, FPSG, FPSDE, from Singapore General Hospital, Singapore, Singapore, and St. Luke's Medical Center–Global City, Manila, Philippines. The intragastric balloon (IGB) offers a less-invasive alternative for managing obesity and its associated comorbidities, whether as a primary intervention or a bridge to bariatric surgery. Despite IGB's potential to address the …

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Two-stage endoscopic resection for a huge gastric tumor at the fornix

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Post written by Nao Takeuchi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. Our video presents a case of two-stage endoscopic resection (TSER) for a large gastric tumor located at the fornix. The tumor, over 10 cm in size, had a villous structure, and a biopsy suggested pyloric gland adenoma. Because of …

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A novel approach to treating buried bumper complicating PEG gastropexy

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Post written by Andrew Storm, MD, and Navtej Buttar, MD, from Mayo Clinic, Rochester, Minnesota, USA. Managing buried bumper that is complicating PEG tube placement may be challenging and risky, particularly when this occurs acutely after PEG tube placement, where simple PEG tube removal to permit healing is impossible. In this case, we describe the use of OverStitch …

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