Tag: VideoGIE

Endoscopic management of recurrent Zenker diverticula after failed surgical repairs

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Post written by Sanjay Palat, MD, from Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, USA. This case involves a 65-year-old man with a Zenker diverticulum that recurred after 2 unsuccessful surgeries, transoral staple myotomy and revisional transcervical cricopharyngeal myotomy. He noted the recurrence of dysphagia, regurgitation, and weight loss beginning 1 month after his second …

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Successful management of bile duct injury with duodenal perforation using endoscopic naso-pancreatic drainage and fully covered self-expandable metallic stent deployment

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Post written by Haruka Okada, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. We reported a case in which simultaneous bile duct injury with massive bile leakage and duodenal retroperitoneal perforation during endoscopic submucosal dissection (ESD) for a large periampullary adenoma were successfully managed by …

Continue reading Successful management of bile duct injury with duodenal perforation using endoscopic naso-pancreatic drainage and fully covered self-expandable metallic stent deployment

Diagnosis and treatment of a biliary fistula to walled-off pancreatic necrosis

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Post written by Erica Park, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of biliary obstruction from a walled-off pancreatic necrosis, for which the patient underwent EUS-guided cystduodenostomy for biliary decompression. The patient’s liver function tests results subsequently improved, which we initially …

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Endoscopic full-thickness resection using double endoscope–assisted snare traction for a large exophytic gastric subepithelial lesion

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Post written by Chung-Ying Lee, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan. We present a video showcasing a novel double endoscope—assisted snare traction method designed to facilitate safe and efficient endoscopic full-thickness resection (EFTR) for a 30-mm exophytic gastric subepithelial lesion …

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Submucosal tunneling endoscopic full-thickness resection for management of a rare case of esophageal GI stromal tumor

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Post written by Chukwunonso Benedict Ezeani, MD, from Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA. This is a case of a patient with compensated alcohol-related cirrhosis (MELD-Na 7 points, Child Turcotte Pugh class A) who underwent an upper EGD for variceal screening. She was incidentally found to have a 1-cm well-circumscribed upper esophageal …

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Full-depth evaluation of the bile duct with a 7F cholangioscope and its possibility for guiding therapeutics

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Post written by Carlos Robles-Medranda, MD, AGAF, FASGE, from the Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. In this review article, we present 4 instances where the 7F cholangioscope emerged as a valuable tool for assessment of challenging biliary ducts, along with a comparative analysis among available cholangioscopes. In case 1, the 7F cholangioscope facilitated identification …

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EUS-directed transenteric ERCP with giant intrahepatic stone lithotripsy after a LAMS-in-LAMS rescue in response to a misdeployment

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Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, Italy. Our video case shares a compelling demonstration of EUS-directed transenteric ERCP (EDEE) in managing complex biliary adverse events in a patient with surgically altered anatomy. An 80-year-old woman with a history of Roux-en-Y hepaticojejunostomy presented with …

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A novel balloon dilation catheter facilitating endoscopic papillary balloon dilation in patients with Roux-en-Y gastrectomy

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Post written by Yuki Tanisaka, MD, PhD, from Saitama Medical University International Medical Center, Saitama, Japan. Endoscopic stone extraction in patients with surgically altered anatomy (SAA) using balloon enteroscopy is considered difficult. Although endoscopic papillary balloon dilation (EPBD) is one of the necessary procedures to extract the stone, EPBD in patients with SAA is challenging because …

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Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct

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Post written by Jorge D. Machicado, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. In this video, we describe a case of a guidewire that fractured in the pancreatic duct during ERCP and different tools used for its successful removal. This occurred during attempts at placing a plastic …

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Endoscopic repair of surgically transected bile duct using overlapping covered metal stents

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Post written by Thomas Tielleman, MD, from the University of Texas Southwestern Medical Center, Dallas, Texas, USA. This is a case of a 48-year-old man who underwent cholecystectomy complicated by hemoperitoneum requiring take-backs to the operating room. A complete bile duct transection ultimately complicated the surgeries. Cholangiography from ERCP and percutaneous transhepatic cholangiography confirmed a large …

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