The Lambda stenting technique: a new approach to address EUS-guided biliary drainage–associated adverse events

Post written by Hiroki Sato, MD, PhD, Hidemasa Kawabata, MD, PhD, and Mikihiro Fujiya, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan. We encountered 2 cases of stent migrations and 1 case with repeated cholangitis. In the first 2 cases, the metal stent inserted during the first …

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Treatment of Bouveret syndrome with stone fragmentation using an endoscopic submucosal dissection knife

Post written by Fiona Milne, MD, from Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada. Our case describes a 61-year-old man with a 3-decade history of recurrent cholecystitis who presented with Bouveret syndrome. A CT scan showed a 5-cm obstructing gallstone in the proximal duodenum. Surgery was considered to be high risk, given medical comorbidities. …

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VideoGIE now accepting Industry Education articles

VideoGIE has launched a new article type, Industry Education, with the goal of providing vetted educational content about current and upcoming endoscopic technologies. Key features will include tips and tricks showing manufacturer-approved equipment uses and settings. Accepted submissions will be posted on the VideoGIE website, hosted for 1 year with the option to renew, and …

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Migrated lumen-apposing stent trapped within a pancreatic fluid collection: Forward-view EUS for the rescue!

Post written by Pradev Inavolu, MD, DM, Wladyslaw Januszewicz, MD, PhD, and Sundeep Lakhtakia, MD, DM, from AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. We encountered a case of maldeployment of a lumen-apposing mental stent (LAMS) into the pseudocyst cavity with loss of access. Typically, such an adverse event necessitates a surgical intervention …

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Saline-immersion endoscopic submucosal dissection using pocket-creation method

Post written by Siddharth B. Javia, MD, from Confluence Health, Wenatchee Valley Medical Group, Wenatchee, Washington, USA. This video is about removing a large cecal polyp using an endoscopic submucosal dissection (ESD) technique. We facilitate this ESD in the cecum by using a combination of pocket-creation method and saline-immersion technique. ESD is a challenging technique to …

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EUS-guided enteroenterostomy to facilitate peroral altered anatomy ERCP

Post written by Romik P. Srivastava, MD, from the Medical University of South Carolina, Charleston, South Carolina, USA. In our video series, we present 4 cases of patients with non—gastric bypass altered anatomy who required complex ERCP. To facilitate peroral ERCP using a therapeutic gastroscope or duodenoscope, we created an EUS-guided enteroenterostomy in order to shorten …

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Use of inducible and limiting fluorescence in laparoscopic endoscopic cooperative surgery

Post written by Masaya Uesato, MD, PhD, Yoshihiro Kurata, MD, PhD, Yasunori Matsumoto, MD, PhD, Shunsuke Kainuma, MD, Takuya Hirosuna, MD, Ryota Otsuka, MD, PhD, Koichi Hayano, MD, PhD, and Hisahiro Matsubara, MD, PhD, from the Department of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba, Japan. We show you a case with a 6-mm-diameter …

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Modified gastric-peroral endoscopic myotomy with sleeve release in a case of severe gastric sleeve stenosis

Post written by Syed Hamaad Rahman, DO, from Methodist Dallas Medical Center, Dallas, Texas, USA. We describe the case of a 26-year-old woman who had undergone laparoscopic sleeve gastrectomy (LSG) and presented with severe intolerance of oral intake, reflux, and weight loss. She was found to have stenosis of the gastric sleeve with presence of a …

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Gastrogastric intussusception and acute pancreatitis caused by a large pyloric gland adenoma treated with endoscopic submucosal dissection

Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This is a case of a 75-year-old woman with gastrogastric intussusception and acute pancreatitis caused by a 6-cm dysplastic pyloric gland adenoma, which we treated using endoscopic submucosal dissection (ESD). The decision to showcase this video was driven by …

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Two clues make a proof: EUS-directed transgastric ERCP in twice-surgically altered anatomy—Roux-en-Y gastric bypass conversion of a sleeve gastrectomy

Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Institute, Milan, Italy. In the realm of endoscopy, the advent of lumen-apposing metal stents (LAMSs) has paved the way for innovative solutions to challenges once considered insurmountable. One such breakthrough is the technique known as EUS-directed transgastric ERCP (EDGE), which …

Continue reading Two clues make a proof: EUS-directed transgastric ERCP in twice-surgically altered anatomy—Roux-en-Y gastric bypass conversion of a sleeve gastrectomy