The cliff descending method to facilitate parallel view during endoscopic submucosal dissection in the gastric fornix

Post written by Douglas Motomura, MD, from the Department of Gastroenterology, University of British Columbia, Vancouver, British Colombia, Canada, and Toshitatsu Takao, MD, PhD, from the Department of Gastroenterology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan. This is a case of early gastric cancer in the fundus of the stomach. Treatment was provided with …

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EUS-guided gastrojejunostomy using a pre-existing PEG with jejunal extension for target bowel opacification

Post written by Laurens Janssens, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 71-year-old woman presented with abdominal pain, nausea, vomiting, and normal liver test results. A CT scan demonstrated gastric outlet obstruction (GOO). Extensive work-up could not reveal the etiology of an extrinsic duodenal compression, and we were unable …

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Cholangioscopy-guided tunneling and coaxial stenting of a large choledocholithiasis: a novel approach to mechanical lithotripsy

Post written by Abdulrahman Qatomah, MBBS, from the Department of Gastroenterology and Hepatology, McGill University, Montreal, Quebec, Canada. A large common bile duct stone was found in a patient with cholangitis. The stone was difficult to manage using the conventional ERCP method. Sessions of cholangioscopy-guided lithotripsy also failed to achieve stone fragmentation. We wanted to highlight …

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Successful multidisciplinary urgent management of life-threatening intraprocedural bleeding after EUS-guided fine-needle biopsy of a pulmonary mass

Post written by Giacomo Emanuele Maria Rizzo, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS - ISMETT, and Ilaria Tarantino, MD, from the PhD program, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy. An 82-year-old man with a previous diagnosis of adenocarcinoma in the right side of …

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Endoscopic submucosal dissection for a duodenal polyp at the upper aspect of the duodenal bulb using a newly developed endoscope

Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A polyp at the upper aspect of the duodenal bulb was identified by follow-up endoscopy after Helicobacter pylori eradication. The oral side of the tumor was adjacent to the pylorus, but the anal margin could not be …

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EUS-guided gastroenterostomy using a novel through-the-scope exchangeable dual-balloon enteroclysis catheter: a potentially secure and scalable approach

Post written by Yen-I Chen, MD, MSc, and Ali Bessissow, MD, from McGill University Health Centre, Montreal, Quebec, Canada. Our video illustrates the use of a novel through-the-scope exchangeable dual-balloon catheter (DUBX, Naja; Chess Medical, Montreal, Quebec, Canada) to assist EUS-guided gastroenterostomy (EUS-GE) in malignant gastric outlet obstruction. Our case shows the streamline through-the-scope insertion of …

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Peroral endoscopic myotomy for a pediatric case of suspected congenital esophageal stenosis

Post written by Hirofumi Abe, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan. We present an extremely rare case that was highly suspicious for congenital esophageal stenosis (CES) and successfully treated with modified peroral endoscopic myotomy (POEM). The patient was a 5-year-old girl with …

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Endoscopic submucosal dissection of recurrent, circumferential, distal rectal tumor with severe submucosal fibrosis using multiple clip-line tractions

Post written by Darshan Parekh, MBBS, MS, from the Department of Endoscopy, Thane Institute of Gastroenterology, Thane, Maharashtra, India, and Ken Ohata, MD, PhD, from the NTT Medical Center Tokyo, Tokyo, Japan. A 69-year-old woman underwent endoscopic submucosal dissection (ESD) for a recurrent, circumferential, rectal tumor starting just above the anal verge and extending 5 cm …

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How to make cost-effective polyp simulators for high-fidelity simulation-based training in postpolypectomy bleeding management and EMR

Post written by Ally Zhao, OSSD, from the Division of Gastroenterology, St. Michael's Hospital, Toronto, Ontario, Canada. The video article showcases 3 novel endoscopic simulators designed for practicing management of postpolypectomy bleeding, conventional EMR, and underwater EMR. Common and inexpensive household materials can be used to assemble these simulators, as demonstrated in a stepwise manner in …

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Patient educational videos on T1 colorectal cancer

Post written by Nik Dekkers, MD, from Leiden University Medical Center, Leiden, The Netherlands. This article is the first of VideoGIE's new Patient Education article type. To learn more about VideoGIE submission requirements, visit the journal website. To our knowledge, standardized information provision for T1 colorectal cancer (T1CRC) patients is lacking. These videos describe the medical …

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