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 …
Tag: VideoGIE
Full-depth evaluation of the bile duct with a 7F cholangioscope and its possibility for guiding therapeutics
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 …
EUS-directed transenteric ERCP with giant intrahepatic stone lithotripsy after a LAMS-in-LAMS rescue in response to a misdeployment
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 …
A novel balloon dilation catheter facilitating endoscopic papillary balloon dilation in patients with Roux-en-Y gastrectomy
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 …
Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct
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 …
Continue reading Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct
Endoscopic repair of surgically transected bile duct using overlapping covered metal stents
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 …
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 …
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. …
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 …
Continue reading VideoGIE now accepting Industry Education articles
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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