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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A case of duodenal variceal bleeding treated by Doppler-guided endoscopic cyanoacrylate injection

Post written by Abbinaya Elangovan, MD, from the University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA. We report on a patient with pancreatic adenocarcinoma who presented with recurrent GI bleeding. He underwent multiple investigations that did not reveal the etiology of bleeding. A bulging was noted in the duodenum in upper endoscopy …

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Endoscopic blind limb reduction with septotomy: a novel endoscopic approach to candy cane syndrome after Roux-en-Y gastric bypass

Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a new endoscopic procedure to treat candy cane syndrome in Roux-en-Y gastric bypass patients. The syndrome refers to patients who have undergone Roux-en-Y gastric bypass and developed significant and sometimes debilitating postprandial abdominal discomfort that is often relieved …

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Resection of large terminal ileum polyp: usefulness of underwater EMR

Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. We performed underwater EMR for a 20-mm Paris Ip polyp at the terminal ileum. The lumen of the terminal ileum was infused with normal saline through the waterjet of the colonoscope. This made the polyp float and permitted thorough inspection despite the …

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Endoscopic removal of a weight-loss device with stoma closure using a tack-and-suture device

Post written by Christopher McGowan, MD, MSCR, AGAF, ABOM, FASGE, from True You Weight Loss, Cary, North Carolina, USA. In this video, we describe our technique for the endoscopic removal of an AspireAssist weight-loss device (Aspire Bariatrics, King of Prussia, Penn, USA) with simultaneous prophylactic stoma closure. The device was approved by the U.S. Food and …

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