Post written by Hidenobu Hara, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) has become an effective method for biliary drainage, particularly in cases of hilar bile duct obstruction. This report presents the case of an 84-year-old woman with unresectable perihilar cholangiocarcinoma of bismuth type IV. …
Tag: VideoGIE
Deconstructing the steps of pull-type PEG tube insertion
Post written by Carlos Paolo D. Francisco, MD, FPCP, DPSG, DPSDE, from Singapore General Hospital, Singapore, and St. Luke’s Medical Center, Global City, Philippines. PEG is the preferred feeding route for patients requiring long-term enteral nutrition. The procedure involves percutaneously placing a tube into the stomach with the assistance of endoscopy, as described by Gauderer et …
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Successful endoscopic laser lithotripsy in 2 cases of Bouveret syndrome and cholecystocolonic fistulae–induced colonic obstruction: a minimally invasive approach
Post written by Eduardo A. Vega, MD, from St. Elizabeth’s Medical Center, Boston University School of Medicine, Boston, MA, USA. This article presents 2 successful cases of endoscopic treatment for Bouveret syndrome and cholecystocolonic fistulae leading to large-bowel obstruction. Bouveret syndrome and cholecystocolonic fistulae, though rare, represent severe adverse events of cholelithiasis. These cases highlight the …
Endoscopic repair of a perforated duodenal ulcer: time to close the gap
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video, we demonstrate full-thickness endoscopic closure of an acute duodenal perforation using an over-the-scope suturing system. A 70-year-old patient with a history of abdominal surgeries and concerns for a duodenal perforation was …
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Top GIE, VideoGIE, and iGIE reviewers to be recognized
Congratulations to the 2024 GIE, VideoGIE, and iGIE Reviewer Award Winners, who will be honored at the Editors’ Reception on May 20 during Digestive Disease Week in Washington, DC, USA. These reviewers are being awarded for their excellent contributions to the journals through completing high totals of reviews at the highest quality. They are thanked …
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Functional luminal imaging probe assessment of eosinophilic esophagitis stricture followed by optical-haptic dilation with a dilating cap
Post written by Bing Chen, MD, from the Department of Gastroenterology, Hepatology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. A 44-year-old man who had eosinophilic esophagitis (EoE) for >20 years presented with chronic dysphagia to solid food. During upper endoscopy, a complex stricture was found 22 to 28 cm from the incisors. To gather more …
Peroral endoscopic septotomy for Zenker’s diverticulum with additional cut of mucosal flap: step by step
Post written by Harold Benites-Goñi, MD, from San Ignacio de Loyola University and Edgardo Rebagliati Martins National Hospital, Lima, Perú. The final goal of treatment of Zenker’s diverticulum is cutting the cricopharyngeal muscle to eliminate the septum. In our video, we show a variant of peroral endoscopic myotomy for the management of Zenker’s diverticulum. This case …
Cholangioscopy as a rescue for a post-cholecystectomy adherent stone formed around a migrated surgical clip in the common bile duct
Post written by Chukwunonso Ezeani, MD, from Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA. This is a case of an 88-year-old woman with a history of cholecystectomy 30 years prior who presented with acute-onset right upper quadrant pain, nausea, and vomiting. Laboratory and imaging data were consistent with choledocholithiasis, with the bile duct measuring …
Technical tips for EUS-guided embolization of varices and pseudoaneurysms
Post written by Radhika Chavan, MD, DNB, FASGE, FISG, from Ansh Clinic, Ahmedabad, Gujarat, India. In our article, we demonstrate the techniques of EUS-guided embolization of various vascular lesions, including gastric varices, ectopic varices, and pseudoaneurysms. We discuss 2 methods of EUS-guided embolization for gastric varices: (1) direct puncture of the varices and (2) feeder vessel …
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Retrograde EUS-guided ileocolostomy for malignant small-bowel obstruction
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 64-year-old woman with a history of perforated goblet cell carcinoid tumor of the appendix underwent extensive cytoreductive surgery with heated intraperitoneal chemotherapy 5 years prior. She had a recent small-bowel obstruction requiring exploratory laparotomy with extensive lysis of adhesions and resection of …
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