Post written by Ahmad Abdulraheem, MD, and Angela Koomson, MD, from the Department of Medicine, MedStar Georgetown Washington Hospital Center, and Abdalla Khouqeer, MD, Ahmad Al-Dwairy, MD, and Walid Chalhoub, MD, from the Gastroenterology Section, Department of Medicine, MedStar Georgetown University Hospital, Washington, District of Columbia, USA. The video describes a case of severe bile duct injury managed solely with ERCP. The patient presented with acute cholecystitis due to …
Tag: VideoGIE
Endoscopic management of active arterial bleeding in walled-off necrosis collection
Post written by Matthew Eganhouse, MD, and Ajaypal Singh, MD, from the Division of Digestive Diseases, Rush University Medical Center, Chicago, Illinois, USA. In our recently published video case, we describe, to our knowledge, the first time endoscopic hemostasis was achieved from active arterial bleeding within a walled-off necrosis (WON) cavity. Our patient, a 45-year-old woman, initially underwent EUS-guided cystgastrostomy …
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Peroral endoscopic tumor resection of recurrent hypopharyngeal fibrovascular polyp
Post written by Yohei Nishikawa, MD, PhD, from Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan. We present a case of a 56-year-old woman with a recurrent fibrovascular polyp (FVP) in the hypopharynx. She previously underwent an incomplete resection, and the residual tumor continued to grow, leading to progressive dysphagia. We performed …
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Pleural connection treated with stent plus endobronchial valve
Post written by Mayank Goyal, MD, from the the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, and the University of Missouri-Kansas City, Kansas City, Missouri, and Navtej Buttar, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We report the case of a 34-year-old man with a complex surgical history who developed a refractory esophagopleural fistula (EPF) …
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Combination of through-the-scope suturing and over-the-scope clips for closure of persistent gastrocutaneous fistula after gastrostomy tube removal (“X-lock technique”)
Post written by Sagar Shah, MD, Adarsh Thaker, MD, and Alireza Sedarat, MD, from the Vatche and Tamar Manoukian Division of Digestive Diseases, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA. Our video submission highlights 2 cases of persistent gastrocutaneous fistulas (GCFs) after removal of long-term PEG tubes. In both patients, the fistula tract failed to close spontaneously and led …
Hybrid endoscopic stricturotomy and balloon dilation of ascending colon stricture with cecal fecaliths in Crohn’s disease guided by preprocedural intestinal ultrasound
Post written by Partha Pal, MD, DNB, MRCP (UK), ESEGH, FASGE, from the Asian Institute of Gastroenterology, Hyderabad, India. We present the case of a 47-year-old man with ileocolonic Crohn’s disease who developed recurrent obstructive symptoms despite biologic therapy. Preprocedural intestinal ultrasound (IUS) identified a short, predominantly fibrotic ascending colon stricture with upstream fecaliths. Colonoscopy confirmed a …
Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Post written by Andy Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. The availability of suture-based technologies is growing in flexible GI endoscopy, with one of the newcomers the X-Tack device (Boston Scientific, Marlborough, Mass, USA). This device, conceived with Dr Christopher Gostout and Apollo Endosurgery, uses steel “screws” or tacks that are drilled into …
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Retrograde device-assisted lumen-apposing metal stent insertion for candy cane syndrome
Post written by Anne Kimberly Lim-Fernandez, MD, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. Candy cane syndrome is an uncommon but clinically significant adverse event after gastric bypass or total gastrectomy. It arises when the long blind pouch at the anastomosis preferentially fills with ingested food. This can lead to symptoms …
Circumferential endoscopic submucosal dissection of a 14-cm long-segment Barrett’s esophagus with multifocal adenocarcinoma: a case report
Post written by Kais Zakharia, MD, from the Division of Gastroenterology, University of Massachusetts Chan Medical School–Baystate Medical Center, Springfield, Massachusetts, USA. Barrett’s esophagus (BE) remains the only known precursor to esophageal adenocarcinoma and, although the risk of progression varies with segment length and degree of dysplasia, endoscopic management has increasingly replaced surgery in well-selected patients. In …
Endoscopic combination therapy with photodynamic therapy and endoscopic resection for wide circumferential local recurrence after radiotherapy for esophageal cancer
Post written by Nobuhisa Minakata, MD, PhD, and Tomonori Yano, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. We present the case of a patient who achieved local control with endoscopic combination therapy using photodynamic therapy and endoscopic resection for wide-circumferential local recurrence after radiotherapy for esophageal squamous cell carcinoma. In cases of …
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