Post written by Georgios Mavrogenis, MD, from the Third Space Endoscopy Unit, Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video demonstrates endoscopic submucosal dissection (ESD) of a 4-cm nongranular adenoma involving the ileocecal valve with extension into the terminal ileum—one of the most technically demanding locations for colorectal ESD. The procedure combined saline-immersion ESD with dynamic …
Tag: VideoGIE
Therapeutic endoscopic ultrasound with a novel adaptable endoscopic ultrasound probe and vision system
Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Instituto Ecuatoriano de Enfermedades Digestivas and Endoscopy Net, Guayaquil, Ecuador. This video presents our early clinical experience with the EndoSound Vision System (Portland, Ore, USA), a compact, portable, disposable EUS probe that clips onto a flexible upper GI endoscope while preserving the working channel. We demonstrate device …
Continuous carbon dioxide flow via a modified 4-way stopcock to prevent hemostatic spray catheter clogging
Post written by Mina Alkomos, MD, DABOM, from the Gastroenterology Department, Mount Sinai South Nassau, Oceanside, New York, and Walid Baddoura, MD, from the Gastroenterology Department, St Joseph’s University Medical Center, Paterson, New Jersey, USA. This video demonstrates a simple modification to the delivery system used during application of hemostatic powder to reduce catheter clogging. Catheter occlusion remains …
Multitraction point strategy for endoscopic submucosal dissection in managing difficult colorectal lesions
Post written by Abdulrahman Qatomah, MBBS, from Gastroenterology, Endoscopy and Hepatology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. We present a multitraction point (MTP) technique designed to facilitate endoscopic submucosal dissection (ESD) for difficult-to-access colorectal lesions. This approach is particularly useful for large lesions with suboptimal submucosal exposure, where perpendicular rather than tangential dissection …
Robotic-assisted traction and closure during colorectal endoscopic submucosal dissection
Post written by Carlos E. Bertran-Rodriguez, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. Our video demonstrates use of a novel robotic—assisted traction device (TraCloser; EndoRobotics, Seoul, South Korea) during colorectal endoscopic submucosal dissection (ESD) of a rectal 60-mm laterally spreading granular tumor. The robotic gripper arm allowed real-time adjustments for dynamic …
Modified gastric peroral endoscopic myotomy for helical stenosis after sleeve gastrectomy
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. We present a case series of 3 patients with helical stenosis after surgical sleeve gastrectomy treated with modified gastric peroral endoscopic myotomy (G-POEM) as the initial approach. All patients in this series underwent under-saline tunneling, which facilitated navigation through a swirling, challenging submucosal (SM) …
Postlobectomy bronchoesophageal fistula treated with endoscopic helical tacking system and anchor-pronged clip
Post written by Margherita Costanza Maregatti, MD, and Giuseppe De Roberto, MD, from the Division of Endoscopy, European Institute of Oncology, IRCCS, Milan, Italy. This video presents endoscopic management of a postsurgical bronchoesophageal fistula that developed 6 weeks after right upper lobectomy for a lung adenocarcinoma in a 50-year-old woman. The fistula measured approximately 7 mm on the esophageal side …
Usability of a novel cholangiopancreatoscope for tumor detection and stone management
Post written by Shuji Mitsuhashi, MBBS, Chinmay Guralwar, MBBS, and Vinay Chandrasekhara, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. This video demonstrates the use of a novel single-use peroral cholangiopancreatoscopy system (Dragonfly Endoscopy Inc, Englewood, Colo, USA) for diagnostic and therapeutic pancreatobiliary interventions during ERCP. The cases highlight direct visualization of indeterminate biliary strictures, intraductal tumor evaluation with …
Endoscopic management of a complex gastrocolojejunal fistula following endoscopic ultrasound–guided gastrojejunostomy
Post written by Mayank Goyal, MBBS, from the University of Missouri-Kansas City, Kansas City, Missouri, and Mayo Clinic, Rochester, and Manik Aggarwal, MBBS, and Ryan Law, DO, from the Mayo Clinic, Rochester, Minnesota, USA. This video demonstrates endoscopic management of a complex gastrocolojejunal fistula that developed following EUS-guided gastrojejunostomy (EUS-GJ) in a patient with gastric outlet obstruction secondary to necrotizing pancreatitis. Severe inflammation …
Management of parastomal variceal bleeding with endoscopic ultrasound–guided coiling and human thrombin/fibrinogen injection
Post written by Sanjeevani Tomar, MD, from the Division of Gastroenterology and Hepatology, AdventHealth, Abdullah Abbasi, MD, from the Division of Gastroenterology and Hepatology, University of Iowa, Iowa City, Iowa, and Center for Interventional Endoscopy, AdventHealth, Saurabh Chandan, MD, from Advanced Endoscopy, Houston Methodist West Hospital, Houston, Texas, and Center for Interventional Endoscopy, AdventHealth, and Mustafa A. Arain, MD, from the Center for Interventional …
