Usefulness of a multibending endoscope in gastric endoscopic submucosal dissection

Post written by Koichi Hamada, MD, from the Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima and the Department of Gastroenterology, Southern-Tohoku General Hospital, Koriyama. This case study presents a series of patients with early gastric cancer undergoing endoscopic submucosal dissection (ESD) using a multibending endoscope (GIF-2TQ260M; Olympus Medical Corp, Tokyo, …

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Hemostatic powder for the intraductal treatment of biliary cancer bleeding

Post written by Lorenzo Fuccio, MD, and Vito Sansone, MD, from the Gastroenterology Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi University Hospital, Bologna, Italy. The patient we described is a 87-year old woman, diagnosed with a Klatskin cholangiocarcinoma which was unsuitable for curative treatments, whom obtained a complete biliary drainage only after positioning …

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A challenging case of gastric endoscopic submucosal dissection

Post written by Seiichiro Abe, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 62-year-old woman underwent screening esophagogastroduodenoscopy, and a suspicious 80-mm elevated, laterally spreading lesion was found involving the greater curvature of the upper gastric body. Biopsy showed well-differentiated tubular adenocarcinoma. The patient opted for endoscopic submucosal dissection (ESD). …

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Use of multiple covered metal esophageal stents for treatment of Boerhaave syndrome in achalasia

Post written by Theodore W. James, MD, MSc, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We describe the case of a 95-year old-woman with known achalasia who presented after vomiting forcefully and developing a perforation of the esophagus, also known as Boerhaave syndrome. In most scenarios, …

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Transpapillary nasocystic tube placement to allow gallbladder distention for EUS-guided cholecystoduodenostomy

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We describe a 39-year-old woman with a history of Crohn’s disease and multiple bowel resections who presented with 2.5 months of right upper-quadrant pain and found to have multiple gallstones and cystic …

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Nonampullary duodenal subepithelial neuroendocrine tumor removed R0 by ESD

Post written by Borathchakra Oung, MD, from the Department of Endoscopy and Gastroenterology, Edouard Herriot Hospital, Lyon, France. Managing lesions endoscopically in the duodenum can be challenging due to its thin wall and anatomically narrow lumen that limit endoscope maneuver. We reported a case of a subepithelial neuroendocrine tumor located in duodenal bulb just behind …

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Endoscopic unroofing drainage with a needle-knife for gastric wall abscess

Post written by Yusuke Hashimoto, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan. This case describes a 68-year-old diabetic woman was referred for evaluation of a pancreatic tail mass (maximum diameter, 3.2 cm). To obtain specimens for histologic examination before neoadjuvant chemotherapy, transgastric EUS-FNA was performed with …

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