Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 74-year-old man was referred to our institute for the treatment of a large flat-elevated tumor (diameter, 50 mm) in the duodenal bulb. We selected ESD for the en bloc resection of the lesion, and the …

Continue reading Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb

Postfundoplication submucosal prolapse syndrome

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. We report and describe a previously unrecognized pathology called postfundoplication submucosal prolapse syndrome (PFSPS); we coined the terminology based on the imaging and pathological findings. We hypothesized that the mucosa and submucosal layers …

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Mucosa-preserving Zenker’s diverticulotomy

Post written by Linda Yun Zhang, MBBS, from the Division of Gastroenterology & Hepatology, Johns Hopkins Medicine, Baltimore, Maryland. We present a 78-year-old woman with a short-septum Zenker’s diverticulum successfully treated with a mucosa preserving Zenker’s diverticulotomy. In this technique, in contrast to the original Zenker’s peroral endoscopic myotomy (Z-POEM) technique, mucosal incision and entry …

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Band ligation-assisted endoscopic mucosal resection of an intradiverticular polyp

Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we present the case of a healthy 50-year-old man who was seen for routine colonoscopy and was found to have a 7-mm polyp within the base of a diverticulum. The colonoscopy was …

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A case of anal condyloma acuminatum observed by endocytoscopy

Post written by Fumihiro Inoue, MD, from the Gastrointestinal Center & Institute of Minimally-Invasive Endoscopic Care (i-MEC), Sano Hospital, Kobe, Japan. Anal condyloma acuminatum (CA) is known as one of the most common sexually transmitted diseases. It is a disease that is occasionally seen in daily practice and is sometimes difficult to distinguish from anal …

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Endoscopic suturing of a jejunal feeding tube extension to prevent recurrent gastric coiling

Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, Minnesota. A 23-year-old woman with a history of nausea, vomiting, and a 40-lb weight loss resulting in a BMI of 14.5 was referred for evaluation. Her symptoms were attributed to gastroparesis. Prior to referral, she had undergone …

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EUS-guided jejunojejunostomy to facilitate ERCP in a patient with unique Roux-en-Y gastric bypass anatomy

Post written by Ryan Law, DO, from the University of Michigan, Ann Arbor, Michigan. In our case presentation we describe a patient who presented to our institution with concern for biliary pathology in the setting of prior Roux-en-Y gastric bypass with an indwelling percutaneous biliary drain. Importantly, this patient underwent a sleeve gastrectomy prior to …

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Modified double-guidewire technique using a unique double-lumen sphincterotome for difficult biliary cannulation

Post written by Hideyuki Shiomi, PhD, MD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. The double-guidewire technique (DGT) is considered as a promising salvage approach in difficult biliary cannulation cases. Nevertheless, with the interference of the pancreatic duct guidewire (P-GW) against cannulation devices, this technique …

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Closure of a chronic complex tracheoesophageal fistula by using endoscopic suturing

Post written by Ariel A. Benson, MD, from the Faculty of Medicine, Hebrew University of Jerusalem, and the Institute of Gastroenterology and Hepatology, Hadassah University Medical Center, Jerusalem, Israel. In this video we describe the evaluation and treatment of a chronic, symptomatic tracheoesophageal (TE) fistula in an adult patient. The etiology of the patient’s TE …

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Continuous saliva suction tube to prevent aspiration pneumonia during upper GI endoscopy

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We introduce a continuous saliva suction tube that can be used during endoscopy (Salsuction; Fujifilm Medical Co, Ltd, Tokyo, Japan). Not only is this device disposable and easy to set up with a mouthpiece, it also …

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