Endoscopically guided sutured gastropexy: a novel treatment of gastric volvulus

Post written by Sanjhai L. Ramdeen, MD, from the Department of Minimally Invasive Surgery, and GIE Senior Associate Editor David L. Diehl, MD, FASGE, from the Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, USA. Our recent VideoGIE publication describes a minimally invasive technique for treating gastric volvulus that involved teamwork between the gastroenterology and minimally …

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Improvised dual lumen nasojejunal feeding tube with gastric decompression

Post written by Justin Ryan L. Tan, MD, from Chinese General Hospital and Medical Center, Manila, Philippines. Gastric outlet obstruction (GOO) is an incapacitating condition in which the patient becomes malnourished while constantly being at risk of aspiration. A dual lumen nasojejunal tube allows simultaneous postpyloric feeding and drainage of the obstructed proximal segment. The paucity …

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Cholangioscopy-guided salvage retrieval of a migrated stent at a hepaticojejunostomy anastomosis using a colonoscope

Post written by Samuel Han, MD, MS, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. In this video, we describe the use of cholangioscopy through a colonoscope to successfully retrieve a stent that had migrated into the duct during ERCP in a patient with surgically altered anatomy (Roux-en-Y hepaticojejunostomy). After attempting conventional methods …

Continue reading Cholangioscopy-guided salvage retrieval of a migrated stent at a hepaticojejunostomy anastomosis using a colonoscope

Intraductal suture leading to biliary stone formation and recurrent obstruction and cholangitis: cholangioscopy-guided forceps removal

Post written by Najib Nassani, MD, MSc, from CentraCare Interventional Endoscopy Program, St. Cloud Hospital, St. Cloud, Minnesota, USA. We reported on the case of a 64-year-old woman who had a cholecystectomy several years ago and presented with recurrent choledocholithiasis and cholangitis despite previous ERCPs. Upon balloon sweep during ERCP, a stone attached to the bile …

Continue reading Intraductal suture leading to biliary stone formation and recurrent obstruction and cholangitis: cholangioscopy-guided forceps removal

Usefulness of artificial intelligence–assisted digital single-operator cholangioscopy as a second-opinion consultation tool during interhospital assessment of an indeterminate biliary stricture: a case report

Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Endoscopy Division, Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. We describe a case of a patient cared for in a medical facility abroad (Colombia) who presented with jaundice and proximal common bile duct stenosis detected with MRCP. EUS identified a homogeneous hypoechoic lesion localized at …

Continue reading Usefulness of artificial intelligence–assisted digital single-operator cholangioscopy as a second-opinion consultation tool during interhospital assessment of an indeterminate biliary stricture: a case report

A rare case of pedunculated ampulloma: EUS view and resection

Post written by Dario Ligresti, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione - Istituto di Ricovero e Cura a Carattere Scientifico, and Giacomo Emanuele Maria Rizzo, MD, from the Department of Surgical and the Department of Surgical, Oncological and Oral Sciences, University …

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Needle-knife incision and drainage of duodenal intramural hematoma relieving duodenal and biliary obstruction

Post written by Bakht S. Cheema, MD, from Digestive Disease Consultants, and Yusuke Hashimoto, MD, MMA, from the University of Florida Health, Jacksonville, Florida, USA. A 44-year-old man presented with postprandial vomiting and jaundice. He had an episode of acute-on-chronic pancreatitis complicated with a pseudocyst and a spontaneous large duodenal intramural hemorrhage causing duodenal luminal obstruction …

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Management of a gastric pouch staple-line leak and its adverse events with multimodal endoscopic techniques including endoscopic vacuum therapy

Post written by Khanh Hoang Nicholas Le, MD, MS, from the University of California San Diego Medical Center, San Diego, California, USA. This video describes a 48-year-old woman with history of a mini-gastric bypass converted to a Roux-en-Y gastric bypass who was found to have a gastric pouch staple-line (GPSL) leak, later complicated by a gastrogastric …

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The usefulness of a newly invented transparent silicon attachment: static electricity fastening tape hood

Post written by Shunya Takayanagi, MD, from NTT Medical Center Tokyo, Tokyo, Japan. Distal attachments placed on the endoscope tip are useful for cecal intubation of the colonoscope, detecting polyps by depressing the fold. Various diameter endoscopes need multiple types of attachment, which can be costly. Therefore, we developed a silicon attachment that adheres to the …

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Conversion of a dysfunctional choledochoduodenostomy to transpapillary drainage via a trans-lumen-apposing metal stent choledochoduodenoscopy

Post written by Joan B. Gornals, MD, PhD, from the Hospital Universitari de Bellvitge, Barcelona, Spain. This is a case of a patient with a recurrent biliary obstruction caused by sump syndrome with dysfunctional endoscopic biliary drainage who underwent EUS-guided choledochoduodenostomy (8- x 8-mm lumen-apposing metal stent [LAMS] + coaxial 7F x 5-cm pigtail) in a …

Continue reading Conversion of a dysfunctional choledochoduodenostomy to transpapillary drainage via a trans-lumen-apposing metal stent choledochoduodenoscopy