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 …
Continue reading Peroral endoscopic tumor resection of recurrent hypopharyngeal fibrovascular polyp
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) …
Continue reading Pleural connection treated with stent plus endobronchial valve
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 …
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 …
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 …
Continue reading Tack-only fixation of lumen-apposing metal stents: leave the suture at home
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 …
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 …
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 …
Post written by Ahmad Madkour, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Hassan Atalla, MD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, and Amr Elfouly, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt. We present a novel anatomically guided approach to assist experienced endoscopists in …
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, and Fateh Bazerbachi, MD, from CentraCare, St. Cloud, Minnesota, USA. This article presents the different endoscopic modalities for resecting gastric subepithelial lesions (SELs) including: Submucosal tunneling endoscopic resection Full-thickness resection using the gastric full-thickness resection device Endoscopic submucosal dissection Exposed endoscopic full-thickness resection Laparoscopic endoscopic cooperative surgery …
Continue reading Endoscopic resection of gastric subepithelial lesions: techniques and tips
endoscopedia.com 