Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, Italy. In this video case series, we discuss how endoscopic treatment of acute cholecystitis (AC) can improve the management of patients in a multidisciplinary cancer institute. Endoscopic ultrasound-guided gallbladder drainage …
Tag: VideoGIE
Cholangiocarcinoma obscured by a large paraesophageal hernia causing traction compression of the common hepatic duct ultimately diagnosed with percutaneous cholangioscopy
Post written by Sooraj Tejaswi, MD, MSPH, from UC Davis School of Medicine, Sacramento, California, USA. We describe a multidisciplinary approach to obstructive jaundice due to 2 concurrent etiologies. A 75-year-old man was transferred from an outside hospital for unresolving jaundice and elevated CA 19-9, despite a functioning percutaneous biliary drain (PBD) placed for biliary …
Endoscopically directed single-port intragastric fundoplication, sleeve gastroplasty, and myotomy: a preclinical study in a porcine model
Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A tool commonly used in laparoscopic surgeries is the articulating stapler. This allows for efficient tissue removal or remodeling with the push of a button. As miniaturization permitting a stapler to fit through a scope’s working …
Endoscopic submucosal dissection for a laterally spreading ampullary carcinoma
Post written by Osamu Dohi, MD, PhD, from Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading ampullary carcinoma 3 cm in size because it was expected to be difficult to completely resect the lesion by endoscopic papillectomy …
Continue reading Endoscopic submucosal dissection for a laterally spreading ampullary carcinoma
EUS-guided hepaticogastrostomy using a rendezvous technique to treat left intrahepatic duct stones in a patient with recurrent pyogenic cholangitis
Post written by Michael Lajin, MD, from SHARP Health, San Diego, California, USA. A 51-year-old male presented with abdominal pain due to recurrent pyogenic cholangitis. MRCP showed severe intrahepatic ductal dilatation involving the lateral segment of the left liver lobe with multiple intraductal stones. A transpapillary cholangioscope was unable to reach the targeted peripheral ducts. …
Division of a long-term symptomatic tissue bridge for reversal of endoscopic sleeve gastroplasty
Post written by Andrew Canakis, DO, from the Division of Gastroenterology & Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. A young woman who had undergone endoscopic sleeve gastroplasty (ESG) was referred due to persistent symptoms of delayed gastric emptying and resulting malnutrition. Endoscopic reversal of the sleeve was recommended to avoid a …
The utility of image-enhanced endoscopy and Lugol’s for the assessment of esophageal squamous carcinoma
Post written by Robert Bechara, MD, from Hotel Dieu Hospital, Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. Chromoendoscopy with Lugol’s is a valuable technique for the detection of esophageal squamous cell carcinoma (ESCC). The sensitivity and specificity of a “pink color sign” for high-grade dysplasia or worse after Lugol’s staining is reported to …
Cholangioscopy-guided double-guidewire technique for complex malignant hilar obstruction
Post written by Margaret G. Keane, MBBS, MSc, from the Department of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. A 77-year-old man presented to our institution with jaundice, right upper quadrant pain, loss of appetite, and weight loss. Blood tests confirmed a raised Bilirubin (8.6 mg/dl), abnormal LFTs (Alkaline phosphatase 320 IU/L, AST …
Quadruple, 4-segment, triple sector “Y-shaped stents” in complex hilar cholangiocarcinoma after cholangitis from plastic stents
Post written by Mohamed A. Abdallah, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We describe a case of a 70-year-old female with unresectable, locally advanced Bismuth-Corlette classification type IV perihilar cholangiocarcinoma who presented with cholangitis from plastic stents. In this case, we placed four uncovered self-expanding metal …
The Road Ahead
By Deborah E. Bowman, MFA, ELS Today we bid farewell and good luck to Deborah Bowman as she starts her retirement. Deborah has managed ASGE's publications since 2005 and has been instrumental in the growth and development of the journals. Before taking her leave, she offers some reflections on her career and time with ASGE. …
endoscopedia.com 