EUS-guided ethanol ablation of metastatic functional insulinoma

On October 17, 2021October 22, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Ahmed Altonbary, MD, FRCP, from the Department of Gastroenterology and Hepatology, Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of EUS-guided ethanol ablation (EA) of metastatic functional insulinoma in a young male with recurrent attacks of hypoglycemia requiring intravenous glucose infusion. Management of functioning pancreatic NETs is challenging; …

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A case of improved visibility with gel immersion in the presence of ongoing bleeding during colorectal endoscopic submucosal dissection

On October 15, 2021October 22, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Takafumi Maruyama, MD, Takashi Murakami, MD, PhD, Yoichi Akazawa, MD, PhD, Tomoyoshi Shibuya, MD, PhD, and Akihito Nagahara, MD, PhD, from the Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan. Here, we present a case of improved visibility with gel immersion in the presence of ongoing bleeding during colorectal endoscopic …

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Remote training in flexible gastrointestinal endoscopy

On October 13, 2021October 22, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Jerome D. Waye, MD, from the Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York. This is the first report of training doctors to adequately perform endoscopy using the internet. We used the internet to teach endoscopy with the trainee in Uganda and the instructor in New York. …

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Cholangioscopy in primary sclerosing cholangitis

On September 24, 2021September 9, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This is a case series of 5 patients, demonstrating several unique and varied benign features of PSC. We describe a novel phenotypic classification of benign features, whereby we categorize findings into …

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Disposable digital percutaneous cholangioscope-aided retrieval of a plastic biliary stent after failed retrieval at ERCP

On September 21, 2021September 9, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Sooraj Tejaswi, MD, MSPH, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. We describe the collaborative effort of the use of the novel short cholangioscope-aided percutaneous retrieval of a plastic biliary stent after being unable to retrieve the stent during ERCP. The patient was …

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Nonsurgical rescue after basket-stone impaction by endoscopic cutting of a metallic lithotripter and laser lithotripsy

On September 18, 2021September 9, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Toshiaki Terauchi, MD, from the Department of Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan. This report presents a 64-year-old male who underwent successful rescue using a nonsurgical endoscopic approach to remove an impacted mechanical lithotripter basket, due to a 17-mm common bile duct stone. The basket impaction occurred at an outside hospital, and …

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The pocket-creation method facilitates gastric ESD and overcomes challenging situations

On September 15, 2021September 20, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Masafumi Kitamura, MD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Gastric ESD using the PCM can be performed with a uniform strategy, regardless of the location of the lesion, and it is more straightforward for the operator than conventional methods. We here present 2 representative cases …

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Successful removal of a giant esophageal lipoma with hybrid endoscopic submucosal dissection

On September 12, 2021September 9, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University - SOM, St. Louis, Missouri. In this video, we showcase the removal of a 7-cm esophageal lipoma in a patient who presented with dysphagia (Eckardt score of 6) and weight loss. Endoscopic submucosal dissection (ESD) was used to expose the …

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Endoscopic sleeve gastroplasty is feasible after failed modified primary obesity surgery endoluminal procedure

On September 9, 2021 By GIEjournalIn VideoGIELeave a comment

Post written by Vincenzo Bove, MD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, and the Centre for Endoscopic Research Therapeutics and Training (CERTT), Catholic University of Rome, Rome, Italy. This video shows the first case of endoscopic sleeve gastroplasty (ESG) with Apollo Overstitch 2 years after a previous modified primary obesity …

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Soft palate findings associated with a high risk of esophageal squamous cell carcinoma using an endoscopic system with enhanced depth-of-field imaging

On August 25, 2021August 25, 2021 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Kotaro Waki, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. We previously reported that 3 endoscopic findings of melanosis, whitish epithelium, and vasodilation in the soft palate are associated with a high risk of esophageal squamous cell carcinoma (ESCC) and are considered useful as indicators of ESCC. …

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