Post written by Matteo Badalamenti, MD, from the Department of Biomedical Sciences, Humanitas University, and the IRCCS Humanitas Research Hospital, Digestive Endoscopy Unit, Division of Gastroenterology, Milan, Italy. A 54-year-old came to our attention for a follow-up colonoscopy. During the exam we visualized in the rectum a granular homogeneous lateral spreading tumor (LST), macroscopically covered …
Tag: VideoGIE
Novel approaches to minimize intraoperative bleeding during ESD of a large rectal lateral spreading tumor extended to the dentate line with internal hemorrhoids
Post written by Fabian Emura, MD, PhD, FASGE, from the Division of Gastroenterology, Universidad de La Sabana, Chía, and the Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Bogotá DC, Colombia. This video case describes how we applied surgically vascular control principles to reduce the risk of adverse events during third space endoscopy. As the risk of bleeding …
Electrohydraulic lithotripsy under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction
Post written by Ryuichi Tezuka, MD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We presented electrohydraulic lithotripsy (EHL) under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction. A man with a history of Roux-en-Y reconstruction for gastric ulcer and radiofrequency ablation …
A rare case of hepatocellular carcinoma with bile duct invasion diagnosed by peroral cholangioscopy
Post written by Masanori Kobayashi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. This video shows a rare case where hepatocellular carcinoma (HCC) mainly progressing to the bile duct was observed by peroral cholangioscopy (POCS). HCC, in which a primary tumor cannot be detected in the …
Magnetic compression anastomosis via EUS-guided hepaticogastrostomy for recanalization of complete common hepatic bile duct transection
Post written by Yingluk Sritunyarat, MD, from the Gastrointestinal Endoscopy Excellence Center, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Traditionally, the treatment for bile duct transection is surgical-created bilio-enteric bypass. With recent advanced techniques to avoid the need for surgery, the magnetic-compression technique …
GI endoscopic submucosal dissection using a calibrated, small-caliber-tip, transparent hood for lesions with fibrosis
Post written by Tatsuma Nomura, MD, from the Department of Gastroenterology, Mie Prefectural Shima Hospital, Shima, and the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Mie, Japan. We describe a novel technique for overcoming severe fibrosis encountered during endoscopic submucosal dissection (ESD) using a calibrated, small-caliber tip, transparent hood (CAST hood) with Pocket-creation method …
Cholangioscopy-guided removal of a proximally migrated biliary stent using a modified standard polypectomy snare
Post written by Moamen Gabr, MD, MSc, from the Division of Digestive Diseases and Nutrition, University of Kentucky, Lexington, Kentucky. A 72-year-old male with diagnosis of pancreatic head adenocarcinoma requiring endoscopic biliary stent placement 2 weeks prior to admission presented with signs of biliary obstruction. Imaging showed proximal migration of a previously placed biliary stent. …
Active bleeding from downhill varices: case report and management
Post written by Aleem Azal Ali, MBBS, Sonal Jadeja, DO, and Bruno De Souza Ribeiro, MD, from the University of Florida, College of Medicine, Jacksonville, Florida, USA. This video manuscript describes the case of a 49-year-old man who presented in hypovolemic shock secondary to hematemesis. He had a similar presentation, 2 weeks prior, when EGD …
Continue reading Active bleeding from downhill varices: case report and management
Combination of a dynamic rigidizing overtube and a novel injectable needle-type knife to facilitate colorectal endoscopic submucosal dissection
Post written by Martin Coronel, MD, and Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas. A 66-year-old man was referred for endoscopic resection of a 35-mm laterally spreading tumor at the hepatic flexure (Paris IIa+Is). A previous EMR attempt was unsuccessful …
Cholangioscopy in primary sclerosing cholangitis: a case series of dominant strictures and cholangiocarcinoma
Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This video case series describes and differentiates between the cholangioscopic features of benign dominant strictures and cholangiocarcinoma in PSC. It demonstrates that the morphologic features of cholangiocarcinoma in PSC is varied. …
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