Tag: VideoGIE

Endoscopic transcecal appendectomy under laparoscopic single-port assistance

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Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We presented endoscopic transcecal appendectomy under laparoscopic single-port assistance for a flat-elevated tumor completely covering the appendiceal orifice in the video. The lesion was a flat-elevated tumor completely covering the appendiceal orifice, measuring 15 mm in …

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EUS-guided biliary rendezvous as an emergent rescue after failed choledochoduodenostomy using a lumen-apposing metal stent

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Post written by Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, University of Barcelona, Catalonia, Spain. A 60-year-old man with pancreatic cancer and liver metastases who had been referred previously for biliary drainage was recommended palliative treatment. After a failed ERCP, same-session EUS-guided biliary drainage was …

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Step-by-step instruction: using an endoscopic tack and suture device for gastrointestinal defect closure

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Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. In this video manuscript, we describe a step-by-step setup and use of a new endoscopic tool for tissue closure and fixation using the X-Tack device. X-Tack consists of a series of tacks on a suture that may …

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Evolution of re-epithelialization postcircumferential esophageal endoscopic submucosal dissection

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Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. The introduction of endoscopic submucosal dissection (ESD) has revolutionized the management of superficial gastrointestinal neoplasia. In the esophagus, the stricture rate after a circumstantial ESD (cESD) without any prophylaxis medications is virtually 100%. There have been many reported …

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Underwater endoscopic mucosal resection of a rectal adenoma in the nondistensible rectum from severe fecal incontinence

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Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Our video presents a challenging case of difficult polypectomy in the nondistensible rectum from severe fecal incontinence. An 89-year-old woman with ischemic heart disease and hypertension underwent laparoscopic sigmoidectomy for stage II sigmoid …

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EUS-guided hepaticogastrostomy for management of cholangitis, hepatolithiasis, and anastomotic stricture after Roux-en-Y hepaticojejunostomy

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Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina. A 43-year-old woman with history of Roux-en-Y hepaticojejunostomy (secondary to Strasberg type E1 common bile duct injury at the time of her cholecystectomy) presented with cholangitis, hepatolithiasis, and hepaticojejunostomy (HJ) anastomotic stricture. She initially underwent an EUS-guided hepaticogastrostomy …

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Endoscopic retrieval of multiple sewing needles by using the tip of a magnetic tube

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Post written by Shinichi Morita, MD, from the Department of Gastroenterology and Hepatology, Uonuma Institute of Community Medicine Niigata University Hospital, Niigata, Japan. Endoscopic foreign body retrieval is an established treatment for accidental ingestion. Although forceps are most frequently used, grasping may be difficult depending on the type and shape of the foreign body. The …

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EUS-guided gastroenterostomy to treat gastric outlet obstruction in a patient with gastric lymphoma followed by pyloric recanalization using a rendezvous technique

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Post written by Michael Lajin, MD, from Sharp Grossmont Hospital, La Mesa, California. A 66-year-old man was diagnosed with gastric lymphoma and received chemotherapy. He developed pulmonary tuberculosis and was started on TB medications. He presented with vomiting and 80-pound weight loss. Endoscopy revealed a pyloric ulcer resulting in outlet obstruction and proximal gastric ulcers. …

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Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol

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Post written by Pankaj N. Desai, MS, FASGE Gastro, from the Department of Endoscopy & Endosonography, and the Department of Clinical Research, Surat Institute of Digestive Sciences (SIDS), Surat, India. Our video describes a simple technique of injection of cyanoacrylate glue for the management of gastric variceal bleed. We use 0.5ml aliquots of n butyl …

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Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma

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Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. Our video presents a case of adult ileocecal intussusception due to a lipoma. The intussusception was endoscopically repositioned, and the lipoma was removed by polypectomy. Although ileocecal intussusception is not a common disease, we believe that many institutions do experience 1 …

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