Post written by Ali Zakaria, MD, from the Division of Gastroenterology, Ascension Providence Hospital, Southfield, Michigan. We present a case of an 82-year-old female patient with progressively worsening dysphagia to solid food, regurgitation, globus sensation, and halitosis. Barium esophagram revealed a 40-mm anterolateral protrusion at the level of the proximal cervical esophagus, consistent with KJD. …
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Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome
Post written by Dayyan Adoor, MD, and Zachary L. Smith, DO, from the Department of Internal Medicine and the Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio. A 66-year-old woman with poorly-differentiated pancreatic adenocarcinoma underwent a Whipple that was complicated by a biliary leak requiring placement of an internal external …
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Dual purpose easily assembled aerosol chamber designed for safe endoscopy and intubation during the COVID pandemic
Post written by Mahesh Goenka, DM, FACG, FASGE, AGAF, from Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, India. A prototype aerosol chamber was designed using a medical grade 4-mm thick polycarbonate sheet. The chamber has 4 holes, 2 on the head side used for endotracheal intubation and 2 on the side walls. The …
Peroral endoscopic myotomy with diverticulum resection
Post written by Yohei Nishikawa, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University, Tokyo, Japan. For esophageal diverticulum with symptoms, thoracoscopic or laparoscopic surgery is usually performed. We reported a case of an endoscopic esophageal diverticulum resection by applying the peroral endoscopic myotomy (POEM) and POEM + Fundoplication (POEM-F) techniques, …
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Evaluation of sling fibers and two penetrating vessels for guiding extent of the tunnel and myotomy during posterior peroral endoscopic myotomy
Post written by Hugo Uchima, MD, from the Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, and the Endoscopic Unit, Teknon Medical Center, Barcelona, Spain. In this video, we describe the technical and anatomic endoscopic references to preserve the innermost gastric oblique fibers (sling fibers) during posterior POEM, based on the location …
Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes successful endoscopic submucosal dissection (ESD) for a huge lipoma in the terminal ileum. A 74-year-old man underwent a computed tomography because of intermittent lower-abdominal pain, and the images revealed a tumor in the …
Continue reading Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum
Gastric peroral endoscopic myotomy for refractory gastroparesis
Post written by Shaimaa Elkholy, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. We present here a case of a middle-aged male patient with history of refractory gastroparesis post-surgical fundoplication. Despite using extensive medical treatment of antiemetics and prokinetics, his condition was deteriorating. We performed G-POEM, which is …
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Endoscopic treatment of symptomatic insulinoma with a new EUS-guided radiofrequency ablation device
Post written by Mihir S. Wagh, MD, FACG, FASGE, from the Division of Gastroenterology, University of Colorado-Denver School of Medicine, Aurora, CO, USA. We report EUS-guided ablation of symptomatic insulinoma with the newly available EUSRA device. Our video highlights the EUSRA device, the technique used for ablation, and successful clinical, physiologic, and radiologic results after …
Dynamic and multifocal clip and band countertraction for endoscopic submucosal dissection
Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video illustrates how to perform ESD with clip and band countertraction in the stomach and colon. We present several variations of clip and band countertraction. In particular, we demonstrate the standard technique, the application of multiple complexes for clips/bands …
Oxygen saturation imaging as a useful tool for visualizing the mode of action of photodynamic therapy for esophageal cancer
Post written by Masayuki Suyama, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This video case series presents the usefulness of oxygen saturation imaging for photodynamic therapy for esophageal cancer. Oxygen saturation (OS) imaging is a novel technique that directly measures and visualizes the tissue oxygen saturation …
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