Recanalization of the bile duct by using percutaneous and endoscopic methods after iatrogenic injury

Post written by Arjun R. Sondhi, MD, from the Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. An 87-year-old man who suffered a complete common bile duct (CBD) transection after a cholecystectomy presented to our institution for care. To treat his bile leak, we used a combined interventional radiology approach …

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Endoscopic ampullectomy of a large neuroendocrine tumor using underwater EMR technique

Post written by Anand R. Kumar, MPH, MD, from the Division of Gastroenterology, Thomas Jefferson University, Philadelphia, Pennsylvania. A young man presented with an incidental 35-mm ampullary neuroendocrine tumor detected on upper endoscopy. We chose to do an underwater ampullectomy and obtained negative margins. Endoscopic ampullectomy is an advanced procedure with variable techniques. The underwater …

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Endoscopic transpapillary gallbladder stent placement in the presence of uncovered biliary metal stents using a through-the-mesh technique

Post written by Kazunari Nakahara, MD, PhD, from the Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan. We describe a case of a successful endoscopic transpapillary gallbladder drainage (ETGBD) performed through the mesh of previously placed double biliary uncovered self-expandable metal stents (SEMSs) that overlapped the orifice of the cystic …

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How to manage an endoscopy unit during a COVID-19 pandemic

Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. This video shows how to manage an endoscopy unit during the COVID-19 pandemic, with specific details on work flow, screening staff, screening patients, management in preprocedure areas and endoscopy rooms, postprocedure management, environment disinfection, …

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Usefulness of a handmade distal endoscope attachment with a transparent tape

Post written by Marie Kurebayashi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the steps involved in making a handmade distal attachment with a transparent tape, and how it can be used for different endoscopic procedures. Distal attachments placed on the endoscope tip improve visualization of the …

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Newly developed proximal release–type colonic stent placement for malignant lower rectal obstruction

Post written by Kanae Tao, MD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. Our video case depicts the use of the newly developed proximal release-type colonic self-expandable metallic stent (SEMS) for malignant lower rectal obstruction close to the anal verge. A 64-year-old man presented with …

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Peroral endoscopic fundoplication: a brand-new intervention for GERD

Post written by Akiko Toshimori, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University Tokyo, Japan. Last year, we reported POEM+fundoplication (POEM+F). In brief, POEM+F is a combination procedure of endoscopic myotomy and NOTES fundoplication for the purpose of preventing GERD after POEM. This time, we performed NOTES fundoplication for a …

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Endoscopic vacuum therapy for postoperative GI fistula

Post written by Mateus Pereira Funari, MD, Antonio Madruga Coutinho Neto, MD, Galileu Ferreira Ayala Farias, MD, Eduardo Guimarães Hourneaux de Moura, MD, PhD, Marcos Eduardo Lera dos Santos, MD, from the Clinics Hospital of the São Paulo University Medical School (HC-FMUSP), São Paulo, São Paulo, Brazil. We describe the case of a 70-year-old male …

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Endoscopic treatment of colonic diverticular bleeding with an over-the-scope clip after failure of endoscopic band ligation

Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan. We describe a case of an 86-year-old woman with a history of hypertension and colonic diverticular bleeding (CDB) who presented with severe hematochezia to a nearby medical institution. Emergency colonoscopy revealed an active diverticular hemorrhage in …

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ESD of a large duodenal neuroendocrine tumor adjacent to the pyloric ring

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 62-year-old morbidly obese (BMI 62) man with multiple comorbid conditions was found to have a 1.5-cm subepithelial duodenal lesion in the anterior wall of the duodenal bulb, located within 1 …

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