Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 54-year-old woman who underwent a screening colonoscopy at which time a rectal neuroendocrine tumor was removed in piecemeal fashion, with positive lateral and deep margins. …
Continue reading The suture pulley countertraction method for challenging rectal ESD
Post written by Mai Ego, MD, and Seiichiro Abe, MD, PhD , from Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 96-year-old man underwent definitive radiotherapy for extensive early esophageal squamous cell carcinoma (SCC) involving the middle esophagus. Three months after radiotherapy, a residual tumor was detected during esophagogastroduodenoscopy. A 50-mm circumferential flat lesion …
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 65-year-old woman with a history of Barrett’s esophagus, decompensated alcoholic cirrhosis (MELD 8, Child Pugh class B) complicated by ascites, esophageal varices, gastric antral vascular ectasia, hepatic encephalopathy, and severe …
Post written by Akira Yoshida, MD, PhD, from the Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan. A 50-mm diameter laterally spreading tumor (Paris 0-IIa) that involved the diverticulum on the oral side of the tumor was pointed out at the ascending colon. Colon tumor …
Post written by Abed Al Lehibi, MD, from Gastroenterology and Hepatology, King Fahad Medical City, Riyadh, Saudi Arabia. Our series included 3 patients whose cases, while being treated for difficult biliary stones, were complicated by proximal stent migration. Two patients had migrated plastic stents, whereas the other had a migrated metal one. Single-operator cholangioscopy (Boston …
Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. Adequate visualization of the submucosal dissection plane is critically important for both safety and efficacy in endoscopic submucosal dissection (ESD). Recently, a novel clip-band traction device was introduced to the U.S. market (Elastic …
Continue reading A novel clip-band traction device to facilitate colorectal ESD and defect closure
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. This video case describes a novel technique of peroral endoscopic myotomy (POEM) in a patient with recurrence of symptoms after Heller’s myotomy. In this case, we performed POEM by posterior route ie, 5 o’clock. After completing myotomy, we performed a …
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases and Division of Cardiology, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a 75 year-old-man with a large symptomatic Zenker's diverticulum (ZD, 4-5 cm in length) who also needed a Transesophageal echocardiography (TEE). We first performed a flexible …
Continue reading Wire-guided and endoscopic-guided transesophageal echocardiographic probe insertion
Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 68-year-old male who underwent successful resection of a large near-circumferental laterally spreading tumor in the distal rectum. The lesion extended from within 1 mm from …
Post written by João Carlos Silva, MD, Rolando Pinho, MD, from the Department of Gastroenterology, Centro Hospitalar Vila Nova de Gaia e Espinho, Porto, Portugal. We present a case of a 76-year-old male patient with medical history of Parkinson disease admitted to the ER for hematemesis. On EGD, an ulcerated neoformation with a large adherent …
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