Post written by Maham Hayat, MD, and Dennis Yang, MD, FACG, FASGE, AGAF, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our video submission showcases the real-time use of novel image-enhanced endoscopy (IEE) modalities available on newer-generation video processors. Through a case series, we demonstrate how these features enhance assessment of lesion morphology and visualization of submucosal structures facilitating …
Tag: VideoGIE
Percutaneous cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique for a difficult postliver transplant anastomotic stricture
Post written by Pankaj Singh, DM Gastroenterology, Vikas Singla, DM Gastroenterology, and Akash Goel, DNB Gastroenterology, from the Centre of Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India. Postliver transplant anastomotic site strictures are one of the common adverse events following liver transplants. It is imperative to achieve adequate biliary drainage in such cases to preserve graft function. …
Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy
Post written by Allison Franz, MD, and David Liu, MD, from the Department of Gastroenterology, Hepatology and Nutrition, University of Louisville, Louisville, Kentucky, USA. We highlight cases in which tip palpation of the bile duct prior to needle-knife fistulotomy was effectively performed to achieve successful cannulation. To our knowledge, this case series is the first demonstration of this technique. Our …
Continue reading Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy
Endoscopic submucosal dissection of a giant gastric polyp
Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This video demonstrates en bloc endoscopic submucosal dissection (ESD) of a giant gastric polyp extending from the cardia to the antrum in a 36-year-old woman presenting with alarm symptoms including nausea, vomiting, weight loss, and iron deficiency anemia requiring monthly parenteral …
Continue reading Endoscopic submucosal dissection of a giant gastric polyp
Tips on pre-emptive hemostasis of large vessels during endoscopic full-thickness resection of a large gastrointestinal stromal tumor
Post written by Abdullah Abbasi, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Exposed endoscopic full-thickness resection (EFTR) is often necessary for management of large subepithelial lesions or those extending deep into the GI wall. This video demonstrates successful removal of a large GI stromal tumor in the fundus, with a focus on …
Saline immersion endoscopic submucosal dissection for management of early Barrett’s esophagus adenocarcinoma and large esophageal varices
Post written by Giuliano Francesco Bonura, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. A 65-year-old man was referred to our unit with long-segment Barrett’s esophagus (Prague C6, M10) with 2 bulky adjacent sessile lesions (30 mm and 15 mm) positive for adenocarcinoma at biopsies. Magnification endoscopy with narrow-band imaging …
Hybrid endoscopic submucosal dissection and endoscopic full-thickness resection for R0 resection of T1 colonic adenocarcinoma
Post written by Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In this case, we describe management of a 35-mm malignant colon polyp in a patient at high risk for surgery. Colonoscopic exam revealed a nonpolypoid lesion (Paris classification IIa+IIc) in the …
Coagulation forceps-sparing techniques for pre-emptive sealing of blood vessels during third-space endoscopy
Post written by Zaheer Nabi, MD, DNB, FASGE, FISG, FSGEI, from the Asian Institute of Gastroenterology, Hyderabad, India. This video presents a series of coagulation forceps-sparing techniques used during third-space endoscopy, including peroral endoscopic myotomy. Using various electrosurgical knife-based and bipolar coagulation methods, we demonstrate how large blood vessels encountered during submucosal dissection can be …
Successful pancreatic duct cannulation using a double-lumen catheter and an antegrade percutaneous transhepatic wire with Roux-en-Y anatomy
Post written by Yuka Kawazoe, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa, Japan. This video presents a case that demonstrates the use of an uneven double-lumen cannula combined with a percutaneous rendezvous technique to achieve pancreatic duct access in a patient with complex postoperative anatomy. We chose to showcase this video because it illustrates …
Diagnosing high-grade pancreatic intraepithelial neoplasia in surgically altered anatomy using pancreatic juice cytology
Post written by Soma Fukuda, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. This case features the use of balloon-assisted enteroscopy and serial pancreatic juice aspiration cytologic examination (SPACE) via an endoscopic nasopancreatic drainage (ENPD) tube to diagnose high-grade pancreatic intraepithelial neoplasia (HG-PanIN) in a patient with altered anatomy after …
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