Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video, we demonstrated the use of a new bipolar knife for peroral endoscopic myotomy (POEM) in a case with previous Heller’s myotomy. This knife uses radiofrequency energy for dissection and microwave energy for coagulation. The technique of POEM …
Tag: VideoGIE
Underwater EMR of a colonic adenoma surrounded by diverticula
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A 15-mm diameter laterally spreading tumor surrounded by multiple diverticula was pointed out at the ascending colon. The lesion was considered to be an indication for endoscopic resection. However, conventional endoscopic mucosal resection (EMR) of the …
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Double-channel double-grasper technique in over-the-scope clip deployment
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. Endoscopic management of gastrointestinal fistula and leak is increasingly utilized. One of the options is to apply over-the-scope (OTS) clipping devices to close the defect. During pulling the grasped walls into the …
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Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding
Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL, Modena, Italy. A 70–year-old man with history of chronic atrial fibrillation ongoing anticoagulant therapy was hospitalized for hemorrhagic shock and severe anemia, secondary to massive LGIB. Resuscitation with fluids and blood transfusions was performed. The novel 1-liter PEG+ASC solution (Plenvu, …
Endoscopic sleeve gastroplasty in peritoneal dialysis
Post written by Avik Sarkar, MD, from the Department of Gastroenterology, Robert Wood Johnson Medical Center, New Brunswick, New Jersey, USA. We describe the case of a 51-year-old woman with diabetes, uncontrolled hypertension, ESRD on PD for 3 years, and morbid obesity that failed to respond to lifestyle and dietary modification for weight loss. The …
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Modified primary obesity surgery endoluminal (POSE-2) procedure for the treatment of obesity
Post written by Ravishankar Asokkumar, MBBS, MRCP, and Gontrand Lopez-Nava, MD, PhD, from the Bariatric Endoscopy Unit, HM Sanchinarro University Hospital, Madrid, Spain, and the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We described a novel primary endoscopic approach to treat obesity using the incision-less operating platform (USGI Medical, USA). We have shared …
EUS-guided cholecystogastrostomy for acute cholecystitis in a patient with an omphalocele
Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We present a case of a 34-year-old woman with a history of an incompletely repaired omphalocele with recurrent small bowel obstructions and lung hypoplasia complicated by chronic respiratory failure requiring nocturnal non-invasive ventilation, who presented with concern …
Novel approach to ESD of a cecal lesion with nonlifting sign by submucosal fatty tissue with use of selective-regulation high-pressure water-jet method and immersion in saline solution
Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Madrid, Spain. In this video case report, we describe an endoscopic submucosal dissection (ESD) of a large laterally spreading lesion in the cecum, which …
Peroral cholangioscopy–guided probe-based confocal laser endomicroscopy for preoperative diagnosis of pancreatic cancer
Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 79-year-old man was referred to our hospital because of jaundice. He had previously undergone Billroth-II gastrectomy for gastric cancer. ERCP was performed. At first, we used a SIF-H290S (Olympus Medical Systems, Tokyo, Japan) with …
Double-tunneling butterfly method for endoscopic submucosal dissection of extensive rectal neoplasms
Post written by Noriko Suzuki, MD, PhD, from The Wolfson Unit for Endoscopy, St Mark’s Hospital, London, United Kingdom. We demonstrated the application of the double-tunneling (DoT) butterfly method for ESD on 4 cases with extensive rectal neoplasms. The key feature of the DoT butterfly method is the creation of 2 tunnels that are transformed …
