Post written by Keshav Kukreja, MD, Aman Deep, MD, and Tomas DaVee, MD, MSCI, from the Department of Gastroenterology, USF Health Morsani College of Medicine, Tampa, Florida, and the Interventional Gastroenterology at the University of Texas (iGUT), McGovern Medical School at UTHealth, Memorial Hermann Hospital, Houston, Texas, USA. Our video case describes a 57-year-old woman …
Tag: VideoGIE
Type VI choledochal cyst diagnosed on ERCP with direct cholangioscopy
Post written by Lawrence Ku, MD, from the Division of Gastroenterology, Harbor-UCLA Medical Center, Torrance, California, USA. This case highlights the diagnostic dilemma of differentiating between 2 types of choledochal cysts, type II versus type VI. Although rare, these choledochal cysts have significant malignant potential, ranging from 5 to 7.5%. Malignant transformation of type VI …
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Combination of immersion in saline solution, pocket-creation method, water-jet hydrodissection, and hybrid knife “probe mode”
Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, Boadilla del Monte, and the 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 giant rectal polyp with granular nodular …
Wide-field underwater EMR followed by line-assisted complete closure for a large duodenal adenoma
Post written by Hiroko Nakahira, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Underwater endoscopic mucosal resection (EMR) was performed for a large duodenal adenoma in a patient with familial adenomatous polyposis, and the mucosal defect after underwater EMR was closed with line-assisted complete closure technique. Endoscopic mucosal resection for …
Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife
Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan. We described a case of a giant fibrovascular esophageal polyp endoscopically resected by use of a scissor-type knife. Fibrovascular esophageal polyps are rare, and most of these are enormous and arise from the cricopharynx or upper …
Gastric and duodenal pseudomelanosis: a new insight into its pathogenesis
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a case of gastric and duodenal pseudomelanosis; its full development was documented on serial upper endoscopies over 2 years, preceded by an 18-month daily iron supplement, interval development of iron …
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Duodenal ESD for a large protruded lesion located just behind the pyloric ring
Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 72-year-old man was found to have a large protruded tumor measuring approximately 60 mm in diameter in the duodenal bulb. He underwent ESD under general anesthesia in the operating room. After local injection of sodium hyaluronate …
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Electrohydraulic lithotripsy through a fistula of EUS-guided hepaticogastrostomy
Post written by Tatsuya Sato, MD, Yousuke Nakai, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 50-year-old man with a history of hepaticojejunostomy and Roux-en-Y reconstruction suffered from recurrent cholangitis due to bilateral intrahepatic stones. After failed double-balloon endoscope-assisted ERCP and percutaneous transhepatic biliary drainage, …
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EUS-guided natural orifice transluminal endoscopic surgery for rescue of a fractured Jackson-Pratt drain
Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA. We describe our experience rescuing a Jackson-Pratt drain that was inadvertently severed using transduodenal puncture into the peritoneum followed by passage of a linear echoendoscope into …
Laser dissection for recalcitrant pancreaticojejunostomy anastomotic stricture
Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this video case report, we describe the use of laser dissection to treat a refractory pancreaticojejunostomy anastomotic stricture. Using a holmium laser fiber (272 µm), we treated the stricture in 3 quadrants …
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