Post written by Hon Chi Yip from the Division of Upper Gastrointestinal and Metabolic Surgery at Prince of Wales Hospital at the Chinese University of Hong Kong. This video demonstrated successful removal of a fish bone that was deeply embedded inside the submucosa of proximal esophagus using the endoscopic submucosal dissection (ESD) technique. This video …
Continue reading ESD removal of submucosal embedded fish bone in the esophagus
Post written by Ashish Sharma, MD, and Robert J. Sealock, MD, from the Department of Gastroenterology & Hepatology at Baylor College of Medicine in Houston, Texas, USA. An 80-year-old male presented to the GI lab for an endoscopic retrograde cholangiopancreatography (ERCP) for gall stone pancreatitis and high probability of choledocholithiasis. He developed an iatrogenic duodenal …
Continue reading Managing GI bleeding from a created endoscopic omental patch
Post written by Matheus C. Franco, MD, from the Cleveland Clinic Foundation, in Cleveland, Ohio, USA. A 61-year-old female presented with poor appetite, weight loss, and diarrhea. CT scan from outside hospital showed no significant abnormalities. Further investigation with MRI revealed a 1.4 cm cystic lesion in the body of pancreas with wall thickness and enhancing …
Continue reading Pancreatic pseudoaneurysm mimicking cystic neoplasm with worrisome features
Post written by Andrew P Wright, MD and Anoop Prabhu, MD, from the University of Michigan Health System in Ann Arbor, Michigan, United States. We present a case of a 58-year-old man with decompensated cirrhosis and transfusion-dependent anemia with nodular gastric antral vascular ectasia (GAVE) refractory to multiple treatment sessions with mucosal ablative therapies that we …
Continue reading Stepwise endoscopic eradication of GAVE using detachable snare and band ligation
Post written by Hideaki Koga, MD and Akio Katanuma, MD from the Center for Gastroenterology at Teine-Keijinkai Hospital in Sapporo, Japan. A 76-year-old man who underwent laparoscopic cholecystectomy (LC) and pancreaticoduodenectomy presented with repeated cholangitis. CT showed mild dilation of the bile duct with an enhancing wall, and the surgical clips after LC located near …
Continue reading Surgical clip removal using short-type single-balloon enteroscope
Post written by Vivek Kumbhari, MD, at Johns Hopkins Hospital in Baltimore, Maryland, USA. Weight regain after Roux-en-Y gastric bypass (RYGB) is common and is partially attributable to dilatation of the gastrojejunostomy (GJ), which diminishes the restrictive capacity of RYGB. Endoscopic revision of dilated GJ, called transoral outlet reduction (TORe), has been proved effective in …
Continue reading Demonstration of transoral gastric outlet reduction
Post written by Ryosuke Tonozuka, PhD, MD, from the Department of Gastroenterology and Hepatology, at the Tokyo Medical University in Tokyo, Japan This video shows antegrade therapy using this new digital per-oral cholangioscope (DPCS) through the EUS-guided hepaticogastrostomy (EUS-HGS) route for a stricture of the biliojejunal anastomotic site. Digital per-oral cholangioscope with good visualization through the EUS-HGS route …
Continue reading Recanalization after biliojejunostomy using new digital per-oral cholangioscope
Post written by Maiko Takita, MD, from the Department of Gastroenterology, NTT Medical Center Tokyo, in Tokyo, Japan Endoscopic resection for cecal tumors extending to the appendiceal orifice is difficult because the margin cannot be often tracked entirely, in addition to the higher risk of perforation. Here we report a case of a colonic tumor …
Post written by Hiroyuki Aihara, MD, PhD from the Division of Gastroenterology, Hepatology, and Endoscopy at Brigham and Women’s Hospital, Harvard Medical School, in Boston, Massachusetts, USA Two technically challenging endoscopic submucosal dissection (ESD) cases are described in this video. The first gastric ESD was complicated by prior tattooing and incomplete resection, which caused significant …
Post written by David Prichard, MB., BCh., PhD, from the Division of Gastroenterology, Mayo Clinic Health System La Crosse, La Crosse, Wisconsin, USA This video discussed the evaluation and management options for a large pedunculated duodenal polyp. It demonstrates, in a stepwise fashion, the process we utilized to perform the polypectomy. Polypectomy in the duodenum is …
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