Cystgastrostomy with EUS-directed jejunogastric LAMS

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA shares this video case "EUS-directed jejunogastric lumen-apposing metal stent to facilitate cystgastrostomy in a patient with Roux-en-Y anatomy." This case describes a 54-year-old man with Roux-en-Y anatomy who presented with a symptomatic pancreatic …

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Removal of large GI stromal tumor at esophagogastric junction

Payal Saxena, MD, from Johns Hopkins Hospital in Baltimore, Maryland, USA and the Royal Prince Alfred Hospital in Sydney, Australia describes this video case "Submucosal tunneling and en bloc endoscopic resection facilitates laparoscopic transgastric removal of a large GI stromal tumor at the esophagogastric junction." Endoscopic resection of gastrointestinal stromal tumor (GIST) of the esophagogastric …

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Large muscle-layer defect closed using endoloop-clips technique

Motohiko Kato, MD, PhD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Tokyo Medical Center, in Tokyo, Japan share this video case "A large muscle-layer defect of the stomach caused by endoscopic submucosal dissection is closed by using the endoloop-clips technique." Endoscopic submucosal dissection (ESD) can remove endoscopically even for …

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Accidental removal of a biliary metallic stent

Koh Kitagawa, MD, from the Center for Gastroenterology, Teine-Keijinkai Hospital, in Sapporo, Japan presents this video case "Tornado effect: accidental removal of a biliary metallic stent on winding around a stent retriever." Our video case describes the accidental removal of a non-covered hilar self-expandable metallic stent(SEMS) placed in a partial “stent-in-stent” manner upon around a …

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Treatment for endoscopically obscured bleeding gastric varices

Raymond S. Tang, MD, from the Institute of Digestive Disease, The Chinese University of Hong Kong, Prince of Wales Hospital, in Hong Kong, China presents this VideoGIE case "EUS-guided cyanoacrylate injection for treatment of endoscopically obscured bleeding gastric varices." Variceal bleeding is still a potentially lethal adverse event of cirrhosis. While resuscitation, early use of …

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Managing acute hemorrhagic pancreatitis

Ji Young Bang, MD, MPH, from the Division of Gastroenterology and Hepatology, Indiana University, in Indianapolis, Indiana, USA presents this video case "Management of acute hemorrhagic pancreatitis after EUS-guided FNA of a pancreatic cyst." Our VideoGIE video describes a case of a patient presenting with acute pancreatitis and a hemorrhagic pancreatic fluid collection (PFC) following EUS-FNA …

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Incarcerated, retroflexed endoscope associated with a paraesophageal hernia

Herbert C. Wolfsen, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA describes this video case "Incarcerated, retroflexed endoscope associated with a paraesophageal hernia." An elderly woman underwent upper endoscopy in our ASC to evaluate GERD symptoms and dysphagia in setting of PEH. Unfortunately, the endoscope could not be easily passed …

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Novel food impaction retrieval technique

George B. Saffouri, MD, and Louis M. Wong Kee Song, MD, FASGE, from the Division of Gastroenterology and Hepatology, Mayo Clinic, in Rochester, Minnesota, USA share this VideoGIE case "Burn and anchor: a novel food impaction retrieval technique." Both video cases demonstrate challenging, meaty food impactions with patients unable to manage their secretions. Standard push …

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A new-age “rescue” lithotripsy

Suryaprakash Bhandari, MD, from the Baldota Institute of Digestive Sciences, Global Hospitals, in Mumbai, India, shares this VideoGIE case "Single-operator cholangioscopy-guided holmium laser lithotripsy: the new-age 'rescue' lithotripsy." A 40-year-old woman with a large bile duct (BD) stone was referred for ERCP. Cholangiography revealed a dilated BD with a single large stone within the relative narrowing of the …

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Combined Mirizzi syndrome with Bouveret syndrome

Austin L. Chiang, MD, from Brigham and Women’s Hospital in Boston, Massachusetts, USA, presents this video case "Combined Mirizzi syndrome with Bouveret syndrome." An 87-year-old man initially presented with hematemesis and was found on CT scan to have a large gallstone in the duodenum with a possible cholecystoduodenal fistula, both of which were also noted on …

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