Post written by Yohei Minato, MD, from NTT Medical Center Tokyo, Tokyo, Japan. The video case presents management of a delayed colonic perforation that occurred after endoscopic submucosal dissection (ESD) of a 40-mm superficial neoplastic lesion in the ascending colon. Although the ESD was uneventful, the patient developed abdominal pain the next day, and emergency colonoscopy revealed …
Tag: VideoGIE
Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele
Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …
EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy
Post written by Christina S. Gainey, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. We present a novel method for placing a PEG tube into the excluded stomach of Roux-en-Y gastric bypass patients, allowing for bolus gastric feeding. Although percutaneous endoscopic jejunostomy tubes are standard …
Endoscopic radical treatment of a giant ampullary tumor with biliopancreatic duct extensions using multimodality approaches
Post written by Kazuki Hama, MD, and Takao Itoi, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Ampullary tumors with intraductal extension are typically treated with pancreaticoduodenectomy, a procedure associated with significant morbidity, especially in elderly patients. Recently, endoscopic approaches using adjunctive ablative therapies such as intraductal radiofrequency ablation (ID-RFA) and argon …
The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection
Post written by Tomoya Kimura, MD, from NTT Medical Center Tokyo, Tokyo, Japan. We introduce the pinch technique, a novel and effective traction method for endoscopic submucosal dissection in large colorectal lesions. This technique uses the “SureClip Traction Band” (Micro-Tech, Nanjing, China) to grasp lesion edges together, representing a completely new approach. It is particularly beneficial for …
Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection
Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this case, we describe a hand-suturing—assisted traction technique and closure applied during endoscopic submucosal dissection (ESD) for a 3-cm laterally spreading tumor in the cecum of a 47-year-old man. The technique used a barbed suture to facilitate …
Knife-assisted full-thickness resection guided by pocket detection method for detection and complete excision of deeply invasive rectal cancer
Post written by Maria Eva Argenziano, MD, from the Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy, Department of Gastroenterology & Hepatology, University Hospital Ghent, and Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium, and David James Tate, MBBS, MA (Cantab), MRCP, PhD, from the Department of Gastroenterology & Hepatology, …
Novel robotic gripper for traction and closure in colorectal endoscopic submucosal dissection
Post written by Sang Hyun Kim, MD, PhD, and Hyuk Soon Choi, MD, PhD, from the Division of Gastroenterology and Hepatology, Korea University College of Medicine, Seoul, South Korea. We describe application of a novel dual-function robotic gripper (ROBOPERA-TraCloser [Dual Gripper]; ENDOROBOTICS, Seoul, South Korea) in colorectal endoscopic submucosal dissection (ESD). This device integrates traction and closure functionalities, enhancing …
Endoscopic closure of esophageal, gastric, jejunal, and rectopelvic fistulas with cardiac septal occluder devices: a case series
Post written by Shailendra Singh, MD, and Ethan Cohen, MD, from West Virginia University, Morgantown, West Virginia, USA. This video case series highlights the novel application of cardiac septal occluder (CSO) devices for endoscopic closure of esophageal, gastric, jejunal, and rectal fistulas. Traditionally, managing these complex fistulas and anastomotic leaks has been challenging, often requiring multiple endoscopic attempts …
The “Asclepius tube”: a slim drainage tube wrapped around the distal part of the endoscope for cecal endoscopic submucosal dissection
Post written by Yoshikazu Hayashi, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Our article describes a 62-year-old patient with a laterally spreading tumor in the cecum. We developed “the Asclepius tube”—a modified, fenestrated 14F nasogastric tube (SF-GX1420, Terumo, Tokyo, Japan) wrapped around the distal end of the endoscope, allowing …
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