Suture-assisted flange engagement (SAFE) technique for endoluminal stenting

James H. Tabibian, MD, PhD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA shares this VideoGIE case "Endoluminal stenting via the suture-assisted flange engagement technique." Gastrointestinal endoscopists are now more than ever encountering clinical scenarios where they are asked to provide endoscopic diversion or bridging of a leak site with fully-covered …

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Ingested lithium batteries cause gastrojejunal fistula

V.G. Mohan Prasad, DM, FRCP (Edin), from the VGM Hospital, Coimbatore,  in Tamil Nadu, India presents this video case "Spontaneous magnetic gastrojejunal fistula caused by accidentally ingested lithium batteries." In this video, we demonstrate a case of a gastrojejunal (GJ) fistula created by accidental ingestion of lithium batteries. This young man of 25 had gulped batteries …

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Trick for endoloop positioning before polypectomy

Darina Kohoutova, MD, PhD,(1,2) and Bjorn J. Rembacken, MD,(2) present this VideoGIE case "Trick for endoloop positioning before polypectomy by using a double-channel gastroscope." As post-polypectomy bleeding is the most common adverse event of polypectomy, various preventive techniques for how to decrease this risk have been developed for daily endoscopy practice. Placement of ligating loop …

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Transgastric biliary brushing

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology at Weil Cornell Medical College, Cornell University in New York, New York, USA shares this VideoGIE case “Transgastric biliary brushing: a novel endoscopic technique.” This video describes a case of a patient with a history of pancreatic cancer status-post whipple procedure who presented with obstructive …

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Intragastric balloons

Sun-Chuan Dai, MD, from the Hospital of the University of Pennsylvania in Philadelphia, Pennsylvania, USA presents this VideoGIE "Intragastric balloons: an introduction and removal technique for the endoscopist." This is a video presentation of a 40-year-old female who had requested removal of an intragastric weight-loss balloon that had been placed 2 months to her presentation. …

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EUS-guided rescue of lumen-apposing stent

Saowanee Ngamruengphong, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology at the Johns Hopkins Medical Institutions in Baltimore, Maryland, USA presents this VideoGIE case "EUS-guided rescue of early dislodgement of a lumen-apposing stent." A 74-year-old man presented with cholelithiasis and choledocholithiasis. The patient underwent an ERCP with biliary sphincterotomy and placement …

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EUS-guided ethanol ablation

Dennis Yang, MD, from the Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, in New York, New York, USA presents this video case "EUS-guided ethanol ablation of symptomatic pancreatic insulinomas." In this video, we describe the technique of EUS-guided ethanol ablation and evaluate its safety and efficacy for the treatment of patients with …

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Immediate control of acute intracystic arterial hemorrhage

Vinay Dhir, MD, from the Baldota Institute of Digestive Sciences, Global Hospitals, in Mumbai, India presents this VideoGIE case, "Immediate control of acute intracystic arterial hemorrhage after EUS-FNA by EUS-guided fine-needle injection." This video describes stopping of intra-arterial bleeding following EUS-guided cyst aspiration by utilizing EUS-guided FNA (EUS-FNA). This 60-year-old patient was referred to us …

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Single-balloon enteroscope for retrieval of migrated stent

Kei Yane, MD, from the Center for Gastroenterology, Teine-Keijinkai Hospital, in Sapporo, Japan presents this VideoGIE "Endoscopic retrieval of a proximally migrated biliary stent after pancreaticoduodenectomy by use of a short-type single-balloon enteroscope." Our video case describes the successful retrieval of a proximally migrated biliary stent after pancreaticoduodenectomy using a short-type single-balloon enteroscope (short SBE). …

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Endoscopic management of a GI perforation

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology at Weil Cornell Medical College, Cornell University in New York, New York, USA shares this VideoGIE case "Endoscopic management of a GI perforation." This case describes a 55-year-old woman with Roux-en-Y anatomy who developed a full-thickness jejunal perforation during an endoscopic procedure. This adverse event …

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