Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan shares his VideoGIE case "Tract dilation with a stent retrieval device in EUS-guided pancreatic duct stent placement." Endoscopic ultrasonography (EUS)-guided pancreatic duct (PD) stenting is always challenging. Apart from EUS-guided biliary drainage, it may be more difficult to dilate the needle tract …
Tag: VideoGIE
Scanning fiber endoscopy
Adam W. Templeton, MD from the University of Washington presents this video case titled "Scanning fiber endoscopy: a novel platform for cholangioscopy" from the VideoGIE section. In this video we demonstrate our initial experience with a novel new cholangioscope. This cholangioscope allows for improved imaging of the bile duct using otherwise standard ERCP technique and …
Endoscopic resection of an ampullary gangliocytic paraganglioma
Patrick Yachimski, MD, MPH from Vanderbilt University Medical Center presents this VideoGIE article titled "Endoscopic resection of an ampullary gangliocytic paraganglioma." This video case depicts endoscopic examination and resection of a subepithelial ampullary lesion, histopathologically identified following resection as a gangliocytic paraganglioma. This case represents an unusual ampullary neoplasm. While most neoplasms resected in the …
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Over-the-scope clip for post-esophagectomy fistula
Brian S. Lim, MD, MCR from Kaiser Permanente Riverside Medical Center at the University of California Riverside School of Medicine presents this video case titled "Over-the-scope clip for closure of persistent post-esophagectomy gastric conduit fistula." A 69-year-old man had an Ivor-Lewis esophagectomy for esophageal carcinoma. On postoperative day 6, the patient developed severe chest pain; CT …
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Transillumination auxiliary technique for POEM
Francisco Baldaque-Silva, MD from Centro Hospitalar de São João in Porto, Portugal presents this video case "New transillumination auxiliary technique for peroral endoscopic myotomy." In our experience, one of the most difficult steps of the peroral endoscopic myotomy (POEM) technique is the achievement of a proper tunnel length that will allow a safe and effective …
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Esophageal intramural pseudodiverticulosis
Vishal Ghevariya, MD from the Icahn School of Medicine at Mount Sinai in Elmhurst, New York presents this VideoGIE case "Esophageal intramural pseudodiverticulosis." Esophageal intramural pseudodiverticulosis (EIPD) is a condition characterized by the development of numerous epithelium lined cystic foci or diverticulum within the esophageal wall. Progressive dysphagia and chest discomfort are the most common …
Transgastric gallstone extraction
Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan presents this video case "Transgastric large gallstone extraction in a patient with acute cholecystitis through a lumen-apposing metal stent (with video)" from the April issue. A Tokyo guideline in 2013 proposed that percutaneous transhepatic gallbladder drainage (PTGBD) is considered a safe alternative …
Celiac Artery Compression
Vishal Ghevariya, MD from the Icahn School of Medicine at Mount Sinai in Elmhurst, New York shares this video case "Celiac Artery Compression: EUS Evaluation" from the April issue. A 51-year-old man presented for evaluation of abdominal discomfort. The discomfort was epigastric, nonradiating, accompanied by heartburn, and without specific aggravating/alleviating factors. He denied nocturnal/postprandial association …
Rescue of basket-impacted stone
Takayoshi Tsuchiya, MD, PhD from the Tokyo Medical University Hospital in Tokyo, Japan presents this video case "Rescue of basket-impacted stone by use of electrohydraulic lithotripsy under cholangioscopy (with videos)" from the VideoGIE section. Basket impaction of a bile duct stone is a well-known problem occurring during endoscopic transpapillary lithotripsy. Generally, it is resolved by …
Endoscopic removal of obstructing sutures
Jennifer M. Kolb from the Icahn School of Medicine at Mount Sinai in New York shares this video case "Endoscopic removal of obstructing sutures using argon plasma coagulation" from the VideoGIE section. We present two unusual cases of persistent dysphagia, months after Ivor Lewis esophagectomy for esophageal adenocarcinoma, caused by retained sutures and staples blocking …
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