Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 55-year-old man with chronic calcific pancreatitis presented with abdominal pain and 12-pound weight loss. Abdominal CT and MRCP showed a large burden of calcified obstructive pancreatic duct (PD) stones above the papilla resulting in upstream PD dilatation measuring 19 mm. We discussed the …
Tag: VideoGIE
Creation of new anastomosis for management of obstructive symptoms related to gastrojejunal anastomosis in patients who undergo gastric bypass: a case series
Post written by Shailendra Singh, MD, and Rohit Agrawal, MD, from West Virginia University, Morgantown, West Virginia, USA. We present a case series of 6 patients with Roux-en-Y gastric bypass who were referred for management of obstructive symptoms related to gastrojejunal (GJ) anastomosis. Our patients had failed pneumatic dilations and/or endoscopic stent therapy for severe refractory GJ stenosis with …
Handmade snare-assisted endoscope tip-bending angulation booster
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Department of Medicine, Section of Gastroenterology, Makati Medical Center, Makati, Philippines. Endoscopic interventions require precise control of the endoscope tip. Inadequate …
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TeXture and color enhancement Imaging-assisted precutting: 3 case reports
Post written by Atsushi Saito, MD, Shugo Fujibayashi, MD, PhD, Tamaki Momoi, MD, and Tsuneshi Fujii, MD, PhD, from the Department of Gastroenterology, Japanese Red Cross Asahikawa Hospital, Asahikawa, Hokkaido, Japan. We discussed 3 cases of successful biliary cannulation using precutting with TeXture and color enhancement Imaging (TXI) in patients with obstructive jaundice caused by pancreatic head cancer. In all 3 cases, the …
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Directional movement guide for digital single-operator cholangioscopy system
Post written by Justin Ryan L. Tan, MD, from the Section of Gastroenterology, Chinese General Hospital and Medical Center, Manila, Philippines, and Weigang Gu, MD, from the Department of Gastroenterology, Affiliated Hangzhou First People's Hospital, Hangzhou, China. Although cholangioscopy has undergone increasing therapeutic applications, standardized training remains a significant challenge. Our team has focused on simplifying device …
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Novel approach for weight reduction after Roux-en-Y gastric bypass with weight regain: a combination of Bariatric Anastomotic Reduction System with tubularization of residual gastric pouch
Post written by Rakesh Kalapala, MD, DNB, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. The combination of the Bariatric Anastomotic Reduction System (BARS) with endoscopic sleeve gastroplasty (ESG) of the residual gastric pouch would cause significant anastomotic lumen reduction, with decrease of the size of the residual gastric pouch …
The open accordion: a novel application of endoscopic sleeve gastroplasty for the treatment of refractory gastroparesis
Post written by Alexander J. Podboy, MD, from the University of Virginia, Charlottesville, Virginia, USA. Gastroparesis is a debilitating condition that leads to poor quality of life. Although gastric peroral endoscopic myotomy (G-POEM) has emerged as a novel treatment, its success rates are variable, and options for patients with refractory symptoms remain limited. This video case introduces …
EUS-guided glue injection for managing torrential bleeding during gastric neuroendocrine tumor endoscopic submucosal dissection: sealing the storm
Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. A 24-year man diagnosed with a type II gastric neuroendocrine tumor (NET) (size <20 mm) underwent endoscopic submucosal dissection (ESD) after multidisciplinary discussion. During distal extension of the initial incision, bleeding started and abruptly became profuse. Initial attempts to control the bleeding using …
Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video case introduces the effectiveness of antireflux mucoplasty (ARM-P) with valve (ARM-P/V) for proton pump inhibitor—refractory GERD. Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) are effective treatments for proton pump inhibitor—refractory or dependent GERD, as supported …
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Star-Loop: a novel, low-cost method of multipoint traction for colonic endoscopic submucosal dissection
Post written by Ciaran Judge, MD, MB, BCh, BAO, and Niroshan Muwanwella, MD, from the Royal Perth Hospital, Perth, Western Australia, Australia. Endoscopic submucosal dissection (ESD) is an important tool for resection of colorectal lesions with features suggestive of superficial submucosal invasion. However, resection of proximal lesions can be challenging for several reasons. We present the case of a 68-year-old man …
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