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Create a Free AccountAnatomy - Small intestine
EUS-directed transenteric ERCP–assisted internalization of a percutaneous biliary drain in Roux-en-Y anatomy
Endoscopic ultrasound–directed transenteric ERCP (EDEE) has recently been described as a safe, effective procedure to obtain biliary access in patients with Roux-en-Y anatomy.1,2 Here, we present a video case report of EDEE-assisted biliary drain internalization in a patient with prior liver transplant and Roux-en-Y hepaticojejunostomy (HJ), presenting with HJ anastomotic stricture (Video 1, available online at www.giejournal.org ).Endoscopic submucosal dissection using scissors-type knife for a giant solitary duodenal polyp
Resection of giant pedunculated duodenal polyps is challenging. En bloc resection is preferred because of the risk of invasive cancer. EMR carries a significant risk of bleeding and perforation and may not be feasible when polyps are large. Traditional endoscopic submucosal dissection (ESD) carries a significant risk of perforation owing to the thin muscular layer of the duodenal wall and poor endoscopic operability. A scissors-type ESD knife has been increasingly used for resection of polyps in the stomach, duodenum, and colon.EUS-guided gastroenterostomy: techniques from East to West
Gastric outlet obstruction (GOO) can result from benign and malignant causes.1 Surgical gastroenterostomy has been the treatment of choice for patients with benign and malignant GOO with a good functional status.2 Placement of luminal self-expandable metal stents is currently accepted as the endoscopic treatment of choice for malignant GOO because of its effectiveness and minimally invasive nature.3 The main limitation of luminal stents is the high incidence of recurrent GOO resulting from tumor/tissue ingrowth/overgrowth.
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