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Create a Free AccountProcedures - Upper endoscopy (EGD)
Endoscopic reduction of type IV paraesophageal hernia
Type IV paraesophageal hernias are characterized by upward dislocation of the intra-abdominal organs into the thoracic cavity and the presence of a structure other than the stomach within the hernia sac. Although surgical repair is traditionally indicated in symptomatic patients with a paraesophageal hernia, limited options are available for patients deemed to be high risk for surgical repair.1,2 In this video (Video 1, available online at VideoGIE.org ), we describe a successful case of endoscopic type IV paraesophageal hernia reduction in a patient who was not able to undergo surgical repair.Emerging therapies in translational endoscopy: new frontiers in endoscopic submucosal dissection
The field of therapeutic endoscopy is evolving with a variety of new endoscopic surgical procedures. One such procedure, endoscopic submucosal dissection (ESD), has proven efficacy, yielding high margin-negative (R0) resection rates with low rates of adverse events and recurrence.1 However, the technical complexity, long procedure duration, and steep learning curve associated with ESD have led to relatively slow adoption. Although there has been an increased trend in devices and tools that may assist with ESD, there remains a paucity of advances in endoscopic technology, which are much needed given these known barriers.Subpyloric tunneling endoscopic submucosal dissection: a novel technique for safe and successful removal of a challenging duodenal submucosal lesion
Owing to their anatomic location, submucosal lesions in the proximal duodenal bulb can be challenging to resect by EMR. Here, we present a novel endoscopic submucosal dissection (ESD) technique for successful removal of a duodenal submucosal lesion (Video 1, available online at www.VideoGIE.org ).Endoscopic management of gastroesophageal reflux disease after sleeve gastrectomy by use of the antireflux mucosectomy procedure
Sleeve gastrectomy is the most common bariatric surgery in the United States.1 However, studies have reported an increased rate of de novo GERD after surgery and high rates of new-onset cases of Barrett's esophagus.2-5Use of a cardiac septal occluder in the treatment of a chronic GI fistula: What should we know before off-label use in the GI tract?
A GI fistula is defined as an abnormal communication between 2 epithelialized surfaces, which can be characterized as internal (between 2 abdominal organs) or external (between an abdominal organ and the body surface). The most common causes of GI fistulas include postoperative adverse events, longstanding untreated leaks, chronic inflammatory conditions, malignancy, and radiation therapy.1,2
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