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The use of esophageal self-expanding metal stents (SEMSs) has been shown to be advantageous in the setting of malignant dysphagia; they are commonly used for esophageal obstruction and fistulas.
Endoscopic bariatric therapies provide an effective and minimally invasive approach to obesity that augments the available treatment options beyond surgery, medication, and lifestyle modifications.
Periampullary diverticulum is a common anatomical alteration around the papilla (6%-31% of native papillae). Its prevalence increases with age, with reported rates as high as 65% in older people.
Endoscopic submucosal dissection (ESD) provides an endoscopic treatment option for esophageal cancers limited to the mucosa and submucosa. However, ESD is high-risk in patients with cirrhosis, owing to associated coagulopathy, thrombocytopenia, and portal hypertension, which increases risk for bleeding and life-threatening decompensation. Particularly troublesome in esophageal ESD are esophageal varices.
Gastrointestinal bleeding is a common emergent condition, accounting for 7% to 8% of acute medical admissions. In the United States, upper GI bleeding (UGIB) leads to an average of 300,000 admissions per year and has a mortality rate that ranges from 2% to 15%.
The formation of an intestinal stoma for fecal diversion is one of the most frequent interventions for the palliation in intestinal obstruction from colon cancer in inoperable patients.
We present a case of a 77-year-old man who underwent endoscopic submucosal dissection of a tumor in the upper esophageal sphincter and piriform sinus for a poorly differentiated squamous cell carcinoma.
Defect closure after EMR or endoscopic submucosal dissection (ESD) has been a topic of interest in the last few decades with advances in minimally invasive endoscopic techniques.
Pancreatic duct stone is a common adverse event associated with chronic pancreatitis. Asymptomatic pancreatic stones can be followed-up by observation, although some cases with severe symptoms require radical treatment, including extracorporeal shock wave lithotripsy, electrohydraulic lithotripsy (EHL), and surgical treatment.
Endoscopic mucosal resection and endoscopic submucosal dissection (ESD) are well-established treatment methods for resection of precancerous gastric lesions and early gastric cancers.
While there continues to be debate surrounding indications for closure, use of clips following endoscopic mucosal resection of large nonpedunculated polyps has been found to reduce risk of postprocedural bleeding, and clinically has also been performed to reduce risk of perforation because of muscularis propria injuries.
Endoscopic ultrasound–guided gastrojejunostomy (EUS-GJ) is an alternative to endoscopic stent placement alone and surgical gastrojejunostomy for the management of gastric outlet obstruction (GOO).
Adverse events are rare after bariatric surgery; however, leaks can lead to high morbidity. A large population study demonstrated a rare need for endoscopic management, most commonly endoluminal stent therapy.
Duodenal cavernous hemangiomas are rare; however, when they occur, they may require hemostasis. Hemangiomas are classified into cavernous, capillary, or mixed tumors; the cavernous type is the most common.
A 26-year-old woman presented to an outside hospital with symptomatic cholelithiasis and underwent a laparoscopic cholecystectomy that was complicated by bile leak and intra-abdominal fluid collections.
A 29-year-old woman with psychiatric history and multiple foreign body ingestions presented with a 1-day history of moderate to severe nonradiating central abdominal pain.
Endoscopic submucosal dissection (ESD) for Barrett's esophagus (BE) neoplasia is associated with high en bloc resection and an acceptable safety profile but with suboptimal curability rates (range, 56%-59%).
