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/cms/10.1016/j.vgie.2022.11.013/attachment/6bc6a565-169d-477b-8725-5188c570da1b/mmc1.mp4Loading ...March 1, 2023
Endoscopic submucosal dissection using an integrated needle-type knife and insulated-tip knife in a single device
Endoscopic submucosal dissection (ESD) allows for en bloc endoscopic resection of superficial lesions throughout the GI tract and is the first-line therapy for the endoscopic management of early gastric neoplasia.
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/cms/10.1016/j.vgie.2022.11.002/attachment/d2d4a2f5-731a-4145-b4a3-8802c5b570e1/mmc1.mp4Loading ...March 1, 2023
Iatrogenic perforation during lumen-apposing metal stent deployment closed using an over-the-scope stent fixation clip device
EUS-guided gastrojejunostomy (EUS-GJ) has emerged as a safe and effective alternative for the palliative management of malignant gastric outlet obstruction.
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/cms/10.1016/j.vgie.2022.11.014/attachment/2c738070-04ab-4865-a0a5-8ee80111b53a/mmc1.mp4Loading ...March 1, 2023
Management of an iatrogenic duodenal perforation with a helical tack system in a patient with pancreatic cancer complicated by gastric outlet obstruction
Although endoscopic procedures are safe, they carry a risk of perforation, which can manifest severe adverse events for patients if not managed expediently.
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/cms/10.1016/j.vgie.2022.10.014/attachment/a5a4e785-0abc-49df-81d2-a7eab7375be5/mmc1.mp4Loading ...March 1, 2023
Endoscopic submucosal dissection of a gigantic gastric polyp aided by a novel retraction device and complicated by upper esophageal sphincter laceration during retrieval
An 87-year-old woman with chronic renal insufficiency and coronary artery disease on clopidogrel was found to have a sizable adenomatous gastric polyp.
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/cms/10.1016/j.vgie.2022.11.007/attachment/c8bebe60-20c4-4102-83f2-0f7fbe3db904/mmc1.mp4Loading ...March 1, 2023
Over-the-scope clip to the rescue: solution for duodenal perforation from migrated biliary stent
Iatrogenic perforation of the duodenum caused by biliary stents is a rare adverse event of ERCP.
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/cms/10.1016/j.vgie.2022.10.013/attachment/954df1c2-afd0-47d9-b5ba-a53d1018b49f/mmc1.mp4Loading ...March 1, 2023
Flexible fiber cholangioscope for detection of near-infrared fluorescence
Cholangiocarcinoma is a cancer of the bile ducts and is characterized by a high mortality rate and a steadily rising incidence.
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/cms/10.1016/j.vgie.2022.11.003/attachment/cadcc1f7-517b-475f-ad24-b2a21a49b792/mmc1.mp4Loading ...March 1, 2023
Improving suboptimal bowel prep using a novel on-demand overtube device: an in vivo animal study
Inadequate bowel preparation for a colonoscopy can occur in more than 25% of cases.
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/cms/10.1016/j.vgie.2022.11.012/attachment/92bef07a-a612-46e0-b47c-5e28cd66baff/mmc1.mp4Loading ...March 1, 2023
EUS-guided liver biopsy using a novel hydrostatic stylet technique
EUS-guided liver biopsy (EUS-LB) has become increasingly used for the diagnostic evaluation and staging of hepatic pathologies.
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/cms/10.1016/j.vgie.2022.11.005/attachment/e13633fa-385d-406c-88bc-2bb2aeadcd3e/mmc1.mp4Loading ...March 1, 2023
A new connection: management of disconnected segments 5 and 6 bile leak via the cystic duct remnant
Iatrogenic adverse events following cholecystectomy can lead to bile leaks in up to 1.1% of cases.
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/cms/10.1016/j.vgie.2022.11.009/attachment/823c7b99-e0fc-44c4-a9d4-7256912b4ca1/mmc1.mp4Loading ...March 1, 2023
Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy combined with endoscopic suturing and closure of the pylorus: a novel approach to failed surgical repair of a perforated duodenal ulcer
An 82-year-old woman with metastatic breast cancer was admitted with an acute abdomen.
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/cms/10.1016/j.vgie.2022.11.004/attachment/e45bda02-dacb-44b0-9f29-67b37e59500e/mmc1.mp4Loading ...March 1, 2023
EUS of a submucosal lesion at the appendiceal orifice using a double-balloon endoluminal intervention platform
The use of curved linear array (CLA) and radial EUS in the lower GI tract has largely been limited to the sigmoid colon and rectum, as their oblique optics present a challenge in advancement to the right side of the colon.
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/cms/10.1016/j.vgie.2022.11.006/attachment/c6460957-330c-4c8f-b295-b56db0590935/mmc1.mp4Loading ...March 1, 2023
Single-session EUS-guided gastrogastrostomy to facilitate cystgastrostomy in Roux-en-Y gastric bypass
Patients with surgically altered anatomy present unique challenges to traditional endoscopic management of foregut pathology, such as drainage of peripancreatic fluid collections.
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/cms/10.1016/j.vgie.2022.11.010/attachment/42f9a3b1-fc95-4ffc-970e-9f94e54e8f44/mmc1.mp4Loading ...March 1, 2023
Fluorescence confocal microscopy for rapid evaluation of EUS fine-needle biopsy in pancreatic solid lesions
Fluorescence confocal laser microscopy (FCM) allows imaging of tissues in the fresh state, with minimal preparation and without any damage, distortion, or loss of tissue.
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/cms/10.1016/j.vgie.2022.11.008/attachment/0448dab9-8ed5-4bb4-ad12-d892491f6137/mmc1.mp4Loading ...March 1, 2023
Duodenal stenting as a palliative approach to a malignant duodenocolonic fistula
Duodenocolonic fistulae may result as adverse events of malignancies, and their management is often challenging for nonsurgical patients.
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/cms/10.1016/j.vgie.2022.11.011/attachment/9f147d38-bf36-4be9-92dc-67f418c140ae/mmc1.mp4Loading ...March 1, 2023
Endoscopic holmium laser lithotripsy for therapy of Bouveret syndrome
Bouveret syndrome is a rare condition characterized by the impaction of a gallstone in the stomach or duodenum via a fistulous tract resulting in gastric outlet obstruction or ileus in the setting of cholecystitis.
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/cms/10.1016/j.vgie.2022.10.008/attachment/39550a42-4296-4d4c-8cc3-c993d5c46f95/mmc1.mp4Loading ...February 1, 2023
Ileocolonic intussusception presenting as chronic diarrhea in an elderly woman
Intussusception represents the telescoping of a proximal segment of the GI tract (intussusceptum) into the lumen of an adjacent distal segment (intussuscipiens).
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/cms/10.1016/j.vgie.2022.10.002/attachment/77e60638-9a81-42c0-b588-109070546701/mmc1.mp4Loading ...February 1, 2023
Underwater EMR for the diagnosis of diffuse infiltrative gastric cancer
A 75-year-old woman experienced nausea 7 months prior and had lost 9 kg over 3 months.
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/cms/10.1016/j.vgie.2022.09.006/attachment/d25c9060-567c-42d0-93cf-4e08a6557a6f/mmc1.mp4Loading ...February 1, 2023
Emergent endoscopic submucosal dissection for a polypoid fibroadipose tumor accidentally disgorged from the mouth: an organ-preserving minimally invasive treatment
A 74-year-old woman presented with dysphagia. EGD at a previous hospital showed a giant pedunculated polyp from the entrance of the esophagus to the esophagogastric junction.
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/cms/10.1016/j.vgie.2022.10.004/attachment/1517a1b6-4b12-41e3-ae51-3acb043fbff3/mmc1.mp4Loading ...February 1, 2023
Novel simulator of endoscopic hemostasis with actual endoscope and devices
Endoscopic hemostasis is an essential skill for endoscopists and has been the first-line treatment.
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/cms/10.1016/j.vgie.2022.10.003/attachment/a3253be1-a817-48c2-a7e6-3f17eb306cf0/mmc1.mp4Loading ...February 1, 2023
Utility of a super-soft hood for esophageal endoscopic submucosal dissection below an esophageal stricture
Endoscopic submucosal dissection (ESD) for esophageal squamous cell carcinoma (ESCC) has been widely performed.
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/cms/10.1016/j.vgie.2022.09.004/attachment/1dfb2306-9a45-4c65-9ed8-681b3341a533/mmc1.mp4Loading ...February 1, 2023
Endoscopic nasobiliary drainage tube placement through a periampullary perforation for management of intestinal leak and necrotizing pancreatitis
Periampullary perforation has a high mortality rate.
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/cms/10.1016/j.vgie.2022.09.008/attachment/c379b997-b423-4691-8894-16bf8e85bbfc/mmc1.mp4Loading ...February 1, 2023
Endoscopic submucosal dissection of appendiceal lesions by using a novel adjustable traction device: A-TRACT-2
Endoscopic submucosal dissection (ESD) allows for en bloc resection of various lesions of the GI tract.
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/cms/10.1016/j.vgie.2022.09.005/attachment/c2fa7539-1cea-487e-9e60-c199596b8d90/mmc1.mp4Loading ...February 1, 2023
Relief of malignant gastric outlet obstruction with lumen-apposing metallic stent–assisted percutaneous endoscopic gastrostomy tube after Roux-en-Y gastric bypass
Accessing the bypassed portion of the stomach and small bowel for endoscopic interventions in Roux-en-Y gastric bypass (RYGB) is challenging.
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/cms/10.1016/j.vgie.2022.10.012/attachment/1191684e-b5f0-49db-8c76-04dc40855000/mmc1.mp4Loading ...February 1, 2023
Endoscopic adventitial dissection of a rectal GI stromal cell tumor
Endoscopic adventitial dissection (EAD) is a novel resection technique that involves dissection in the “fourth space,” the space between the outer longitudinal muscle and the tunica adventitia of the rectum.
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/cms/10.1016/j.vgie.2022.10.010/attachment/1edad471-a497-4358-a03d-92684b2188ec/mmc1.mp4Loading ...February 1, 2023
With a little help from my friends: percutaneously assisted internalization of a biliary drain
EUS-guided hepaticogastrostomy (EUS-HG) provides endoscopic biliary drainage when conventional techniques are not feasible.