The increasing use of anticoagulant and antiplatelet agents has made the management of these medications during and around the time of endoscopy for GI bleeding
Endoscopic techniques
Endoscopic techniques
How to Manage Anticoagulants and Antiplatelets During Endoscopic Procedures
Lars explains Anatomy – Hepaticojejunostomy
Lars explains Anatomy – Hepaticojejunostomy
Sub-cardial Gastric ESD
Before starting any endoscopical procedure, in particular an endoscopic submucosal dissection, a proper and extensive evaluation of the lesion must be accomplished. White light endoscopy,
Sub-mucosal Tunneling Endoscopic Resection (STER) of an Esophageal Leiomyoma
A two centimeter submucosal lesion arising from muscularis mucosae is identified in the distal esophagus.
Piecemeal endoscopic mucosal resection (EMR) of an extensive laterally spreading adenoma in the rectum
Piecemeal endoscopic mucosal resection (EMR) of an extensive laterally spreading adenoma in the rectum
Z-POEM -a combination of septomoty and tunnel myotomy
Z-POEM -a combination of septomoty and tunnel myotomy
Rectal Endoscopic Submucosal Dissection
In this case, a 65-year-old woman presents with a recurrence of a polyp previously treated with endoscopic mucosal resection. The biopsy and the endoscopic evaluation
Pediatric Per Oral Endoscopic Myotomy (Posterior Approach)
This video presents the case of a five-year-old child with confirmed type two achalasia. For POEM, patient is positioned in supine and insufflation with CO2
Recovery of a lost gallstone from a perihepatic abscess
Gallbladder perforation, with stone “emptying” into the abdominal cavity, is a potential complication during cholecystectomy. Later complications may develop, particularly abscess formation. A subphrenic abscess
Endoscopic removal of a buried bumper using the Flamingo system
A patient with an ingrown internal PEG retaining plate (buried bumper syndrome) on the anterior wall of the gastric body. Endoscopic removal of the device
Endoscopic relief of a gallbladder empyema
The endoscopic ultrasound (EUS) image, seen from the antrum, shows a tightly filled gallbladder with hyperechoic reflexes, in a 71-year-old patient. The patient had an
Gastric peroral endoscopic myotomy (G-POEM)
Hendrik Manner from Wiesbaden reports on a patient with a gastric emptying disorder who was treated with what is known as gastric peroral endoscopic myotomy
Tunnel removal of a submucosal tumor in the esophagus (SET technique)
Dr. Werner and Prof. Rösch from Hamburg present the case of a young patient with an incidental finding of esophageal GIST. In this patient, it
Early esophageal carcinoma (squamous epithelium): tips and tricks for difficult ESDs
Early esophageal carcinoma (squamous epithelium): tips and tricks for difficult ESDs
Post-EMR arterial bleeding
Arterial bleeding from the area of the endoscopic mucosal resection, 2 days after the intervention. Successful hemostasis is achieved using bipolar coagulation forceps in “Soft
Treatment for papillary adenoma
Treatment for papillary adenoma. An injection is made into the papillary adenoma to produce a good lifting sign.
PEXACT — direct-puncture PEG after gastropexy
The gastropexy device consists of two hollow needles that are attached to each other. A suture thread is inserted through one hollow needle, and a
Endoscopic division of a Zenker diverticulum using the Clutch Cutter
Endoscopic division of a Zenker diverticulum using the Clutch Cutter and management of a perforation. Coagulation of the diverticular septum using the Clutch Cutter. Settings:
Endoscopic diagnosis of colon polyps using the NICE classification: initial experience with BLI and LCI
The new generation of the Fujifilm electronic endoscopy system allows virtual chromoendoscopy alongside zoom endoscopy. Blue laser imaging (BLI), like narrow-band imaging (NBI), allows further
Endoscopic examination of a normal Z-line
Visualization of the Z-line without enhancement and with iScan, obstructed by esophageal motility.
Perforation of a bleeding polypectomy site in the colon using a Hemoclip
A patient who had undergone polypectomy of a flat polyp in the ascending colon presented again with peranal hemorrhage. The polypectomy site can be seen
Combined laparoscopic/endoscopic resection of a cecal adenoma
A 60-year-old female patient with a diagnosis of a cecal adenoma that cannot be resected endoscopically, developing out of the appendix.
Piecemeal EMR of a laterally spreading tumor (LST)
Diagnosis of a granular-type laterally spreading tumor at the right colic flexure.