ASGE Journal ScanEndoscopic techniques

How to Manage Anticoagulants and Antiplatelets During Endoscopic Procedures

How to Manage Anticoagulants and Antiplatelets During Endoscopic Procedures

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 techniquesTeaching Videos

Lars explains Anatomy – Hepaticojejunostomy

Lars explains Anatomy – Hepaticojejunostomy

Lars explains Anatomy – Hepaticojejunostomy

Endoscopic techniquesTeaching Videos

Sub-cardial Gastric ESD

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,

Endoscopic techniquesTeaching Videos

Sub-mucosal Tunneling Endoscopic Resection (STER) of an Esophageal Leiomyoma

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.

Endoscopic techniquesTeaching Videos

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

Piecemeal endoscopic mucosal resection (EMR) of an extensive laterally spreading adenoma in the rectum

Endoscopic techniquesTeaching Videos

Z-POEM -a combination of septomoty and tunnel myotomy

Z-POEM -a combination of septomoty and tunnel myotomy

Z-POEM -a combination of septomoty and tunnel myotomy

Endoscopic techniquesTeaching Videos

Rectal Endoscopic Submucosal Dissection

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

Endoscopic techniquesTeaching Videos

Pediatric Per Oral Endoscopic Myotomy (Posterior Approach)

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

Endoscopic techniquesInstrumentsTeaching Videos

Recovery of a lost gallstone from a perihepatic abscess

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 techniquesInstrumentsTeaching VideosUpper GI tract

Endoscopic removal of a buried bumper using the Flamingo system

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

ERCPEndoscopic techniquesTeaching Videos

Endoscopic relief of a gallbladder empyema

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

Endoscopic techniquesSpecial CasesTeaching VideosUpper GI tract

Gastric peroral endoscopic myotomy (G-POEM)

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

Endoscopic techniquesSpecial CasesTeaching VideosUpper GI tract

Tunnel removal of a submucosal tumor in the esophagus (SET technique)

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

Endoscopic techniquesTeaching Videos

Early esophageal carcinoma (squamous epithelium): tips and tricks for difficult ESDs

Early esophageal carcinoma (squamous epithelium): tips and tricks for difficult ESDs

Early esophageal carcinoma (squamous epithelium): tips and tricks for difficult ESDs

Endoscopic techniquesSpecial CasesTeaching VideosUpper GI tract

Post-EMR arterial bleeding

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

ERCPEndoscopic techniquesTeaching Videos

Treatment for papillary adenoma

Treatment for papillary adenoma

Treatment for papillary adenoma. An injection is made into the papillary adenoma to produce a good lifting sign.

Endoscopic techniquesInstrumentsTeaching VideosUpper GI tract

PEXACT — direct-puncture PEG after gastropexy

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 techniquesTeaching VideosUpper GI tract

Endoscopic division of a Zenker diverticulum using the Clutch Cutter

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 techniquesInstrumentsLower GI tractTeaching Videos

Endoscopic diagnosis of colon polyps using the NICE classification: initial experience with BLI and LCI

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 techniquesTeaching VideosUpper GI tract

Endoscopic examination of a normal Z-line

Endoscopic examination of a normal Z-line

Visualization of the Z-line without enhancement and with iScan, obstructed by esophageal motility.

Endoscopic techniquesLower GI tractTeaching Videos

Perforation of a bleeding polypectomy site in the colon using a Hemoclip

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

Endoscopic techniquesLower GI tractTeaching Videos

Combined laparoscopic/endoscopic resection of a cecal adenoma

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.

Endoscopic techniquesLower GI tractTeaching Videos

Piecemeal EMR of a laterally spreading tumor (LST)

Piecemeal EMR of a laterally spreading tumor (LST)

Diagnosis of a granular-type laterally spreading tumor at the right colic flexure.