Endoscopic techniquesTeaching Videos

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

A two centimeter submucosal lesion arising from muscularis mucosae is identified in the distal esophagus.

Endoscopic techniquesTeaching Videos

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)

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

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

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

EndosonographyTeaching Videos

A Case with an Abdominal Fluid Collection

This video demonstrates the case of a 42-year old male referred for EUS-guided drainage of a pancreatic fluid collection.

EndosonographyTeaching Videos

Acute necrotic collection

This video demonstrates the features of an acute necrotic collection in the case of a 65-year old male with abdominal pain and fever.

EndosonographyTeaching Videos

Cancer within a Pancreatic Fluid Collection

This video demonstrates EUS-guided drainage of a pancreatic fluid collection, and illustrates the importance of a careful EUS examination in all patients referred for PFC

EndosonographyTeaching Videos

Challenges of EUS-FNA of an Uncinate Pancreatic Mass

This video demonstrates the challenges associated with EUS-guided FNA of a pancreatic uncinate mass.

EndosonographyTeaching Videos

Duplication Cyst vs. Spindle Cell Tumor on EUS

This video demonstrates the differences between duplications cysts and spindle cell tumors.

EndosonographyTeaching Videos

EUS Features of Disconnected Pancreatic Duct Syndrome

This video demonstrates the hallmarks of Disconnected Pancreatic Duct Syndrome.

EndosonographyTeaching Videos

EUS-FNA of a Pancreatic Uncinate Mass using the Fanning Technique

This video demonstrates the EUS-FNA of a pancreatic uncinate mass using the Fanning Technique.

EndosonographyTeaching Videos

EUS-Guided Celiac Plexus Neurolysis

This video demonstrates the technique of EUS-guided Celiac Plexus Neurolysis in a patient with unresectable pancreatic adenocarcinoma.

EndosonographyTeaching Videos

EUS-Guided drainage of PFC using a Lumen-Apposing Metal Stent: Single-Gate Technique

This video demonstrates the single-gate technique of drainage of a pancreatic fluid collection using a lumen-apposing metal stent.

EndosonographyTeaching Videos

The importance of water insufflation in the EUS evaluation of a subepithelial lesion

This video demonstrates the importance of water insufflation in the EUS evaluation of a subepithelial lesion seen in the duodenal bulb on EGD, in the

Special CasesTeaching Videos

Establishment of an endoscopic gastroenterostomy

In this video Dr. Wannhoff from Ludwigsburg shows a new, minimally invasive approach to the endosonographic attachment of a gastroenterostomy in gastric emptying disorder.

ERCPTeaching VideosUpper GI tract

Lars explains Anatomy – Gastric Bypass

Die Anzahl an durchgefĂĽhrten Adipositas-OPs steigt weltweit. FĂĽr jeden Endoskopiker ist es wichtig die Anatomie nach einer Magen-Bypass-OP zu kennen um evtl. Komplikationen nach diesen

ERCPEndoscopic techniquesTeaching Videos

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

Teaching VideosUpper GI tract

The bougie cap – a new method of treating stenoses in the gastrointestinal tract

In the classic method, a stricture in the esophagus is dilated using a Savary bougie after advancement of a guide wire. The difficulty with this

ERCPTeaching VideosUpper GI tract

Roux-en-Y anatomy after gastric resection

This video illustrates the altered anatomy resulting after the type of gastric resection that is carried out for gastric carcinoma, for example. Bowel continuity is

Lower GI tractSpecial CasesTeaching Videos

Multimodal treatment approach with endoscopic full-thickness resection of a rectal carcinoma

A 77-year-old patient presented to the emergency department with Hb-relevant lower gastrointestinal bleeding during anticoagulation treatment with rivaroxaban and clopidogrel. At colonoscopy, the bleeding source

Special CasesTeaching VideosUpper GI tract

Endoscopic full-thickness resection of a GIST using GERD-X

A subepithelial tumor has been identified in the fundus. EUS shows that it is 2.5 × 3 cm in size, probably arising from the muscularis propria. No pathological

ERCPTeaching VideosUpper GI tract

Billroth II anatomy after partial stomach resection

This video explains the altered anatomy that is encountered after a Billroth II operation. In a Billroth II resection, the lower part of the stomach

Endoscopic techniquesSpecial CasesTeaching VideosUpper GI tract

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

EndosonographyTeaching VideosUpper GI tract

Distal hypoechoic submucosal tumor in the esophagus

Submucosal lesions identified in the esophagus usually undergo further clarification using endoscopic ultrasonography (EUS). In this video, Thomas Rösch from Hamburg demonstrates the examination sequence

ERCPLiver and biliary tractTeaching Videos

Transgastric biliary drainage with metastatic gallbladder cancer

Various access routes are available for drainage in patients with cholestasis. In the complex case presented here, neither ERCP nor an attempt at PTCD placement

Endoscopic techniquesSpecial CasesTeaching VideosUpper GI tract

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

ColonoscopyInstrumentsLower GI tractTeaching Videos

Endocuff Vision® versus wide-angle endoscope: small attachment – big effect

The wide-angle colonoscope provides a field of view up to 235 degrees, thanks to a lens system featuring forward viewing (147 degrees) and also side

PancreasSpecial CasesTeaching VideosUpper GI tract

Endoscopic therapy of pancreatic fluid collections caused by severe necrotic pancreatitis

Pancreatitis can cause various severe complications such as acute fluid collections with superinfected necrotic content requiring drainage and removal of necrotic debris. Here we demonstrate

Endoscopic techniquesSpecial CasesTeaching VideosUpper GI tract

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. 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

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 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

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

Special CasesTeaching VideosUpper GI tract

Small carcinoma in Barrett’s esophagus — EMR and RFA

A 46-year-old patient with short-segment Barrett’s esophagus that had been receiving monitoring since 2009, now presenting with a mucosal adenocarcinoma.

Endoscopic techniquesTeaching VideosUpper GI tract

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

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

A 60-year-old female patient with a diagnosis of a cecal adenoma that cannot be resected endoscopically, developing out of the appendix.

InstrumentsTeaching VideosUpper GI tract

Endoscopy antireflux therapy with the MUSE system

A 31-year-old female patient who has had reflux symptoms for 15 years and has responded well to PPI therapy. The patient wants to stop taking