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Endoscopic techniques | Instruments | Teaching videos | Upper GI tract

PEXACT — direct-puncture PEG after gastropexy

Teaching relevance

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

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Lower GI tract | Special Cases | Teaching videos

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

Teaching relevance

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

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ERCP | Teaching videos | Upper GI tract

Billroth II anatomy after partial stomach resection

Teaching relevance

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

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ERCP | Teaching videos | Upper GI tract

Roux-en-Y anatomy after gastric resection

Teaching relevance

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

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Instruments | Teaching videos | Upper GI tract

Endoscopy antireflux therapy with the MUSE system

Teaching relevance

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

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Teaching videos | Upper GI tract

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

Teaching relevance

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

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Endoscopic techniques | Instruments | Teaching videos | Upper GI tract

Endoscopic removal of a buried bumper using the Flamingo system

Teaching relevance

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

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Pancreas | Special Cases | Teaching videos | Upper GI tract

Endoscopic therapy of pancreatic fluid collections caused by severe necrotic pancreatitis

Teaching relevance

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

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Endoscopic techniques | Teaching videos | Upper GI tract

Endoscopic examination of a normal Z-line

Teaching relevance

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

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Endoscopic techniques | Special Cases | Teaching videos | Upper GI tract

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

Teaching relevance

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

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Endoscopic techniques | Instruments | Lower GI tract | Teaching videos

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

Teaching relevance

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

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Endoscopic techniques | Lower GI tract | Teaching videos

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

Teaching relevance

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

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Special Cases | Teaching videos

Establishment of an endoscopic gastroenterostomy

Teaching relevance

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

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Endoscopic techniques | Teaching videos

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

Teaching relevance

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

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Special Cases | Teaching videos | Upper GI tract

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

Teaching relevance

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

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Endoscopic techniques | Lower GI tract | Teaching videos

Combined laparoscopic/endoscopic resection of a cecal adenoma

Teaching relevance

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

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Endosonography | Teaching videos | Upper GI tract

Distal hypoechoic submucosal tumor in the esophagus

Teaching relevance

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

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ERCP | Liver and biliary tract | Teaching videos

Transgastric biliary drainage with metastatic gallbladder cancer

Teaching relevance

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

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ERCP | Endoscopic techniques | Teaching videos

Endoscopic relief of a gallbladder empyema

Teaching relevance

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

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Special Cases | Teaching videos | Upper GI tract

Small carcinoma in Barrett’s esophagus — EMR and RFA

Teaching relevance

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

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Endoscopic techniques | Teaching videos | Upper GI tract

Endoscopic division of a Zenker diverticulum using the Clutch Cutter

Teaching relevance

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:

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