ec-Teaching
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
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
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
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
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
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
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 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 examination of a normal Z-line
Visualization of the Z-line without enhancement and with iScan, obstructed by esophageal motility.
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 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
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
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.
Early esophageal carcinoma (squamous epithelium): tips and tricks for difficult ESDs
Early esophageal carcinoma (squamous epithelium): tips and tricks for difficult ESDs
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
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.
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
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 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
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 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:
Piecemeal EMR of a laterally spreading tumor (LST)
Diagnosis of a granular-type laterally spreading tumor at the right colic flexure.