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Endoscopic techniques | Instruments | Teaching videos | Upper 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

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Endosonography | Teaching 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.

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Endosonography | Teaching 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.

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Endosonography | Teaching 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

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Endosonography | Teaching 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.

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Endosonography | Teaching videos

Duplication Cyst vs. Spindle Cell Tumor on EUS

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

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Endosonography | Teaching videos

EUS Features of Disconnected Pancreatic Duct Syndrome

This video demonstrates the hallmarks of Disconnected Pancreatic Duct Syndrome.

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Endosonography | Teaching 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.

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Endosonography | Teaching videos

EUS-Guided Celiac Plexus Neurolysis

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

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Endosonography | Teaching 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.

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Endosonography | Teaching 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

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Special Cases | Teaching 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.

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Teaching videos | Upper 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

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ERCP | Endoscopic techniques | Teaching 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

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ERCP | Teaching videos | Upper 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

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Lower GI tract | Special Cases | Teaching 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

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Special Cases | Teaching videos | Upper 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

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ERCP | Teaching videos | Upper 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

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ERCP | Liver and biliary tract | Teaching 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

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Endoscopic techniques | Special Cases | Teaching videos | Upper 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

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Instruments | Special Cases | Teaching videos | Upper GI tract

The EndoRotor® as a completely new mechanical mucosectomy procedure — an alternative for faster ER and ESD?

Stephan Hollerbach and his team demonstrate an en-bloc resection in a swine model using the new mechanical EndoRotor® resection system.

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Endosonography | Teaching videos | Upper 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

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Endoscopic techniques | Special Cases | Teaching videos | Upper 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

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Colonoscopy | Instruments | Lower GI tract | Teaching 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

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Instruments | Teaching videos | Upper 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

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Endoscopic techniques | Lower GI tract | Teaching 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.

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Endoscopic techniques | Lower GI tract | Teaching videos

Piecemeal EMR of a laterally spreading tumor (LST)

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

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Pancreas | Special Cases | Teaching videos | Upper 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

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Endoscopic techniques | Teaching videos

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

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

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Endoscopic techniques | Special Cases | Teaching videos | Upper 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

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ERCP | Endoscopic techniques | Teaching videos

Treatment for papillary adenoma

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

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Endoscopic techniques | Instruments | Teaching videos | Upper 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

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Endoscopic techniques | Teaching videos | Upper 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:

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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

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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Special Cases | Teaching videos | Upper 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.

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Endoscopic techniques | Teaching videos | Upper GI tract

Endoscopic examination of a normal Z-line

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

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Endoscopic techniques | Lower GI tract | Teaching 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

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