VideoGIE最新文献_第2页

Novel use of an endoscopic suturing device for rectal foreign body retrieval 一种用于直肠异物取出的内窥镜缝合装置的新应用

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.051

Sergey V. Kantsevoy MD, PhD, FJGES

{"title":"Novel use of an endoscopic suturing device for rectal foreign body retrieval","authors":"Sergey V. Kantsevoy MD, PhD, FJGES","doi":"10.1016/j.vgie.2026.04.051","DOIUrl":"10.1016/j.vgie.2026.04.051","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Endoscopic removal of gastrointestinal tract foreign bodies could be difficult when the foreign body significantly exceeds the size of the available endoscopic extraction devices (snares, nets, etc). We present successful use of an endoscopic suturing device for retrieval of a large rectal foreign body not amenable to retrieval by traditional endoscopic extraction devices.</div></div><div><h3>Methods</h3><div>The patient was a 45-year-old biological male transitioning to female who presented to the emergency department with a self-reported 8-inch rectal foreign body. Extraction with the patient under anesthesia was unsuccessful, and to avoid surgery, a flexible sigmoidoscopy was attempted.</div></div><div><h3>Results</h3><div>Attempts to remove the rectal foreign body using traditional retrieval devices were unsuccessful because of a large diameter and very slippery surface of the silicone sex toy. After 11 minutes of unsuccessful attempts, we inserted the OverStitch endoscopic suturing device (Boston Scientific, Marlborough, Mass, USA) into the rectum. We pierced the suturing arm of the device through the foreign body and were able to retrieve it from the rectum in 5 minutes.</div></div><div><h3>Conclusions</h3><div>This case demonstrates unexpected value of an endoscopic suturing device for endoscopic removal of a large foreign body not amenable to extraction with traditional dedicated endoscopic devices. Use of an endoscopic suturing device enabled successful removal of the difficult foreign body and eliminated the need for urgent surgery.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 456-458"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic ultrasound–guided radiofrequency ablation for management of bleeding gastrointestinal tract malignancies: a report of 2 cases 出血的内镜超声引导下射频消融术对管理胃肠道恶性肿瘤:报告2例

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-04-29 DOI: 10.1016/j.vgie.2026.04.043

Muhammad Ahmad Bashir MD, Dayyan Adoor MD, Vishali Moond MD, Ayowumi Adekolu MD, Shyam Thakkar MD, Shailendra Singh MD

{"title":"Endoscopic ultrasound–guided radiofrequency ablation for management of bleeding gastrointestinal tract malignancies: a report of 2 cases","authors":"Muhammad Ahmad Bashir MD, Dayyan Adoor MD, Vishali Moond MD, Ayowumi Adekolu MD, Shyam Thakkar MD, Shailendra Singh MD","doi":"10.1016/j.vgie.2026.04.043","DOIUrl":"10.1016/j.vgie.2026.04.043","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Bleeding from advanced gastrointestinal malignancies is often recurrent and difficult to control with conventional endoscopic hemostatic techniques. Endoscopic ultrasound–guided radiofrequency ablation (EUS-RFA) enables targeted ablation of deep tumor tissue and associated vasculature. We describe the use of EUS-RFA as a hemostatic strategy in patients with malignant gastrointestinal bleeding arising from distinct tumor morphologies.</div></div><div><h3>Methods</h3><div>Two patients with active gastrointestinal bleeding from advanced malignancies underwent EUS-RFA. Case 1 involved a friable, infiltrative duodenal mass, and case 2 involved a large pedunculated gastroesophageal junction tumor. Endoscopic ultrasound was used to delineate tumor depth and vascularity. A 19-gauge EUS-RFA needle was advanced into the tumor, and radiofrequency energy was delivered at 20 W until impedance rise or time limit was reached. Adjunctive argon plasma coagulation was used in 1 case for residual superficial oozing.</div></div><div><h3>Results</h3><div>EUS-RFA was technically successful in both cases, achieving immediate hemostasis without procedural adverse events. Follow-up endoscopy confirmed no evidence of recurrent bleeding.</div></div><div><h3>Conclusions</h3><div>EUS-RFA is a feasible and safe endoscopic modality for malignant gastrointestinal bleeding that, unlike traditional hemostatic therapies, provides deep coagulation of tumor tissue and its feeding vessels, serving as a potential hemostatic option for such masses.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 432-435"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Piecemeal submucosal tunneling endoscopic resection of a 4-cm esophageal leiomyoma 粘膜下隧道内镜分段切除1例4厘米食管平滑肌瘤

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-04-16 DOI: 10.1016/j.vgie.2026.04.002

Dennis Wang MD, Gregory Haber MD, MASGE

{"title":"Piecemeal submucosal tunneling endoscopic resection of a 4-cm esophageal leiomyoma","authors":"Dennis Wang MD, Gregory Haber MD, MASGE","doi":"10.1016/j.vgie.2026.04.002","DOIUrl":"10.1016/j.vgie.2026.04.002","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Leiomyomas are the most common benign neoplasm of the esophagus. Although typically asymptomatic, they can cause retrosternal discomfort and dysphagia. Submucosal tunneling endoscopic resection (STER) has been increasingly used for resecting esophageal subepithelial lesions. We present this case of STER for resection of a 4-cm esophageal leiomyoma.</div></div><div><h3>Methods</h3><div>A 44-year-old man presenting with retrosternal discomfort, dysphagia, and heartburn was found on EGD to have a 4-cm subepithelial lesion in the mid esophagus. Subsequent endoscopic ultrasound and fine-needle biopsy confirmed this as a leiomyoma on pathology. STER was performed, which involved making a mucosotomy 4 cm proximal to the lesion, creating a submucosal tunnel, and removing the lesion in a piecemeal fashion. The patient developed transient hypoxia lasting 1 to 2 minutes, with chest x-ray showing intraprocedural pneumothorax, which spontaneously resolved at the end of the case. He was admitted for observation and discharged in stable condition after 2 days. He was doing well at follow-up.</div></div><div><h3>Results</h3><div>The patient had a successful piecemeal removal of a 4-cm esophageal leiomyoma using the STER technique.</div></div><div><h3>Conclusions</h3><div>STER is a viable, minimally invasive method for removing leiomyomas and other subepithelial lesions from the esophagus.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 386-388"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor 直肠胃肠道间质瘤的内窥镜肌间解剖

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-04-16 DOI: 10.1016/j.vgie.2026.04.003

Babak Mirminachi MD, MPH, Albert Ha MD, Varun Jain MD, MBA, Harkirat Singh MBBS, Pil Gyu Hwang MD, Sultan Mahmood MD

{"title":"Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor","authors":"Babak Mirminachi MD, MPH, Albert Ha MD, Varun Jain MD, MBA, Harkirat Singh MBBS, Pil Gyu Hwang MD, Sultan Mahmood MD","doi":"10.1016/j.vgie.2026.04.003","DOIUrl":"10.1016/j.vgie.2026.04.003","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Rectal gastrointestinal stromal tumors (GISTs) are rare, and optimal management of localized disease remains uncertain. Endoscopic intermuscular dissection (EID) is an emerging minimally invasive technique that allows en bloc removal of selected subepithelial lesions that do not extend beyond the circular layer of the muscularis propria while preserving anorectal anatomy. We present a case of a rectal GIST successfully treated with EID. A 53-year-old man undergoing high-risk colorectal cancer surveillance was found to have a subepithelial rectal lesion 1.5 cm proximal to the dentate line. Endoscopic ultrasound and biopsy confirmed a low-grade GIST. The patient was referred for endoscopic submucosal dissection.</div></div><div><h3>Methods</h3><div>The procedure began with thermal marking followed by repeated methylene blue injections to maintain a well-defined submucosal plane. Once the lesion was identified as originating from the muscularis propria, the approach was converted to EID, allowing capsule-preserving en bloc resection within the intermuscular space. The defect was subsequently closed with a running endoscopic suturing device.</div></div><div><h3>Results</h3><div>Pathology confirmed a spindle-cell, low-grade GIST with negative margins and no lymphovascular invasion. At 14-month follow-up, there were no delayed adverse events or evidence of recurrence.</div></div><div><h3>Conclusions</h3><div>This case demonstrates the feasibility and safety of EID for small rectal GISTs originating from the muscularis propria.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 413-415"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic removal of a coin embedded in the esophagus of a 2-year-old male 内镜下取出一枚嵌在两岁男性食道内的硬币

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-04-02 DOI: 10.1016/j.vgie.2026.03.008

Alex I. Halpern MD, Mikael Petrosyan MD, MBA, Timothy D. Kane MD

{"title":"Endoscopic removal of a coin embedded in the esophagus of a 2-year-old male","authors":"Alex I. Halpern MD, Mikael Petrosyan MD, MBA, Timothy D. Kane MD","doi":"10.1016/j.vgie.2026.03.008","DOIUrl":"10.1016/j.vgie.2026.03.008","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Endoscopic esophageal foreign body removal is a common procedure performed by pediatric gastroenterologists and surgeons. However, when foreign bodies are embedded in the esophageal wall, traditional treatment has instead involved surgical resection. As recently described, advanced endoscopic techniques enable endoscopic retrieval of embedded esophageal foreign bodies.</div></div><div><h3>Methods</h3><div>We present a case of endoscopic retrieval of a coin embedded in the esophagus of a 2-year-old male. The patient presented with wheezing and radiograph findings consistent with an esophageal foreign body. Endoscopy was performed, but the procedure was aborted after the coin was identified to be completely embedded within the mucosa of the esophageal wall. A CT scan then confirmed the embedded coin.</div></div><div><h3>Results</h3><div>A decision was made to perform a repeat endoscopy, with conversion to thoracotomy if the coin could not be successfully removed endoscopically. On repeat endoscopy, the coin was visualized, although its superior edge was surrounded by heaped-up mucosa. Mucosotomy and myotomy were necessary to fully expose the coin, which was then removed. The patient's diet was advanced postoperatively, and he was discharged after an esophagram showed no evidence of a leak.</div></div><div><h3>Conclusions</h3><div>Providers should consider endoscopic removal of embedded esophageal foreign bodies for pediatric patients.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 382-385"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic vacuum therapy for a refractory sigmoid fistula 内镜下真空治疗难治性乙状结肠瘘

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-04-16 DOI: 10.1016/j.vgie.2026.04.001

Connor John Rodriguez MD, Robert Jay Sealock MD

{"title":"Endoscopic vacuum therapy for a refractory sigmoid fistula","authors":"Connor John Rodriguez MD, Robert Jay Sealock MD","doi":"10.1016/j.vgie.2026.04.001","DOIUrl":"10.1016/j.vgie.2026.04.001","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Sigmoid fistulas pose significant management challenges, often requiring prolonged antibiotics, percutaneous drainage, and surgical intervention. Endoscopic vacuum therapy (EVT), used for gastrointestinal tract leaks and fistulas, promotes granulation and controlled closure using continuous negative pressure. Its application in sigmoid fistulas is less commonly reported. Thus, we present a case demonstrating successful EVT for a persistent sigmoid fistula, highlighting technical considerations and treatment course. The aims of this article are to share clinical rationale, illustrate procedural steps, and summarize EVT applications and benefits to describe EVT as a potential option for managing complex gastrointestinal tract defects.</div></div><div><h3>Methods</h3><div>An initial closure attempt using a helical tack—based suturing system (Boston Scientific, Marlborough, Mass, USA) was unsuccessful. A later attempt using a full-thickness endoscopic suturing system also failed. Granulation and defect closure were subsequently achieved using EVT via intracavitary sponge placement and serial exchanges. Imaging and endoscopic findings were documented to illustrate technique, healing progression, and treatment outcomes.</div></div><div><h3>Results</h3><div>The patient's sigmoid fistula was successfully closed using EVT over the course of approximately 2 months.</div></div><div><h3>Conclusions</h3><div>EVT is an effective minimally invasive closure technique in the management of sigmoid fistulas. This case highlights EVT as a valuable therapeutic option for lower gastrointestinal fistulas, offering safe, reproducible, and organ-preserving management.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 409-412"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic removal of a magnetic sphincter augmentation device eroded into the esophagus using a mechanical lithotriptor 内窥镜下用机械碎石机去除侵蚀到食道的磁性括约肌增强装置

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-04-16 DOI: 10.1016/j.vgie.2026.04.005

Pallavi Jonnalagadda BSE, Ifrah Fatima MD, Mohamed Ahmed MD, Mir Zulqarnain DO, Sreeni Jonnalagadda MD, FASGE

{"title":"Endoscopic removal of a magnetic sphincter augmentation device eroded into the esophagus using a mechanical lithotriptor","authors":"Pallavi Jonnalagadda BSE, Ifrah Fatima MD, Mohamed Ahmed MD, Mir Zulqarnain DO, Sreeni Jonnalagadda MD, FASGE","doi":"10.1016/j.vgie.2026.04.005","DOIUrl":"10.1016/j.vgie.2026.04.005","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Device erosion is a rare, serious adverse event of magnetic sphincter augmentation (MSA) device implantation for gastroesophageal reflux disease (GERD), occurring in 0.3% of cases. Limited literature exists regarding endoscopic approaches to device removal, making evidence-based guidance challenging. We describe an endoscopic technique for removal of an eroded MSA device using a mechanical lithotriptor under fluoroscopic guidance.</div></div><div><h3>Methods</h3><div>Upper endoscopy was used to visualize 2 beads of the MSA device at the gastroesophageal junction. A 0.035-inch, 450-cm guidewire was advanced past the device via balloon catheter and retrieved on the opposite side, forming a loop between 2 beads. A rescue biliary mechanical lithotriptor passed over the wire was torqued to sever the metal link between the beads. The separated device fragments were removed via snare. Fluoroscopy confirmed complete extraction.</div></div><div><h3>Results</h3><div>Postprocedure, the patient experienced self-resolving substernal pain without radiographic evidence of perforation. She was observed overnight and discharged the next day on a staged diet plan without recurrence of symptoms including GERD or dysphagia.</div></div><div><h3>Conclusions</h3><div>Endoscopic removal of an eroded MSA device using a mechanical lithotriptor is feasible, effective, and safe. This approach broadens the management options for MSA erosion and emphasizes the value of innovation in complex GERD cases.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 375-378"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic closure of esophageal perforation in variceal hemorrhage 内镜下封堵食管静脉曲张出血穿孔

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-04-01 DOI: 10.1016/j.vgie.2026.03.002

Zeid Jarrar MD, William King MD, Lehar Khanna MD, Hannah Zuercher MD, Hussam Freihat MD, Bashar Qumseya MD, MPH

{"title":"Endoscopic closure of esophageal perforation in variceal hemorrhage","authors":"Zeid Jarrar MD, William King MD, Lehar Khanna MD, Hannah Zuercher MD, Hussam Freihat MD, Bashar Qumseya MD, MPH","doi":"10.1016/j.vgie.2026.03.002","DOIUrl":"10.1016/j.vgie.2026.03.002","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Endoscopy has emerged as a safe and effective treatment for esophageal perforation, but varices have traditionally been considered a contraindication. We aimed to treat an esophageal perforation with endoluminal suturing during an active variceal bleed.</div></div><div><h3>Methods</h3><div>A 55-year-old woman with (previously) compensated alcohol-associated cirrhosis presented with hematemesis, hypotension, and tachycardia. Although endoscopy was being arranged, the care team attempted to place a Sengstaken-Blakemore tube. The gastric balloon was inadvertently inflated in the esophagus; malposition was confirmed on chest radiograph. Bedside EGD revealed esophageal varices and a briskly bleeding, large, linear perforation extending from 24 to 36 cm from the incisors. Repeat CT was consistent with hemopneumomediastinum. She was brought to the interventional endoscopy suite, where an over-the-scope endoscopic suturing device was used both to close the perforation and to achieve hemostasis. No esophageal stent was placed. The esophagus was filled with water-soluble contrast, and a CT scan revealed no extraluminal contrast.</div></div><div><h3>Results</h3><div>The patient was weaned off vasopressors and extubated. Her diet was advanced, and she had no residual dysphagia.</div></div><div><h3>Conclusions</h3><div>Endoscopic suturing may be considered as salvage therapy for esophageal perforation in selected patients who are not candidates for surgery.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 379-381"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic ultrasound–guided gastroenterostomy for the treatment of malignant gastric outlet obstruction in a 3-year-old boy 超声内镜引导下的胃造口术治疗恶性胃出口梗阻1例3岁男童

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-03-03 DOI: 10.1016/j.vgie.2026.02.012

Timothy Adam MD, Michiel Bronswijk MD, Karen Pauwelyn MD, PhD, Schalk Van der Merwe MD, MSc, PhD

{"title":"Endoscopic ultrasound–guided gastroenterostomy for the treatment of malignant gastric outlet obstruction in a 3-year-old boy","authors":"Timothy Adam MD, Michiel Bronswijk MD, Karen Pauwelyn MD, PhD, Schalk Van der Merwe MD, MSc, PhD","doi":"10.1016/j.vgie.2026.02.012","DOIUrl":"10.1016/j.vgie.2026.02.012","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Malignant gastric outlet obstruction (GOO) is an exceptionally rare and devastating condition in children, for which evidence-based management strategies are lacking. Although recent European guidelines endorse EUS-guided gastroenterostomy (EUS-GE) as an alternative to endoscopic stent placement and surgical gastroenterostomy in adults, its use in pediatrics is virtually unreported, to our knowledge. This absence of data leaves clinicians facing complex decision-making in profoundly challenging circumstances. We report on a pediatric case to illustrate the technical feasibility and potential clinical role of EUS-GE in malignant GOO.</div></div><div><h3>Methods</h3><div>We describe stent placement during EUS-GE using the wireless EUS-GE simplified technique (WEST) in a 3-year-old boy with malignant GOO caused by recurrent abdominal neuroblastoma.</div></div><div><h3>Results</h3><div>The procedure was technically and clinically successful, permitting resumption of oral intake and durable symptom control. The patient died 2 months later during palliative chemotherapy, without recurrence of GOO.</div></div><div><h3>Conclusions</h3><div>This case highlights EUS-GE as a feasible palliative option for malignant GOO in highly selected pediatric patients. Given the rarity and severity of this condition, EUS-GE may be considered in expert centers with substantial experience in therapeutic EUS, underscoring the need for further reporting to inform future pediatric practice.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 389-392"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A low-cost ex vivo simulator for training in endoscopic hemostasis and perforation management 一个低成本的体外模拟器，用于内镜止血和穿孔管理培训

VideoGIE Pub Date : 2026-09-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.048

Samer Al-Dury MD, PhD, Sinan Sharba MD, PhD, Yahya Al Hammada MS, Naif Al-Hakmani RGN, Al-Shueili Halima MD, Rima Taifour MD

{"title":"A low-cost ex vivo simulator for training in endoscopic hemostasis and perforation management","authors":"Samer Al-Dury MD, PhD, Sinan Sharba MD, PhD, Yahya Al Hammada MS, Naif Al-Hakmani RGN, Al-Shueili Halima MD, Rima Taifour MD","doi":"10.1016/j.vgie.2026.04.048","DOIUrl":"10.1016/j.vgie.2026.04.048","url":null,"abstract":"<div><h3>Background and Aims</h3><div>High-risk endoscopic interventions (bleeding control and perforation closure) require deliberate, repeated practice, yet structured hands-on training is scarce. We developed a Muscat Endoscopy Academy Gastric Simulator (MEA-GASTROSIM), a compact, reusable ex vivo upper-GI simulator built from low-cost, locally sourced materials, aligned with international recommendations supporting simulation in competency-based endoscopy training.</div></div><div><h3>Methods</h3><div>The system uses a custom-made stomach-shaped wooden mold on a stable pedestal, lined with a 2-component silicone layer and an aluminum conductive layer, and covered with ex vivo animal stomach tissue. A transparent acrylic cover recreates the confined working field and permits instructor visualization; a lateral access port approximates esophageal entry. Bleeding is simulated by colored-fluid injection and subtissue tubing connected to syringes for pressure-controlled, pulsatile flow. Perforations and resection-type defects are created as tailored tissue defects to practice endoscopic closure.</div></div><div><h3>Results</h3><div>MEA-GASTROSIM supports repeatable, escalating scenarios of oozing and spurting hemorrhage and clinically relevant defects, enabling practice of lesion identification, device selection, injection, clipping, coagulation, and closure, including suturing with immediate feedback.</div></div><div><h3>Conclusions</h3><div>MEA-GASTROSIM offers a realistic, affordable platform for progressive skill refinement in hemostasis and perforation management without exposing patients to risk.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 9","pages":"Pages 401-403"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0