VideoGIE最新文献_第4页

Endoscopic septotomy for management of anastomotic stricture following Whipple 内镜下鼻中隔切开术治疗惠普尔术后吻合口狭窄

VideoGIE Pub Date : 2025-04-01 DOI: 10.1016/j.vgie.2024.10.006

William F. Abel MD , Jay Bapaye MD , Reid D. Wasserman DO , Varun Kesar MD , Paul Yeaton MD , Vivek Kesar MD

引用次数: 0

Endoscopic incisional therapy for an epithelialized coin in the proximal esophagus and self-assembling peptide hydrogel use in a toddler 内镜切口治疗食管近端上皮化硬币和自组装肽水凝胶在幼儿中的应用

VideoGIE Pub Date : 2025-04-01 DOI: 10.1016/j.vgie.2024.12.006

Taylor J. Kratochvil MD, MS , Denis Chang MD, MS , Jessica Yasuda MD , Benjamin Zendejas MD, MSc , Peter D. Ngo MD

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EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy Roux-en-Y胃旁路解剖患者经胃PEG定向长期肠内喂养

VideoGIE Pub Date : 2025-04-01 DOI: 10.1016/j.vgie.2024.11.002

Christina S. Gainey MD, Todd H. Baron MD

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Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele III型胆管胆索切除后不寻常的发育不良病变的壶胃切除术

VideoGIE Pub Date : 2025-04-01 DOI: 10.1016/j.vgie.2024.11.001

Elena De Cristofaro MD, PhD , Claire Michoud MD , Jérôme Rivory MD , Pierre Lafeuille MD , Alexandru Lupu MD , Alice Burgevin MD , Mathieu Pioche MD, PhD

引用次数: 0

Interlocking endoscopic sleeve gastroplasty with next-generation suturing device 新一代缝合装置的内窥镜套筒胃成形术

VideoGIE Pub Date : 2025-04-01 DOI: 10.1016/j.vgie.2024.10.007

Barham K. Abu Dayyeh MD, MPH

引用次数: 0

Novel large cinching device for the resection of a large pedunculated gastric polyp 一种用于切除大带蒂胃息肉的新型大型钳夹装置

VideoGIE Pub Date : 2025-04-01 DOI: 10.1016/j.vgie.2024.10.008

Laurens P. Janssens MD, Mayank Goyal MBBS, Anil Harrison MD, Ashwariya Ohri MBBS, Yadwinder Singh MBBS, Navtej S. Buttar MD

引用次数: 0

Endoscopic diverticulectomy and myotomy for epiphrenic diverticulum 内窥镜下憩室切除术及腹肌切开术治疗肾盂憩室

VideoGIE Pub Date : 2025-04-01 DOI: 10.1016/j.vgie.2024.12.003

Fatih Aslan MD , Serhat Ozer MD , Burcu Saka MD , Akın Akbulut MD , Furkan Kartal MD

引用次数: 0

Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy 针刀造瘘术中十二指肠内胆管段尖端触诊

VideoGIE Pub Date : 2025-03-25 DOI: 10.1016/j.vgie.2025.03.031

Allison Franz MD , David Liu MD , Cristina Chiodi MD , Garvit Chabra MD , Peter V. Draganov MD , Nanlong Liu MD

{"title":"Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy","authors":"Allison Franz MD , David Liu MD , Cristina Chiodi MD , Garvit Chabra MD , Peter V. Draganov MD , Nanlong Liu MD","doi":"10.1016/j.vgie.2025.03.031","DOIUrl":"10.1016/j.vgie.2025.03.031","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Needle-knife access fistulotomy (NKF) involves using a needle-knife to cut into the intraduodenal segment of the bile duct, thereby avoiding the papilla. Previous studies suggest this procedure decreases the risk of post-ERCP pancreatitis and increases successful biliary cannulation compared with conventional methods. In this case series, we introduce an advanced endoscopic technique aimed at aiding endoscopists with successful NKF and broadening use of this procedure.</div></div><div><h3>Methods</h3><div>Here we describe a technique in which we use the sphincterotome and needle-knife to palpate the intraduodenal biliary segment before needle-knife instrumentation. Careful dissection is then performed along this axis before achieving biliary cannulation with the sphincterotome and guidewire.</div></div><div><h3>Results</h3><div>All videos shown led to successful biliary cannulation with next-day discharges from the hospital and clinical success with biliary decompression.</div></div><div><h3>Conclusions</h3><div>Previous palpation for the bile duct may aid endoscopists with NKF. This may lead to wider adoption of NKF. Further prospective research is needed.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 8","pages":"Pages 434-438"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nonexposure full-thickness resection in a laparoscopic-endoscopic approach as a hybrid technique for nonampullary duodenal neuroendocrine tumor 非壶腹性十二指肠神经内分泌肿瘤的腹腔镜-内窥镜联合非暴露全层切除术

VideoGIE Pub Date : 2025-03-25 DOI: 10.1016/j.vgie.2025.03.032

Tohru Takahashi MD, PhD , Yuki Miyazawa MD , Motoya Tominaga MD , Dai Miyazaki MD, PhD , Susumu Fukahori MD , Eriko Aimono MD , Masahiro Hagiwara MD , Tomoyuki Ota MD

引用次数: 0

Endosonographically confirmed type III choledochal cyst managed with endoscopic needle-knife division 超声证实III型胆总管囊肿，内镜下针刀分割治疗

VideoGIE Pub Date : 2025-03-25 DOI: 10.1016/j.vgie.2025.03.035

Amirah Etchegaray MD, BBiomedSc , Sanjivan Mudaliar MD, BSc, FRACP , Benedict Devereaux MBBS, MPhil, FRACP, FACG, FGESA

{"title":"Endosonographically confirmed type III choledochal cyst managed with endoscopic needle-knife division","authors":"Amirah Etchegaray MD, BBiomedSc , Sanjivan Mudaliar MD, BSc, FRACP , Benedict Devereaux MBBS, MPhil, FRACP, FACG, FGESA","doi":"10.1016/j.vgie.2025.03.035","DOIUrl":"10.1016/j.vgie.2025.03.035","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Type III choledochal cysts consist of a cystic dilatation of the intraduodenal portion of the common bile duct and represent the rarest subtype, with a low risk of malignancy. Traditionally, choledochoceles are treated with surgical resection or endoscopic choledochal cyst fenestration with cannulation of the cyst via the native papilla and marsupialization using a sphincterotome. We describe a novel approach to management of a type IIIA choledochal cyst with endoscopic needle-knife division and marsupialization of a type IIIA choledochal cyst.</div></div><div><h3>Methods</h3><div>A 19-year-old male nonsmoker with a 5-year history of intermittent, colicky epigastric pain was referred to our tertiary center for management of a large (69 × 53 × 89 mm) type IIIA choledochal cyst confirmed on MRCP. Duodenoscopy revealed a large pendulous mass, with significant medial displacement of the duodenum and intermittent gastric outlet obstruction, that prevented clear visualization of the distally located papilla. After careful multidisciplinary team discussion, it was decided that endoscopic needle-knife division and marsupialization would be undertaken to reduce biliary stasis and the chance of further ductal stone formation.</div></div><div><h3>Results</h3><div>Needle-knife division was performed using a freehand technique using ENDO CUT I (30 W, 3d 3i). To decompress the cyst, a large incision was made from the inferior to superior position on the luminal aspect of the cyst. Further incisions were made to marsupialize the cyst cavity and allow complete drainage of the cystic content into the duodenum. The patient tolerated the procedure well, with no bleeding postprocedure. Serial imaging demonstrated complete resolution of the large choledochal cyst, with no adverse events at last follow-up (12 months after the procedure).</div></div><div><h3>Conclusions</h3><div>Endoscopic needle-knife division and marsupialization is an effective novel approach for the treatment of symptomatic choledochoceles; however, more data are required to evaluate the long-term safety of this approach.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 8","pages":"Pages 406-409"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0