VideoGIE最新文献_第6页

Pancreatoscopy-guided laser segmentation for retrieval of an upstream-migrated pancreatic duct stent in a meandering duct 胰镜引导下的激光分割在曲流管中提取上游迁移的胰管支架

VideoGIE Pub Date : 2026-06-01 Epub Date: 2026-02-10 DOI: 10.1016/j.vgie.2026.02.002

Biggs Saravanan Ramachandran MBBS, MD, DM, DNB, MRCP, SCE, MRCPI , Suraj Madhavan Nair MBBS , Anoop C Haridas MD, MBBS, DNB , Sneha Narath Balakrishnan MBBS

{"title":"Pancreatoscopy-guided laser segmentation for retrieval of an upstream-migrated pancreatic duct stent in a meandering duct","authors":"Biggs Saravanan Ramachandran MBBS, MD, DM, DNB, MRCP, SCE, MRCPI , Suraj Madhavan Nair MBBS , Anoop C Haridas MD, MBBS, DNB , Sneha Narath Balakrishnan MBBS","doi":"10.1016/j.vgie.2026.02.002","DOIUrl":"10.1016/j.vgie.2026.02.002","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Upstream migration of pancreatic duct (PD) stents is an uncommon adverse event and may be particularly challenging in the presence of variant ductal anatomy such as a meandering main PD (MPD). We describe an endoscopic approach using laser-assisted pancreatoscopy for the retrieval of an upstream-migrated PD stent.</div></div><div><h3>Methods</h3><div>A 60-year-old woman with a previously placed 5F single-pigtail PD stent was found to have upstream migration into a meandering MPD, with the pigtail tip impacted in a side branch of the uncinate process. Multiple conventional endoscopic retrieval attempts were unsuccessful.</div></div><div><h3>Results</h3><div>Pancreatoscopy enabled direct visualization of the impacted stent. Before intraductal application, ex vivo trial laser cuts were performed on an identical polyether block amide pancreatic stent to assess laser/material interaction. Laser segmentation was subsequently performed intraductally under continuous saline irrigation using incremental energy settings. Stent fragments were successfully retrieved using pancreatoscopic forceps. Postprocedural pancreatoscopy demonstrated no ductal injury or ductal dehiscence.</div></div><div><h3>Conclusions</h3><div>Laser-assisted pancreatoscopic segmentation facilitated safe endoscopic retrieval of an upstream-migrated pancreatic stent in complex ductal anatomy and may offer a minimally invasive alternative to surgery in select cases.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 238-242"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146442","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

Synergistic use of endoscopic sutures and stents for managing complex upper gastrointestinal disorders 内镜缝合线和支架的协同应用治疗复杂的上消化道疾病

VideoGIE Pub Date : 2026-06-01 Epub Date: 2026-02-03 DOI: 10.1016/j.vgie.2026.01.005

Kambiz Kadkhodayan MD , Shayan Irani MD

{"title":"Synergistic use of endoscopic sutures and stents for managing complex upper gastrointestinal disorders","authors":"Kambiz Kadkhodayan MD , Shayan Irani MD","doi":"10.1016/j.vgie.2026.01.005","DOIUrl":"10.1016/j.vgie.2026.01.005","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Endoscopic sutures and stents are essential tools in therapeutic endoscopy, each serving distinct roles. When used synergistically, they enable innovative solutions for managing complex solutions in the management of complex GI conditions.</div></div><div><h3>Methods</h3><div>Seven patients underwent endoscopic procedures that included the simultaneous use of endoscopic stents and sutures. Clinical scenarios included (1) a benign duodenal apex stricture treated with a lumen-apposing metal stent (LAMS) anchored via traction sutures; (2) duodenal perforation in a Roux-en-Y gastric bypass, treated with a sutured gastrogastric (GG) LAMS, and a concomitant through-the-scope duodenal fully covered self-expandable metal stent (SEMS), also secured via sutures; (3) closure of a GG fistula after LAMS removal, using a HeliX Tacking System (Boston Scientific, Marlborough, Mass, USA); (4) malignant duodenal obstruction of an uncovered stent, treated with a sutured fully covered SEMS; (5) suturing 2 side-by-side LAMSs for added stability; (6) HeliX tack to secure a LAMS before EUS-directed transgastric ERCP; and (7) suturing and closure of the proximal end of a LAMS to prevent solid debris entry.</div></div><div><h3>Results</h3><div>Technical success was achieved in all cases without significant adverse events.</div></div><div><h3>Conclusions</h3><div>We demonstrate the synergistic use of endoscopic sutures and stents to expand therapeutic options for patients with complex GI conditions.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 247-250"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146444","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

Systematic gastric surveillance in patients with familial adenomatous polyposis 家族性腺瘤性息肉病患者的系统胃监测

VideoGIE Pub Date : 2026-06-01 Epub Date: 2025-12-26 DOI: 10.1016/j.vgie.2025.12.007

Hicham Bouchiba MD , Dewkoemar Ramsoekh MD, PhD , Arthur S. Aelvoet MD, PhD , Barbara A.J. Bastiaansen MD , Evelien Dekker MD, PhD

{"title":"Systematic gastric surveillance in patients with familial adenomatous polyposis","authors":"Hicham Bouchiba MD , Dewkoemar Ramsoekh MD, PhD , Arthur S. Aelvoet MD, PhD , Barbara A.J. Bastiaansen MD , Evelien Dekker MD, PhD","doi":"10.1016/j.vgie.2025.12.007","DOIUrl":"10.1016/j.vgie.2025.12.007","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Familial adenomatous polyposis (FAP) has shown a rising incidence of gastric cancer, particularly in the proximal stomach. We aimed to demonstrate a systematic protocol to improve gastric surveillance in FAP.</div></div><div><h3>Methods</h3><div>The protocol consists of systematic gastric examination using white-light endoscopy and narrow-band imaging combined with patient repositioning from the left lateral to supine position in cases with carpeting fundic gland polyposis.</div></div><div><h3>Results</h3><div>Three FAP cases illustrate the diagnostic value of this approach. In 2 cases, supine repositioning improved visualization of mucosa obscured by carpeting fundic gland polyps. In the third case, an ulcerated adenocarcinoma hidden among polyps with the patient in the left lateral position became visible only after repositioning.</div></div><div><h3>Conclusions</h3><div>Systematic gastric surveillance with advanced imaging and patient repositioning can reveal lesions not visible on standard inspection. This approach may enhance early detection of premalignant and malignant gastric lesions in FAP.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 225-227"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146385","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

Sealing the gap: a hybrid stitch approach to gastrostomy closure 封闭间隙：一种混合缝合方法来关闭胃造口

VideoGIE Pub Date : 2026-06-01 Epub Date: 2026-01-09 DOI: 10.1016/j.vgie.2026.01.001

Plácido Gomes MD, Isabel Caetano MD, Diogo Simas MD, Ana Catarina Gomes MD, Carina Leal MD, Artur Antunes MD, Helena Vasconcelos MD

{"title":"Sealing the gap: a hybrid stitch approach to gastrostomy closure","authors":"Plácido Gomes MD, Isabel Caetano MD, Diogo Simas MD, Ana Catarina Gomes MD, Carina Leal MD, Artur Antunes MD, Helena Vasconcelos MD","doi":"10.1016/j.vgie.2026.01.001","DOIUrl":"10.1016/j.vgie.2026.01.001","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Leakage of gastric contents is an uncommon adverse event associated with gastrostomy. Its management is often challenging and of limited efficacy.</div></div><div><h3>Methods</h3><div>A 30-year-old woman with spastic cerebral palsy who had undergone surgical gastrostomy was admitted with persistent peristomal leakage of gastric contents. Initial management with temporary tube removal to promote stoma reduction, combined with antisecretory therapy and prokinetics, proved unsuccessful. Endoscopic closure was then attempted, but clip anchoring was hindered by extensive fibrosis. Cyanoacrylate injection with external orifice suturing also failed. A novel hybrid transmural suturing technique under endoscopic guidance was then performed: argon plasma coagulation was applied along the fistula tract; 2 Abbocath catheters (B. Braun Medical Inc, Bethlehem, Pa, USA) were placed percutaneously into the stomach; a suture and a looped guidewire were placed through each catheter; the suture was then retrieved and exteriorized to allow a simple surgical knot; and finally, cyanoacrylate was applied.</div></div><div><h3>Results</h3><div>Upon discharge, complete resolution of leakage was achieved, with no recurrence at the 2-month follow-up.</div></div><div><h3>Conclusions</h3><div>This case illustrates the successful application of an innovative suturing technique as an effective therapeutic alternative for persistent gastrostomy leakage in patients with high surgical and anesthetic risk.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 228-230"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146386","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

Magnetic balloon–assisted percutaneous endoscopic jejunostomy 磁球囊辅助经皮内镜空肠造口术

VideoGIE Pub Date : 2026-06-01 Epub Date: 2026-02-05 DOI: 10.1016/j.vgie.2026.02.001

Wesley Wright MD, Matthew R. Krafft MD

{"title":"Magnetic balloon–assisted percutaneous endoscopic jejunostomy","authors":"Wesley Wright MD, Matthew R. Krafft MD","doi":"10.1016/j.vgie.2026.02.001","DOIUrl":"10.1016/j.vgie.2026.02.001","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Magnetic balloon technology was created to assist in colonic loop reduction in cases of difficult or failed colonoscopy. It has since been recognized that the device can facilitate percutaneous endoscopic jejunostomy (PEJ) by readying a jejunal puncture point. This case describes magnetic balloon–assisted PEJ placement.</div></div><div><h3>Methods</h3><div>A patient with obesity with prior Roux-en-Y gastric bypass required percutaneous enteral feeding tube placement. Percutaneous endoscopic gastrostomy insertion was not possible because of intrathoracic location of the gastric pouch. A jejunal puncture point was not identifiable using standard techniques because of central adiposity (eg, transillumination and 1-to-1 palpation).</div></div><div><h3>Results</h3><div>A ferromagnetic balloon and permanent magnet were used to magnetically attract and anchor a loop of jejunal Roux limb to the anterior abdominal wall, thereby enabling identification of a jejunal puncture point using 1-to-1 palpation. A 20F “pull-type” enteral feeding tube was inserted into the jejunal Roux limb. The procedure was completed without fluoroscopy. No adverse events occurred.</div></div><div><h3>Conclusions</h3><div>Historically, jejunal puncture point localization and/or trocar passage has been the rate-limiting step of PEJ, accounting for approximately 13% technical failure rate. Magnetic balloon technology may assist with transabdominal jejunal access by magnetically attracting the jejunum to the abdominal wall.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 251-254"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146445","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

Endoscopic anastomotic reconstruction with lumen-apposing metal stents 腔内金属支架的内镜吻合口重建

VideoGIE Pub Date : 2026-06-01 Epub Date: 2025-12-26 DOI: 10.1016/j.vgie.2025.12.005

Andrew Thushyanthan MBChB, FRACP , Cameron Schauer MBChB, FRACP , Jason Robertson MBChB, FRACS , Marius Van Rijnsoever MBChB, FRACP

{"title":"Endoscopic anastomotic reconstruction with lumen-apposing metal stents","authors":"Andrew Thushyanthan MBChB, FRACP , Cameron Schauer MBChB, FRACP , Jason Robertson MBChB, FRACS , Marius Van Rijnsoever MBChB, FRACP","doi":"10.1016/j.vgie.2025.12.005","DOIUrl":"10.1016/j.vgie.2025.12.005","url":null,"abstract":"<div><h3>Background and Aims</h3><div>This case is a presentation on the use of lumen-apposing metal stents (LAMSs) and then endoscopic dissection to permanently re-establish continuity between the gastric pouch and remnant in a complex and hostile abdomen.</div></div><div><h3>Methods</h3><div>A 56-year-old man with a previous Roux-en-Y gastric bypass, performed for weight loss, developed life-threatening gastric injury, including perforation after chronic consumption of nonsteroidal anti-inflammatory drugs. He underwent multiple operations, finally resulting in a gastrostomy, and his gastric remnant and pouch were closed. Subsequently, he was reliant solely on parenteral feeding. After multidisciplinary discussion, a 3-step endoscopic procedure was used to reconnect the gastric pouch and remnant. In the first 2 steps, LAMSs were used to create a fistula and establish a connection between the pouch and remnant, facilitating a liquid diet. Endoscopic dissection was later undertaken to dissect the bridge between the 2 stents, which were subsequently removed, and endoscopic suturing was used to ensure the connection between the previously divided stomach.</div></div><div><h3>Results</h3><div>There were no significant immediate or delayed adverse events of the procedure. The patient is now able to tolerate both a liquid and soft diet.</div></div><div><h3>Conclusions</h3><div>This case demonstrates the novel and successful endoscopic management to permanently reverse a Roux-en-Y gastric bypass as a result of adverse events.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 221-224"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146380","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

Endoscopic removal of a press-through pack from the small bowel using double-balloon enteroscopy 使用双气囊肠镜从小肠内取出压穿包

VideoGIE Pub Date : 2026-06-01 Epub Date: 2026-01-10 DOI: 10.1016/j.vgie.2026.01.003

Maki Akabane MD , Akiyoshi Tsuboi MD, PhD , Shuhei Sugata MD , Shuya Shigenobu MD , Ken Yamashita MD, PhD , Toshio Kuwai MD, PhD , Shiro Oka MD, PhD

{"title":"Endoscopic removal of a press-through pack from the small bowel using double-balloon enteroscopy","authors":"Maki Akabane MD , Akiyoshi Tsuboi MD, PhD , Shuhei Sugata MD , Shuya Shigenobu MD , Ken Yamashita MD, PhD , Toshio Kuwai MD, PhD , Shiro Oka MD, PhD","doi":"10.1016/j.vgie.2026.01.003","DOIUrl":"10.1016/j.vgie.2026.01.003","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Press-through packs (PTPs) are a common cause of foreign body ingestion; however, their retention in the small bowel is rare. We present a case in which a PTP lodged at a stenotic site was safely removed using a double-balloon endoscope (DBE).</div></div><div><h3>Methods</h3><div>A 73-year-old woman with a history of ileal tuberculosis and resultant small-bowel stenosis presented with abdominal pain. CT revealed a high-density object in the lower abdomen, suspicious for a foreign body. A retrograde DBE approach was subsequently performed and revealed a PTP lodged in the ileum near the site of stenosis.</div></div><div><h3>Results</h3><div>The PTP was grasped using biopsy forceps, repositioned with a retrieval net, and extracted through the overtube using DBE, with the tip balloon secured by a nylon thread. There were no adverse events during or after the procedure. The patient’s symptoms resolved immediately after removal, and no surgical intervention was required.</div></div><div><h3>Conclusions</h3><div>This case demonstrates the utility of DBE, with the tip balloon secured by a nylon thread, in retrieving retained sharp foreign bodies such as PTP. This method enables the safe retrieval of sharp foreign bodies in the small bowel that can be contained within the overtube.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 259-263"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146447","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

Usability of a novel cholangiopancreatoscope for tumor detection and stone management 一种新型胆管胰胆镜用于肿瘤检测和结石治疗的可用性

VideoGIE Pub Date : 2026-06-01 Epub Date: 2025-12-26 DOI: 10.1016/j.vgie.2025.12.008

Shuji Mitsuhashi MBBS, Chinmay Guralwar MBBS, Rishad Khan MD, Samuel Han MD, Jad P. AbiMansour MD, Eric J. Vargas MD, Bret T. Petersen MD, Vinay Chandrasekhara MD

{"title":"Usability of a novel cholangiopancreatoscope for tumor detection and stone management","authors":"Shuji Mitsuhashi MBBS, Chinmay Guralwar MBBS, Rishad Khan MD, Samuel Han MD, Jad P. AbiMansour MD, Eric J. Vargas MD, Bret T. Petersen MD, Vinay Chandrasekhara MD","doi":"10.1016/j.vgie.2025.12.008","DOIUrl":"10.1016/j.vgie.2025.12.008","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Peroral cholangiopancreatoscopy (POCP) is increasingly used in complex ERCP but remains limited by small working channels and maneuverability challenges. This case series describes early user experience with a novel single-use POCP system for evaluation of indeterminate biliary strictures and electrohydraulic lithotripsy (EHL) of pancreatic and biliary stones.</div></div><div><h3>Methods</h3><div>A case series included individuals undergoing evaluation for indeterminate biliary strictures and complex stone management. Procedures were evaluated for technical success, usability (Likert scale), diagnostic yield, and adverse events (AEs).</div></div><div><h3>Results</h3><div>Twelve patients were included. Among the 9 who underwent cholangioscopy-directed biopsy samples, all provided adequate tissue. Of 6 malignancies, none were diagnosed by brush cytology, whereas cholangioscopy-directed biopsy samples were diagnostic in 4 of 5 cases of cholangiocarcinoma and 1 case of hepatocellular carcinoma. In all 3 stone cases, a 4.5F (catheter/probe size unit; 1F = 0.33 mm) EHL probe was successfully advanced, achieving complete stone clearance in a single session. Five endoscopists performed the procedures, reporting high Likert scores for pushability, tip control, device passage, and image quality. No periprocedural AEs were noted.</div></div><div><h3>Conclusions</h3><div>In this limited single-center, noncomparative experience, the system enabled tissue sampling and EHL with reported ease of use. These preliminary findings should be interpreted cautiously and in the context of standard ERCP risks, including pancreatitis, infection, perforation, and cholangitis.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 264-268"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146448","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

Endoscopic management of a complex gastrocolojejunal fistula following endoscopic ultrasound–guided gastrojejunostomy 超声内镜引导下胃空肠造口术后复杂胃结肠空肠瘘的内镜治疗

VideoGIE Pub Date : 2026-06-01 Epub Date: 2025-12-26 DOI: 10.1016/j.vgie.2025.12.004

Mayank Goyal MBBS , Manik Aggarwal MBBS , Ryan Law DO

{"title":"Endoscopic management of a complex gastrocolojejunal fistula following endoscopic ultrasound–guided gastrojejunostomy","authors":"Mayank Goyal MBBS , Manik Aggarwal MBBS , Ryan Law DO","doi":"10.1016/j.vgie.2025.12.004","DOIUrl":"10.1016/j.vgie.2025.12.004","url":null,"abstract":"<div><h3>Background and Aims</h3><div>EUS-guided gastrojejunostomy (EUS-GJ) is an effective minimally invasive treatment for gastric outlet obstruction. However, misdeployment can result in complex fistulas with significant morbidity. We describe successful endoscopic management of a gastrocolojejunal (GCJ) fistula following EUS-GJ.</div></div><div><h3>Methods</h3><div>A 69-year-old male developed a GCJ fistula post-EUS-GJ, presenting with septic shock. Initial bridging was performed using 2 telescoping lumen-apposing metal stents and a coaxial fully covered metal stent. Definitive closure was attempted endoscopically using a double-channel gastroscope with OverStitch (Boston Scientific, Marlborough, Mass, USA) and over-the-scope clips (OTSCs).</div></div><div><h3>Results</h3><div>The colojejunal and gastrocolic fistulas were successfully closed with running 2.0 polypropylene sutures and OTSC reinforcement. Fluoroscopy confirmed a complete seal, and follow-up endoscopy showed intact closure without leaks or adverse events.</div></div><div><h3>Conclusions</h3><div>Endoscopic suturing with clip reinforcement is a safe and effective alternative to surgery for complex post-EUS-GJ fistulas in high-risk patients.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 6","pages":"Pages 243-246"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146443","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

BEYOND CONVENTIONAL ENDOSCOPY: CRYOPROBE-ASSISTED ENDOSCOPIC EXTRACTION OF AN IMPACTED GALLSTONE IN A PATIENT WITH BOUVERET SYNDROME 超越传统内窥镜：冷冻探针辅助内窥镜取出布韦莱特综合征患者的阻生胆结石

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.017

Olanrewaju Adeniran, Sanya Goswami, Arsalan Khan, Ayowumi A. Adekolu, Dayyan M. Adoor, Muhammad Ahmad Bashir, Saban Maan, Shyam Thakkar, Shailendra Singh

引用次数: 0