VideoGIE最新文献_第7页

PERMENANT GASTRO-GASTRIC ANASTAMOSIS IN ROUX-EN-Y GASTRIC BYPASS USING PARALLEL LUMEN APPOSING METAL STENTS AND SEPTOTOMY. A MULTICENTER CASE SERIES roux-en-y胃旁路术中采用平行腔内金属支架和中隔切开术的永久性胃-胃吻合。多中心病例系列

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.009

Kambiz S. Kadkhodayan, Muhammad K. Hasan, Zubair Khan, Carlos Bertran-Rodriguez, Abdul S. Mohammed, Mustafa A. Arain, Deepanshu Jain, Natalie D. Cosgrove, Maham Hayat, Dennis Yang, Shayan S. Irani

引用次数: 0

U2-POEM: A NOVEL UNDERWATER UNIDIRECTIONAL MYOTOMY TECHNIQUE 一种新颖的水下单向肌切开术

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.037

Farimah Fayyaz, Harjot Bedi, Romina Roshanshad, Mouen A. Khashab

引用次数: 0

AUTOLOGOUS MUCOSAL GRAFTING FOR COMPLEX LUMINAL DEFECTS AND FISTULAS: A CASE SERIES 自体粘膜移植治疗复杂腔缺损及瘘管：一个病例系列

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.015

Kambiz S. Kadkhodayan, Shayan S. Irani, Mohamad Khaled Almujarkesh, Zubair Khan, Deepanshu Jain, Dennis Yang, Mustafa A. Arain, Natalie D. Cosgrove, Muhammad K. Hasan

引用次数: 0

CROSSING THE UNCROSSABLE: USE OF A NOVEL DRILL DILATOR FOR DIFFICULT BILIARY STRICTURES 跨越不可跨越：一种新型的钻孔扩张器用于困难的胆道狭窄

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.034

Hyun Jae Kim, Michelle A. Anderson, Terry L. Jue, Douglas O. Faigel, Rahul Pannala, Norio Fukami

引用次数: 0

ENDOSCOPIC RESCUE IN A FROZEN ABDOMEN: EUS-LAMS AND MAGNET ANASTOMOSIS TO RESTORE QUALITY OF LIFE 内窥镜下冰冻腹部抢救：eus-lams和磁铁吻合恢复生活质量

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.030

Diogo T. De Moura, Eduardo T. Moura, Adriana F. Silva, Hiram M. Nascimento, Gustavo O. Luz, Marcos Eduardo Lera Dos Santos, Matheus C. Franco, Eduardo G. De Moura

引用次数: 0

ENDOSCOPIC J-POUCH RECONSTRUCTION TO ELIMINATE "CANDY CANE SYNDROME" IN A PATIENT WITH TOTAL GASTRECTOMY AND ROUX-Y ESOPHAGOJEJUNOSTOMY 内镜下j袋重建术消除“糖手杖综合征”1例全胃切除术和胃食管空肠吻合术患者

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.031

Stavros N. Stavropoulos, Sadid Askarian, Rani J. Modayi, Pranay Srivastava, Divyesh R. Nemakayala, Hiah Saljooki

引用次数: 0

Zenker’s peroral endoscopic myotomy with myomectomy and ablation: a minimally invasive and effective technique for Zenker’s diverticulum resolution 经口内窥镜肌瘤切开术联合肌瘤切除和消融：一种解决Zenker憩室的微创有效技术

VideoGIE Pub Date : 2026-05-01 Epub Date: 2025-10-30 DOI: 10.1016/j.vgie.2025.10.009

Oscar Victor Hernández Mondragón MD, PhD, Kevin Josue Pintor Belmontes MD

{"title":"Zenker’s peroral endoscopic myotomy with myomectomy and ablation: a minimally invasive and effective technique for Zenker’s diverticulum resolution","authors":"Oscar Victor Hernández Mondragón MD, PhD, Kevin Josue Pintor Belmontes MD","doi":"10.1016/j.vgie.2025.10.009","DOIUrl":"10.1016/j.vgie.2025.10.009","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Zenker's peroral endoscopic myotomy (Z-POEM) for Zenker's diverticulum is an effective first-line treatment; however, residual dysphagia may persist because of a remaining mucosal pouch. Currently, no standardized endoscopic method specifically addresses this issue. We present a novel approach: Z-POEM with adjunctive myomectomy and mucosal ablation (Z-POEM-MA), designed to achieve complete anatomical resolution in a single session.</div></div><div><h3>Methods</h3><div>A 67-year-old man with progressive dysphagia and recurrent aspiration pneumonia was found to have a 4-cm Zenker’s diverticulum. He underwent Z-POEM-MA, which included standard submucosal tunneling and cricopharyngeal myotomy, followed by myomectomy using a polypectomy snare, and subsequent mucosal ablation with argon plasma coagulation.</div></div><div><h3>Results</h3><div>The procedure lasted 46 minutes with no adverse events. The patient resumed oral intake within 48 hours. Postoperative barium esophagram 1 month postoperatively showed complete resolution of the diverticulum. At 6 months, the patient remained asymptomatic, and upper endoscopy confirmed the absence of recurrence.</div></div><div><h3>Conclusions</h3><div>Z-POEM-MA is a feasible, safe, and potentially more effective technique compared with conventional Z-POEM, which targets both the muscular and mucosal components of Zenker’s diverticulum. This approach may improve outcomes in patients with large pouches. Further studies are warranted to validate its long-term efficacy and reproducibility.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 5","pages":"Pages 174-177"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807928","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

A hidden challenge: 2 novel endoscopic techniques to resect gastric exophytic subepithelial lesions 一个隐藏的挑战：2种新的内镜技术切除胃外生性上皮下病变

VideoGIE Pub Date : 2026-05-01 Epub Date: 2025-12-26 DOI: 10.1016/j.vgie.2025.12.002

Farimah Fayyaz MD , Romina Roshanshad MD , Mouen Khashab MD, MASGE

{"title":"A hidden challenge: 2 novel endoscopic techniques to resect gastric exophytic subepithelial lesions","authors":"Farimah Fayyaz MD , Romina Roshanshad MD , Mouen Khashab MD, MASGE","doi":"10.1016/j.vgie.2025.12.002","DOIUrl":"10.1016/j.vgie.2025.12.002","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Subepithelial gastric tumors originating from the muscularis propria, such as GI stromal tumors (GISTs), are challenging to remove endoscopically because of their deep location. Full-thickness resection (FTR) requires advanced endoscopic techniques to achieve complete and safe tumor removal.</div></div><div><h3>Methods</h3><div>Two novel natural orifice translumenal endoscopic surgery (NOTES) techniques were applied for endoscopic resection of GISTs. In the first, a bidirectional FTR was performed using both luminal and peritoneal sides for resection. In the second, dissection was done from the peritoneal side while preserving mucosal integrity.</div></div><div><h3>Results</h3><div>A 2-cm GIST was resected en bloc using bidirectional FTR. A second incidental 1.5-cm lesion discovered intraoperatively upon peritoneal exploration was resected using a serosal approach with mucosal preservation, requiring no closure. Full-thickness closure of the first resection site was achieved endoscopically with suturing systems.</div></div><div><h3>Conclusions</h3><div>These 2 NOTES-based techniques allowed complete resection of exophytic GISTs without the need for surgical access. Bidirectional FTR permitted controlled dissection from both peritoneal and luminal sides, whereas the serosal approach preserved the mucosa and eliminated the need for closure. Together, these methods expand the endoscopic options for managing deep gastric subepithelial tumors.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 5","pages":"Pages 178-181"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807888","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

Safe endoscopic resection of a giant pedunculated colonic polyp after epinephrine volume reduction with clip placement 肾上腺素减容夹置入后安全内镜切除巨大带蒂结肠息肉

VideoGIE Pub Date : 2026-05-01 Epub Date: 2025-12-26 DOI: 10.1016/j.vgie.2025.12.001

Tsukasa Ishida MD, PhD, Hiroyuki Hashimoto MD, Akiko Shioya MD, Masaru Takimoto MD, Yusuke Nakata MD, Taro Tanaka MD, Yukako Masuko MD, Takashi Nakashima MD, PhD

{"title":"Safe endoscopic resection of a giant pedunculated colonic polyp after epinephrine volume reduction with clip placement","authors":"Tsukasa Ishida MD, PhD, Hiroyuki Hashimoto MD, Akiko Shioya MD, Masaru Takimoto MD, Yusuke Nakata MD, Taro Tanaka MD, Yukako Masuko MD, Takashi Nakashima MD, PhD","doi":"10.1016/j.vgie.2025.12.001","DOIUrl":"10.1016/j.vgie.2025.12.001","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Resection of giant pedunculated colorectal polyps can be challenging because of adverse events such as bleeding and technical difficulties in snaring. Epinephrine injection may reduce tumor size, but its efficacy for giant lesions is limited.</div></div><div><h3>Methods</h3><div>A 59-year-old woman presented with a 50-mm pedunculated polyp in the transverse colon. A total of 20 mL of diluted epinephrine (1:10,000) was injected into the apex and stalk of the polyp, and 6 hemostatic clips were placed near the stalk base. Three weeks later, a follow-up colonoscopy was performed.</div></div><div><h3>Results</h3><div>After a 3-week interval, the polyp exhibited marked shrinkage. En bloc resection was achieved using underwater EMR with a 25-mm snare. Histology revealed a tubulovillous adenoma with negative margins. The patient was discharged without any adverse events.</div></div><div><h3>Conclusions</h3><div>A 5-cm pedunculated colorectal polyp was successfully managed by endoscopic resection 3 weeks after epinephrine volume reduction and clip placement. This method may offer a useful option when immediate resection is not feasible.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 5","pages":"Pages 211-214"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807930","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

RIDE THE LIGHTNING: EUS-DIRECTED ELECTROHYDRAULIC LITHOTRIPSY FOR A LARGE, IMPACTED GALLSTONE 乘坐闪电：eus定向电液碎石术治疗大面积嵌塞胆结石

VideoGIE Pub Date : 2026-05-01 DOI: 10.1016/j.vgie.2026.04.038

Yuvaraj Singh, Prashanth Rau, Neil B. Marya

引用次数: 0