Endoscopic sleeve gastroplasty: live uncut procedure

In this live interactive video, Dr. Haruhiro Inoue provides a short introduction of the anatomical landmarks of Barrett’s esophagus. He briefly describes the main principles to characterize Barrett’s esophagus according to dysplasia and its differentiation by means of simple enhancement endoscopy, NBI endoscopy with or without acetic acid in a live interactive session at IRCAD France.

In this authoritative lecture, Dr. Guido Costamagna looks into new possibilities in biliopancreatic endosonography (EUS).

Endoscopic retrograde cholangiography in case of altered anatomy such as partial gastrectomy with Billroth II reconstruction has a success rate of 85% due to different factors such as failure to cross the anastomosis and the presence of an important length of afferent loop with a high risk of jejunal perforation at (or near) the anastomotic site while advancing the duodenoscope. The use of a front-view scope is the safest and could be used theoretically. However, the lack of elevator, the inability to see the papilla in a direct view, and the limited number of catheters available for cannulation and therapeutic procedures in the standard gastroscope with the 2.8mm working channel, can make this kind of procedure quite challenging. In this video, we present a case of successful biliary stone extraction in a patient with Billroth II reconstruction using a standard 2.8mm working channel front-viewing scope.

In this authoritative lecture, Dr. Mariano Gimenez looks into the management of benign biliary stricture.

In this video, we present the performance of an endoscopic sleeve gastroplasty using the OverStitch™ endoscopic suturing system. The technical details for performing a 6-point suture anchoring technique are described.

Biliary leaks still represent a significant problem following open or laparoscopic cholecystectomy. The incidence of bile duct leaks after such operations was reported to range between 0.3 and 1%. This video presents the case of a 75-year-old man who was referred to our department for fever, jaundice, and abdominal pain 12 days after laparoscopic cholecystectomy. A cholangio-MRI was carried out. It demonstrated an intra-abdominal biliary collection at the level of the gallbladder bed. A leak from the cystic duct was suspected. A radiological drainage of the collection was performed, and an endoscopic sphincterotomy with plastic stenting of the common bile duct was achieved. The patient went clinically well and at 2 months, the stent was removed. Two months after stent removal, he is totally symptom-free.