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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
176
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
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Related Experiment Video

Updated: Jul 19, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Dilation balloon-occlusion technique for EUS-guided gastrojejunostomy.

Samuel Han1, J Royce Groce1, Sajid Jalil1

  • 1Division of Gastroenterology, Hepatology, and Nutrition, Ohio State University Wexner Medical Center, Columbus, Ohio.

Videogie : an Official Video Journal of the American Society for Gastrointestinal Endoscopy
|August 14, 2023
PubMed
Summary

This video demonstrates a novel dilation balloon-occlusion technique for endoscopic ultrasound (EUS)-guided gastrojejunostomy. This method facilitates precise placement of gastrojejunal tubes, improving procedural outcomes.

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Area of Science:

  • Gastroenterology
  • Endoscopic Procedures
  • Medical Device Technology

Background:

  • Gastrojejunostomy is crucial for enteral feeding in patients with upper gastrointestinal obstruction.
  • Endoscopic ultrasound (EUS)-guided placement offers a minimally invasive alternative to surgery.
  • Technical challenges exist in achieving stable and accurate gastrojejunal tube placement.

Purpose of the Study:

  • To present a novel dilation balloon-occlusion technique for EUS-guided gastrojejunostomy.
  • To illustrate the feasibility and potential advantages of this technique.

Main Methods:

  • The technique involves using a specialized dilation balloon for occlusion and stabilization.
  • Endoscopic ultrasound guidance is employed for precise needle and guidewire placement.
  • A gastrojejunal tube is subsequently advanced over the guidewire.

Main Results:

  • The video showcases successful application of the dilation balloon-occlusion technique.
  • The method appears to facilitate controlled guidewire passage and tube deployment.
  • Potential for improved technical success and reduced procedure time is suggested.

Conclusions:

  • The dilation balloon-occlusion technique represents a promising advancement in EUS-guided gastrojejunostomy.
  • This approach may enhance the safety and efficacy of creating gastrojejunal access.
  • Further clinical validation is warranted to confirm its benefits.