Gastrointestinal Staples on Endoscopy
This video shows staples visible a the gastro jejunal anastomosis following a gastric bypass. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): endoscopy, GB, GI staples, GJ anastomosis
Gastric Outlet Obstruction from Post-pyloric Gastrostomy Tube
This patient had vomiting of non-bilious fluid following a gastrostomy tube replacement. She was not vomiting tube feeds. The balloon of the replacement tube was within the bulb of the duodenum. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): balloon, bulb, duodenum, gastric outlet obstruction, non-bilious fluid, post-pyloric […]
Gastric Polyps
This video demonstrates gastric polyps Video donated to the SAGES Video Atlas of Endoscopy by Jose Martinez, J Andres Astudillo Keyword(s): gastric polyps
Gastric Submucosal Hematoma
This video demonstrates a large submucosal gastric hematoma appreciated on retroflexed view in the fundus. Video donated to the SAGES Video Atlas of Endoscopy by Jose Martinez, J Andres Astudillo Keyword(s): fundus, Gastric Submucosal Hematoma, retroflexed view
Gastric Ulcer Following Gastrostomy Tube Removal
This video shows the normal healing gastric ulcer 2 weeks after gastrostomy tube removal. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): G-tube, gastric ulcer
Gastric Varices
This video shows gastric varices in a patient with a history of splenic vein thrombosis secondary to pancreatitis. In the retorflexed views, bleeding can be seen from biopsy sites in a proximal gastric mass that was an adenocarcinoma. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD, Jeffrey M Marks, […]
Gastro Cutaneous Fistula
This video shows a small, chronic antral/pre-pyloric gastro-cutaneous fistula that occurred at a former gastrostomy tube site. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): chronic antral/pre-pyloric gastro-cutaneous fistula, G-tube
Gastro Gastric Fistula after Gastric Bypass
This video shows unusual anatomy after roux-en-y gastric bypass including a gastro gastric fistula. There is a normal gastro-jejunal anastomosis seen as well as fundic gland gastric polyps. As the scope is withdrawn, we see that the proximal stomach is within a hiatal hernia. There is a second lumen on the patients right. This leads […]
Gastro Gastric Fistula and Gastro-jejunal Anastomosis Ulceration after Gastric Bypass
This video shows an ulcer at the gastro jejunal anastomosis that was the reuslt of a large (1 cm) and small (1 mm) gastro gastric fistulae following roux-en-y gastric bypass Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): GGF, GJ anastomosis ulceration, RYGB
Gastro Gastric Fistula and Involuted Gastro-jejunal Anastomosis after Gastric Bypass
This video shoes a patient with 2 complications after a revisional bariatric surgery. The gastro-jejunal anastomosis has closed, and a large gastro-gastric fistula has developed. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): complications, GGF, involuted GJ anastomosis, revisional bariatric surgery
Gastro-gastric Fistula with Associated Anastomotic Ulcer Following Gastric Bypass
This video begins in the ailemtary limb of the gastric bypass and as the scope is withdrawn we see a large gastro-gastric fistula adjacent to the anastomosis. On the posterior wall there is a large, deep, clean based ulcer with some associated silk suture. Video donated to the SAGES Video Atlas of Endoscopy by Eric […]
Gastric Outlet Obestruction from Pyloric Ulcers
This video shows the pylorus in a patient with gastric outlet obstruction. There is edema from ulcers which has lead to partial obstruction of the stomach. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): gastric outlet obstruction, pyloric ulcers
Herniated Nissen Fundoplication
This video shows a patient who has a recurrent hiatal hernia following a prior hiatal hernia repair with Nissen fundoplication. The wrap is mostly above the diaphragm, and the inferior portion can be seen sliding above the crus as the patient experiences singlutus. Video donated to the SAGES Video Atlas of Endoscopy by Eric M […]
Hiatal Hernia Containing Gastric Pouch after Gastric Bypass
This video shows a sliding hiatal hernia containing the majority of the patients gastric pouch after roux-en-y gastric bypass. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): gastric pouch, RYGB, sliding hiatal hernia
Hiatal Hernia Hill IV
This video demonstrates a hiatal hernia as a pouch like area just distal to the squamocolumnar junction above the diaphragm. The gastroscope is then passed into the stomach where the hiatal hernia is better visualized with a retroflexed view. A widely patulous hiatal opening and the abnormal gastroesophageal flap valve is seen. The gastroesophageal area […]
Hill Grade Iii Gastroesophageal Valve
This video shows the retroflexed view of a Hill Grade III gastroesophageal valve. There is no prominent fold of tissue at the entrance into the stomach and the endoscope is not tightly gripped by the GE junction Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): endoscope, GE junction, […]
Hill Grade III/Grade IV Gastroesophageal Valve
This video demonstrates a Hill Grade III/Grade IV gastroesophageal valve. The is opening around esophagus is not tight, and the squamous epithelium can be viewed from below. This represents a very small (Type I) hiatal hernia. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): esophagus, Hill grade III/IV […]
Inflamatory Gastric Polyps
This video shows white light and narrow band imaging of several inflammatory polyps in the pre-pyloric stomach. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): inflammatory gastric polyps, narrow band imaging, pre-pyloric stomach, white light
Large Bleeding Gastro-jejunal Anastomotic Ulceration after Gastric Bypass
This video shows a large, deep gastro-jejunal anastomotic ulcer following a roux-en-y gastric bypass. There is a vissable vessel distally on the ulcer, and stigmata of bleeding (blood and small clot within the lumen) Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): bleeding, blood clot, GJ anastomotic ulceration, […]
Large Posterior Gastro Gastric Fistula after Gastric Bypass
This video shows the endoscopic view of a large, posterior-medial gastro-gastric fistula in a patient who had previously undergone a roux-en-Y gastric bypass for obesity. He had regained all of the weight he had previously lost. The fistula is seen posteriorly, and the gastro-jejunal anastomosis is seen in the distance, the scope traverses the anastomosis […]
Large Staple Line Leak after Sleeve Gastrectomy
This video shows the view of a large staple line leak following a sleeve gastrectomy near the distal part of the staple line. There is a bridge of gastric mucosa spanning the broken down staple line, which has been walled off by omentem giving it the apeareance of a large ulcer. Video donated to the […]
Nissen Fundoplication
This video shows normal anatomy of the GE Junction following a Nissen Fundoplication. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): GEJ, Nissen fundoplication
Eroded Gastric Band
This video shows the retroflexed view of an adjustable gastric band placed for morbid obesity. The patient was asymptomatic, but had evidence of full thickness erosion of a small portion of the band. This video demonstrates the importance of complete inspection of the band in retroflex view, as this finding was not visualized on the […]
Anastomotic Ulcer and Edema Following Gastric Bypass
This video shows an anastomotic ulcer with edema following roux-en-y gastric bypass. There are staples and suture associated with the ulcer, and the scope is unable to pass due to narrowing from edema. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): anastomotic ulcer, edema, GB