Stenosis was successfully prevented. Biopsy proved antral HP-negative mucosa. 1 1/2 years later the patient is free of complaints. This first case of a successful gastro-esophageal endoscopic mucosal transplant with one year follow-up after wide- spread ESD in the esophagus for an early squamous cell cancer opens a new perspective for systematic research in this field. “
“Indeterminate pancreatico-biliary strictures remain a difficult diagnostic dilemma with currently available endoscopic imaging. Alectinib manufacturer We present scanning fiber endoscopy as a novel platform for improving diagnostic accuracy and present three cases where this platform has been used successfully in human subjects. In all three cases, endoscopic

retrograde cholangiography was performed using a standard side viewing endoscope and fluoroscopy see more to obtain biliary access. Once access was obtained, the scanning

fiber endoscope was advanced into the bile duct and images were obtained. Scanning fiber endoscopy is a novel platform for endoscopic imaging with improved resolution. A pancreatic duct endoscope is already available for testing in human subjects and currently in design are models with tip deflection, fluorescence imaging and laser-induced fluorescence spectroscopy, as well as novel devices for directed curettage and brushing. Importantly, scanning fiber endoscopy as a platform brings much needed new tools to bear on the question of benign versus malignant biliary strictures. “
“Total esophageal liminal occlusions secondary to lye induced strictures have significantly decreased in incidence in the last decade, but still present a formidable management challenge. If there

is complete obstruction, patients fantofarone have aphagia and in addition to nutritional problems have poor quality of life due to inability to handle secretions and loss of taste. Gastrostomy tubes address hydration and nutrition but not morbidity and quality of life. Esophageal surgery continues to be associated with significant morbidity and possible mortality. This has prompted endoscopic efforts at esophageal luminal restoration, in most cases for strictures 3 cm or less. We present a case of luminal restoration for a 12 cm long lye induced stricture and patient employed self dilation to maintain luminal opening. The gastrostomy tube was removed and the tract was dilated to 10 mm.The 5.9mm endoscope was used in a retrograde fashion and advanced to the cardia and then the lower esophagus where after 2 cm of normal tissue a narrowing was seen. The GI team worked to complete a rendezvous with our ENT colleagues who worked per orum. The tissue was dissected with the pediatric biopsy forceps and the scope was advanced few cm until a complete obstruction was reached. We then used biplanar fluoroscopy and dissected the tissue with the biopsy forceps until we reached an area where a rigid knife was passed orally to make the rendezvous. A 0.