Hybrid-APC treatment for gastric vascular ectasia of atypical location after failed radiofrequency ablation.

A 76-year-old woman was being followed up for chronic anemia secondary to bleeding from vascular ectasias at the gastric antrum and the cardial and subcardial region. On several occasions the patient required fulguration of these lesions with conventional APC, which resulted in no clear improvement. Radiofrequency ablation of these lesions was then attempted using a 90-degree probe, which was successful on antral angiodysplasias but failed to remove lesions in the cardial and subcardial region since anatomy there prevented proper apposition of the probe onto the target mucosa. Given the absence of any improvement, it was decided to use fulguration for angiectasias at the cardial and subcardial level by means of Hybrid-APC, which consists of lifting the mucosa with an injection through the APC probe and then fulgurating in the pulsedAPC® mode, thus achieving a broader ablation area in a shorter time. During the subsequent review a clear reduction of vascular ectasias was observed.

Pancreatic pseudocyst drainage performed with a new prototype forward-viewing linear echoendoscope.

Interventional endoscopy is a field that continues to grow rapidly. A novel prototype forward-viewing echoendoscope (FV-EUS) has been recently developed in an attempt to overcome some of the limitations of conventional curved linear-array echoendoscopes (OV-EUS). We present a case of a successful endoscopic ultrasound-guided drainage of a pancreatic pseudocyst using a forward-viewing echoendoscope. Although the utilization use of this newly developed echoendoscope has not yet become widespread, its unique characteristics can help to easily perform routine therapeutic procedures and contribute to the expansion of interventional endoscopic utrasoundultrasound.

Drenaje de pseudoquiste pancreático mediante un nuevo ecoendoscopio sectorial de visión frontal / Pancreatic pseudocyst drainage performed with a new prototype forward-viewing linear echoendoscope

El intervencionismo guiado por ecoendoscopia es un campo que se encuentra en rápido desarrollo. Recientemente se ha diseñado un nuevo prototipo de ecoendoscopio de visión frontal que pretende superar ciertas limitaciones de los ecoendoscopios convencionales (de visión oblicua). Se presenta a continuación el caso de un drenaje de pseudoquiste pancreático con un encoendoscopio de visión frontal llevado a cabo de forma exitosa. Si bien la difusión de este nuevo modelo de ecoendoscopio es aún escasa, las particularidades del mismo podrían contribuir a la ejecución con mayor sencillez de procedimientos terapéuticos habituales en la práctica clínica, así como a la consolidación de las potenciales aplicaciones del intervencionismo endoscópico (AU)

Interventional endoscopy is a field that continues to grow rapidly. A novel prototype forward-viewing echoendoscope (FV-EUS) has been recently developed in an attempt to overcome some of the limitations of conventional curved linear-array echoendoscopes (OV-EUS). We present a case of a successful endoscopic ultrasound-guided drainage of a pancreatic pseudocyst using a forward-viewing echoendoscope. Although the utilization use of this newly developed echoendoscope has not yet become widespread, its unique characteristics can help to easily perform routine therapeutic procedures and contribute to the expansion of interventional endoscopic utrasoundultrasound (AU)