Endoscopic placement of metallic stent in bile duct in a case of carcinoma gall bladder with bile duct obstruction. The patient was having severe cholangitis due to bile duct obstruction. ERCP & biliary metallic stenting is the recommended non surgical procedure to drain the bile in to the intestine.
Views: 22262 Ramvir Singh
ERCP - Removal of large impacted stone from common bile duct : New technique for cannulation of CBD in a case where CBD cannulation failure & cannula/ guidewire goes in to pancreatic duct repeatedly. To avoid precut (risk of perforation/ bleed) use this invention. Procedure: Place a guidewire in to pancreatic duct. Push Haber Ramp catheter in to pancreatic duct over the guidewire. The proximal port of Haber Ramp Catheter opens in the direction of common bile duct. Now you can easily pass a guidewire in to CBD because the PD has been blocked by catheter. Ramvir Singh (Technical Supervisor Endoscopy, BLK Super Specialty Hospital, Pusa Road, New Delhi. Contact Mobile No 8800641551
Views: 75898 Ramvir Singh
Foreign Body Esophagus (Tablet with Foil) removed endoscopically with foreign body forceps-Rat-Tooth
Views: 8924 Ramvir Singh
This patient is a case of chronic liver disease with portal hypertension. Presented with upper gastrointestinal bleeding. On endoscopy a large fundal varix with active spurter was seen. The haemostasis has been achieved after Cynoacrylate injection (Glue)
Views: 5471 Ramvir Singh
This patient is a case of carcinoma stomach. Partial gastrectomy & GJ was done 1 week before endoscopy. After surgery the patient is having collection in the peritoneal cavity. CT relieved perforation in the stomach & collection of fluid. On endoscopy we found gastric perforation which was corrected with resolution clip (Boston make)
Views: 2322 Ramvir Singh
This patient is having ca esophagus with tracheoesophageal fistula . The lumen of distal esophagus confirmed after placement of guidewire in to the stomach under fluoroscopic guidance . Over the guidewire a fully covered esophageal metallic stent was placed
Views: 2367 Ramvir Singh
6 Yr old child swallowed 5 rupees coin which was stuck in the esophagus. The coin was removed endoscopically with the help of Olympus grasping forceps rat-tooth FG-8L........
Views: 28290 Ramvir Singh
This patient came to our hospital with severe cholangitis. He under went ERCP and stenting 2 years back in one the hospital in New Delhi. On ERCP we found lot of pus draining after stent removal. Cholangiogram shows multiple large stones. EPT has been extended. Balloon sphincteroplasty was done to retieve the large stones.
Views: 9139 Ramvir Singh
This patient had bleeding per rectum for last one year. He was advised colonoscopy examination. On colonoscopy we found a large polyp in the rectum. The polyp was too large to cut in one go then piecemeal polypectomy was done with polypectomy snare. There was mild ooze of blood from the stalk which was ligated with endoloop.
Views: 1506 Ramvir Singh
A case of choledocholithiasis under went ERCP, EPT stone extraction & biliary stenting. After lap cholecystectomy patient came for removal of CBD stone. During stent removal we found ascaris worms in CBD along with the stent. We removed the stent & both worms.
Views: 6479 Ramvir Singh
A case of choledhocolithiasis with large stone in common bile duct around 22mm x 34mm in size taken for ERCP. CBD was cannulated selectively. Wire guided sphincterotomy was done. After endoscopic papillotomy sphincter of the ampulla was dilated with control radial expansion dilator up to 15mm. The stone was crushed with mechanical lithotripor The fragmented stones were taken out with basket & extractor balloon. A 7 Fr x 7cm DPT stent was placed.
Views: 3137 Ramvir Singh
A case of chronic liver disease with portal hypertension (alcoholic related) He came with H/o of upper upper GI bleed & malena. Endoscopic examination revealed large esophageal & fundal varices. Injection Cynoacrylate have been injected at different sites of fundal varices. Endoscopic band ligation was done for esophageal varices.
Views: 3641 Ramvir Singh
This patient is having upper gastrointestinal bleed. On endoscopy we found esophageal ulcer with visible vessel. Endotherapy done with heamoclip.
Views: 1263 Ramvir Singh
A 3 yr child swallowed a coin which was extracted from the stomach endoscopically.
Views: 16911 Ramvir Singh
Endoscopic removal of foreign body from GI tract
Views: 10054 Ramvir Singh
A case of carcinoma gall bladder with common bile duct stricture leading to obstructive jaundice. A 10mm x 80mm biliary wall stent was placed in to the common bile duct over the stricture to drain the bile.
Views: 1764 Ramvir Singh
A case of carcinoma gall bladder with gastric outlet obstruction. Upper GI endoscopy revealed lot of food/ fluid residue in the stomach . Large infiltrating growth seen in antrum, duodenum 1st part & D1 D2 junction. Duodenal wall stent (Boston) 22mm x 12cm placed.
Views: 841 Ramvir Singh
This patient is having pain abdomen, high grade fever, fatigue, blood in stool.
Views: 1694 Ramvir Singh
A case of Tracheo esophageal fistula. Self expending fully covered esophageal metallic stent was placed to cover the fistula.
Views: 536 Ramvir Singh
This patient was under went ERCP and plastic stenting 3 years back. Came with cholagitis. MRCP revealed multiple large stones with plastic stent in SITU. We are unable to retrieve the stent because it was impacted between the stones. First we did mechanical lithotripsy then the stent was retrieved.
Views: 6947 Ramvir Singh
A case of UGI bleed. On endoscopy we found large gastric ulcer with protruding visible vessel which was coagulated with Gold Probe.
Views: 5602 Ramvir Singh
This patient is a case of choledocholithiasis with obstructive jaundice. The stone size is around 17mm which was extracted endoscopically.
Views: 3730 Ramvir Singh
Endoscopic placement of percutaneous endoscopic gastrostomy feeding tube in those patient can't take oral feed.
Views: 1509 Ramvir Singh
A 3 yr child swallowed 1 rupee indian coin 5 days back. On endoscopy the coin was stuck in the upper esophageal sphincter which was extracted with rat-tooth forceps endoscopically
Views: 2186 Ramvir Singh
A case of cholelithiasis with choledocholithiasis with raised Serum bilirubin. USG abdomen & MRCP shows multiple stones in common bile duct. Patient under went endoscopically removal of stones (ERCP). Multiple stones were extracted with extractor balloon from bile duct after adequate endoscopic papillotomy.
Views: 1971 Ramvir Singh
A case of cholelithiasis with choledocholithiasis. USG & MRCP revealed multiple large stone in common bile duct with dilated duct. Under went ERCP procedure. CBD cannulated selectively. Wire guided sphincterotomy was done with flow cut sphinterotome. Multiple stones were extracted with extractor balloon. Balloon occlusion cholangiogram confirmed CBD clearance.
Views: 1098 Ramvir Singh
Endoscopic treatment of obstructive jaundice. A case carcinoma gall bladder with sub hilar stricture leading to severe cholangitis. Procedure : Common bile duct canulated selectively. Cholangiogram shows sub hilar stricture with upstream ductal dilatation. Wire guided sphincterotomy done. A 10mm x 80mm boston uncovered biliary wall stent placed. Gush of bile with pus drained.
Views: 684 Ramvir Singh
This patient has post surgery duodenal fistula. The fistulous opening covered with fully covered removeable stent.
Views: 276 Ramvir Singh
Endoscopy treatment of Radiation proctitis - Argan Plasma Coagulation
Views: 959 Ramvir Singh
This patient had large pancreatic pseudo cyst. Endoscopic examination revealed a large bulge in the gastric antrum. Gastric wall punctured with needle knife & a guide wire was placed in the cystic cavity. The gastric wall was dilated with hurricane balloon dilator up to 8mm. Gush of cystic fluid drained after dilatation. Three double pigtail stent of 10Fr x 7cm were placed.
Views: 1583 Ramvir Singh