Endoscopic biliary stenting is a useful and safe technique for malignant biliary obstructions. A plastic stent is frequently used because of its low cost and ease of deployment. However, it is occasionally difficult to remove a plastic stent because of severe stricture. We describe a rescue technique for immovable plastic stents, using a diathermic dilator in a case of perihilar biliary obstruc...

colonoscopy, in which a pedunculated polyp, 4 cm × 2.8 cm in size with a 2.5-cm wide flat stalk, was identified in the sigmoid colon (●" Fig. 1). For the safe and complete resection of the polyp, prophylactic endoclips (Hx-600–135; Olympus, Hachioji-shi, Tokyo, Japan) were applied to both sides of the stalk but appeared to be ineffective (●" Fig. 2). We then applied a detachable endoloop (MAJ-2...

UNLABELLED Video-assisted thoracoscopy (VAT) is usually performed under general anesthesia (GA). We performed an analysis to determine whether multithoracoport VAT under local anesthesia (LA) is feasible. METHODS Forty-five VAT under LA were performed in 34 men and 11 women (mean age 46.8 years) in the endoscopy room. RESULTS The waiting time for VAT under LA was 0.5-6h on working days. The...