Novel Cases

Gastric bypass patients can regain weight years after their surgery. Now there are endoscopic outpatient options to help them recapture their weight loss. Dr. Kedia is offering endoscopic suture revision of gastrojenunal outlets.

At Methodist Dallas Dr. Kedia is using every imaging and sampling technology to evaluate indeterminate bile duct strictures to help patients get a diagnosis.  This includes digital cholangioscopy, optical and volumetric laser endomicroscopy

Placement of an AXIOS stent to treat a luminal surgical stricture. This is becoming a more frequent off-label, effective use for this device.

EUS-guided hepaticogastrostomy with antegrade fully covered metal stent placement in a patient with malignant biliary and gastric outlet obstruction. The patient can now avoid percutaneous drainage which has been shown in comparative studies to have worse clinical outcomes compared to EUS-BD. Now the patient won’t require a drain hanging out of their skin going forward.

Cholangioscopy-guided endoscopic transpapillary stenting of the gallbladder – for a patient that was not a surgical candidate and had recurrent episodes of cholecystitis. Despite a pinpoint cystic duct opening a double pigtail stent was able to be placed.  This will help the patient avoid the decreased quality of life and complications associated with percutaneous cholecystostomy drains

Peroral endoscopic myotomy (POEM) is becoming a more commonly utilized procedure at MDMC for treatment of achalasia. It helps patients avoid cardiothoracic surgery and their hospital stay is only 1 day.

Successful EUS-guided pancreatic duct drainage in a patient with post-Whipple anatomy and recurrent pancreatitis. Placing a plastic stent endoscopically across here pancreaticojenunal anastomosis and back into the stomach will not only relieve her symptoms but also help her avoid a major surgery!

Successful endoscopic submucosal dissection (ESD) of an early gastric cancer with endoscopic suture closure of the defect at MDMC. This technique is changing how we approach early neoplasms of the GI tract

We performed the first metal pancreatic duct stent placement for treatment of a chronic pancreatitis related stricture in Dallas, TX at MDMC today! This is part of a larger study to evaluate the efficacy of metal stenting to help treat chronic pain in these patients.

We performed the first Endoscopic Ultrasound (EUS) guided radiofrequency ablation (RFA) of a pancreas cyst in Dallas at Methodist Dallas Medical Center. This technology can help us treat pancreas cysts with a simple outpatient procedure instead of a large invasive surgery

The Habib EUS RFA from EMcision on Vimeo.

We performed the first ever endoscopic delivery of photodynamic therapy for bile duct cancer in Dallas! Thanks to my amazing team at Methodist Dallas Medical Center.