Methods of Insertion and Examination in Esophagogastroduodenoscopy: A Comprehensive Video Guide

Eun Young Kim, Ki Bum Park, Han Mo Yoo, Dong Jin Kim, Sang-Ho Jeong

J Surg Innov Educ. 2025;2(1):24-25.   Published online June 26, 2025

DOI: https://doi.org/10.69474/jsie.2025.00080

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Esophagogastroduodenoscopy (EGD) is a fundamental diagnostic and therapeutic modality for various gastrointestinal diseases. As endoscopic techniques evolve, mastering the step-by-step process of EGD—including insertion, navigation, and systematic observation—is essential for ensuring patient safety and diagnostic accuracy. This video article provides a comprehensive, narrated demonstration of the techniques involved in EGD, from patient preparation to scope control and anatomical orientation. It emphasizes key technical details such as endoscope handling, the role of hand movements in scope navigation, and systematic evaluation of the esophagus, stomach, and duodenum. All demonstrations were performed using a simulation model (UGI Endoscopy Simulator; MEDICAL IP, Korea) with an Olympus GIF-HQ290 endoscope. This educational video serves as a practical guide for trainees seeking to refine their technique and increase procedural efficacy.

Gastrointestinal

Tips for Laparoscopic Feeding Jejunostomy Using a Barbed Suture

Sin Hye Park, Dong Jin Kim

J Surg Innov Educ. 2024;1(2):31-33.   Published online December 9, 2024

DOI: https://doi.org/10.69474/jsie.2024.00108

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Feeding jejunostomy is crucial for patients with compromised oral intake, particularly after gastrointestinal surgery or esophagectomy. Traditional methods involve interrupted sutures to secure the feeding tube to the abdominal wall, but this can be cumbersome due to the need for knot tying. This paper presents the case of a 75-year-old male patient who underwent minimally invasive esophagectomy with feeding jejunostomy for esophageal cancer, and introduces the use of a knotless barbed suture, which is commonly employed in gastrointestinal operations. The laparoscopic procedure utilized four trocars for jejunostomy, employing a 3-0 silk purse string suture and a 14-Fr Foley catheter. The barbed suture was used to secure the catheter in place without knots, covering 360° around the catheter. This method aims to simplify laparoscopic feeding jejunostomy and improve clinical practice.