How to Deploy a Capsule Endoscope During EGD
by Joel Joseph, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An elderly lady with obscure occult gastrointestinal bleeding could not swallow the capsule endoscope (CE) (PillCam) (Figure 1A). Therefore, an EGD was scheduled to introduce the capsule endoscope into […]
Endoscopic Utensil Description: The Duette Multiband Mucosectomy Device
by Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA The Duette device (Figure 2, Figure 1D) is essentially an endoscopic banding device for varicesaccompanied by a hexagonal snare. Let’s dwell into this practical device used for endoscopic resection. The objective of suctioning and banding gastrointestinal […]
Top Tips for Dealing With a Colon Polyp in a Difficult Situation
by Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Traditionally difficult polyps have been defined by their shape (e.g. larger than 20 mm, flat, thick stalk) or location (cecum, angulated part of colon, close to appendix orifice or diverticulum). However, we believe that […]
Stent Delivery Device with Transparent Inner Guiding Catheter and How to Place a Plastic Stent into the Bile Duct
By Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA; Universidad de la República, Uruguay; PD at University Otto-von-Guericke, Germany; UEES, Universidad Espiritu Santo, Guayaquil, Ecuador; University of Belgrade, Belgrade, Serbia; J. Strossmeyer University, Osijek, Croatia Newsletter Stent Delivery Device with Transparent Inner Guiding Catheter.pdf 494.71 KB […]
Microscopic Colitis: Not Always “Microscopic”
By Joel Joseph, MD, Troy Pleasant, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Virginia Tech Carilion School of Medicine, Virginia, USA Microscopic Colitis_ Not Always “Microscopic” .pdf 508.35 KB • PDF File Download 80-year-old patient with ongoing watery diarrhea for several weeks. Colonoscopy images shown here. Note that there is significant patchy edema, hypervascularity, […]
Endoscopic Resection of an Esophageal Pseudodiverticulum in Radiation-Induced Stenosis
Peter Jakobs, MS, Josip Juraj Strossmayer Universität Osjiek, Croatia, Ameos Klinikum Halberstadt, Germany Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Professor of Medicine, Department of Gastroenterology, Ameos Klinikum Halberstadt, Germany and Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 62-year-old Caucasian male patient presented with dysphagia due to post-radiogenic esophageal stenosis. The […]
Marking Technique for Identifying and Resection Flat Colon Polypoid Lesions or Polyps in Difficult Locations
By Klaus Mönkemüller, MD, PhD, FASGE, FJGES and Reid Wasserman, DO Virginia Tech Carilion School of Medicine, Virginia, USA One of the most frustrating aspects of dealing with small, flat, diminutive colon polypoid lesions or those lying in awkward location is their “disappearance” during colonoscopy, especially when the colon is not perfectly well prepped or […]