Endoscopic Resection of Giant Gastric Polyp to Treat Upper GI Bleeding
Endoscopic Resection of Giant Gastric Polyp to Treat Upper GI Bleeding Anand Dwivedi, MD Gastroenterology Fellow, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA An elderly patient presented with massive hematemesis and drop in hemoglobin from […]
Quick Endoscopic Diagnostic Tip: Kissing Ulcers of the Duodenum
Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA The term “kissing ulcers” of the duodenum describes the presence of two different ulcers facing each other, usually one located anteriorly and the other posteriorly. It appears that the original description was in the surgical literature by […]
Quick Endoscopic Diagnostic Tip: Iron Pill Gastritis
Jay Bapaye, MD, Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA David Lebel, MD, Assistant Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA 60-year-old male patient with multiple medical problems, […]
Endoscopic Tips and Tricks: First-Line Monotherapy with Over-The-Scope-Clip for Massive Bleeding due to Duodenal Ulcer with Huge Visible Vessel
Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA A middle-aged patient was admitted with hematemesis and hemorrhagic shock. After hemodynamic stabilization, EGD was performed, showing active bleeding and a partially adherent blood clot on a huge duodenal ulcer. The blood and blood clot were removed with […]
Immune Checkpoint Inhibitor Induced Colitis or “Immune Mediated Colitis”
by Hiral Patel, MD, Robert Moylan, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 70-year-old woman with history of metastatic melanoma on treatment with ipilimumab presented with acute onset abdominal pain and bloody bowel movements. Figure 1. Immune checkpoint […]
Endoscopic Therapy for Bleeding Jejunal Diverticulum
by Hiral Patel, MD, Robert Moylan, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA How Do You ACTUALLY Master GI Bleeding? Want to see how a world-renowned expert approaches the toughest GI bleeds? Dr. Klaus Mönkemüller has edited a 224-page […]
Cat Scratch Colon
Andres Gutierrez, MD; Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA A 75-year-old woman underwent colonoscopy for obscure gastrointestinal bleeding. Her procedure revealed a tortuous colon with numerous diverticula. Upon entering the ascending colon and cecum, multiple red mucosal lesions were found […]
Emesis or Prolapse Gastropathy
by Subhash Garikipati, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 35-year-old man presented with nausea and vomiting followed by hematemesis. During EGD prolapse gastropathy was diagnosed (Figure 1). Figure 1. Prolapse gastropathy. Upper panels show the patchy area […]
Cap-Assisted Push Enteroscopy Argon Plasma Coagulation
Jay Bapaye, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An-year-old man presented with melena. Esophagogastroduodenoscopy (EGD) and colonoscopy were unremarkable. Capsule endoscopy showed active bleeding from the proximal jejunum, approximately 15 minutes after the capsule passed through the pylorus. The […]
Gastric Antral Vascular Ectasia (GAVE) in Heyde Syndrome
Jay Bapaye, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An 80-year-old female with past medical history of chronic kidney disease stage IV, type 2 diabetes mellitus, quadruple coronary artery bypass, aortic and mitral stenosis treated with bioprosthetic aortic and mitral […]