Device Review: How to Place a Rectal Decompression Tube Through-The-Scope
by Diana Dougherty, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 40-year-old pregnant woman presented with acute constipation and abdominal distention. A sigmoid volvulus was diagnosed (Figure 1). There was a transition point in the sigmoid colon with a […]
Endoscopic Removal of a Pen Inside the Stomach Using the Soft, Mega, Distal Transparent Cap
Anand Dwivedi, MD Carilion Memorial Hospital Virginia Tech Carilion School of Medicine Roanoke Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA There is a myriad of instruments to remove swallowed objects greater than 6 cm in length (such as pens, pencils, and toothbrushes) including nets (e.g. […]
Cecal Volvulus
Jacob C Davis, DO Internal Medicine Resident, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA A 61-year-old male with a past medical history significant for DVT/PE on Eliquis and HTN presented to the emergency room […]
Therapeutic Dilemma: Barrett Esophagus in the Setting of Esophageal Varices
by Hiral Patel, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 50-year-old patient was sent to our endoscopy service because of Barrett’s esophagus and esophageal varices. He had been biopsied at another institution for a tongue of cylindrical epithelium […]
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 […]