A Pro Tip for Clipping Mallory-Weiss Tears
What’s your strategy for clipping a Mallory-Weiss tear? A common mistake is starting proximally. For a more secure closure, place the first clip distally (furthest from the scope). Then, place subsequent clips proximally to create a stable V- or Y-shape, as shown in this diagram from our new guide. This is a preview of the […]
Technical Review: Endoscopic Resection of a Cardia Polyp Inside a Hiatal Hernia Sack Using the Duette Device
by Diana Dougherty, MD, and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A middle-aged male patient presented for EGD because of dyspepsia and heartburn. On EGD he was found to have erosive reflux esophagitis grade C based on the Los Angeles classification, […]
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 […]
Caps in GI Endoscopy
Question What is the best way to inspect the papilla of Vater in the abscence or lack of availability of a duodenoscope (side-viewing scope, ERCP scope)? Answer Today we present a useful tip for inspection of the papilla of Vater using distal transparent cap. A close and detailed inspection of the major papilla may be […]
Cronkhite Canada Syndrome (CCS)
A 48-year-old woman presented with chronic diarrhea and loss of taste. On clinical exam she appeared pale, had brittle nails and had partial hair loss. She was found to have severe iron deficiency anemia. Colonoscopy showed multiple reddish, edematous mucosal streaks and polyps and pseudopolyps ranging from 5 to about 20 mm. On EGD […]
The MIRacle Sign
Adil S. Mir MD FACP; Klaus Mönkemüller MD, PhD, FASGE, FJGES Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Upper gastrointestinal (GI) endoscopy or esophagogastroduodenoscopy (EGD) continues to be an extremely useful diagnostic tool for perspicuous macroscopic findings. Besides, attention to detail remains of utmost significance in deciphering clinical clues to rather uncommon pathophysiology. […]
Gastrointestinal Bleeding due to Amyloidosis: Investigating the Intersection of Rheumatoid Arthritis, Gastrointestinal Bleeding, and Amyloidosi
This blog post explores one such intersection – Rheumatoid Arthritis, Gastrointestinal Bleeding, and Amyloidosis. The insights shared in this post are based on the extensive research and clinical experience of…
Cameron Lesions
By: Jonathan Rozenberg, DO, MPH, Internal Medicine Resident; Klaus Mönkemüller, , MD, PhD, FASGE (USA), FJGES (Japan), Professor of Medicine; Adil, Mir, MD, FACP Institution: Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Cameron lesions refer to linear erosions or ulcerations of the gastric mucosal folds in patients with a large hiatal hernia that […]
Treating Upper Gastrointestinal Bleeding: An Update on Endoscopic Techniques
By William F. Abel, MD, Internal Medicine Resident, and Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Professor of Medicine Virginia Tech Carilion School of Medicine, Virginia, USA Upper gastrointestinal (GI) bleeding encompasses hemorrhage anywhere from the esophagus to the distal duodenum due to myriad etiologies including peptic ulcers, tumors, vascular malformations, esophageal varices, hemosuccus pancreaticus and […]
Improving Colonoscopy Prep and Achieving Better Boston Bowel Preparation Scores
Colon cancer is the second leading cause of cancer death in the United States, with over 50,000 deaths annually. The good news is that colon cancer is preventable with proper screening. Colonoscopies allow doctors to visualize the entire colon and detect precancerous polyps before they become cancerous. However, colonoscopies cannot accurately identify polyps and early […]