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 […]
What are the Palisade Veins?
The palisade vessels are tiny capillaries (or veins) located in the distal submucosa of the esophagus and are quite important to distinguish esophagus from stomach. Whereas in most countries endoscopists use the beginning of the proximal gastric folds to determine the location of the gastopesophageal junction, in Japan and other astern countries, but also many […]
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 […]
Natural or Biologic Chromoendoscopy for Detection of Colorectal Polyps
By Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, USA The Eye Beats Artificial Intelligence: How Biologic Chromoendoscopy Improves Detection of Colorectal Polyps Introduction Colorectal cancer is one of the most prevalent and fatal cancers globally, resulting in over 900,000 deaths annually. Early detection and removal of […]
An Overview of Segmental Bile Duct Dilation and Caroli’s Disease
The biliary system is responsible for transporting bile from the liver and gallbladder to the small intestine to aid in digestion. It consists of a complex network of ducts that can be affected by myriad disorders. One uncommon abnormality is segmental, or focal, dilation of the bile ducts. This refers to cystic dilatation of portions […]