The Hybrid ESD-EMR Technique Explained
Introduction: When it comes to endoscopic resection, ensuring complete lesion removal can be a challenge. However, the game-changer has arrived: The Hybrid ESD-EMR Technique. Klaus Mönkemüller sheds light on this advanced method designed for the complete resection of lesions in the colorectal, esophagus, and stomach areas. Key Takeaways: Conclusion: The Hybrid ESD-EMR endoscopic resection technique […]
Abdominal Pain, Jaundice and Melena – Think of Hemobilia
A 58-year-old patient with NAFLD, diabetes mellitus and hypertension underwent a liver biopsy for a 3 cm nodule in segment VI of the liver. About 24-hours later the patient complained of acute onset abdominal pain, followed by jaundice and chills. He also had melenic stools. On arrival to the emergency room his blood pressure was […]
Understanding the Phrygian Cap Gallbladder: Common Congenital Variation and Its Implications
Phrygian Cap Gallbladder: At a Glance What is it? A congenital abnormality of the gallbladder. Incidence: Found in 4% of the population. Appearance on Imaging: Can mimic a liver mass, leading to potential misinterpretation. Pathological Significance: None. It’s not a disease or a harmful condition. Symptoms: Typically none. However, if it causes symptoms like biliary […]
Cavernous Lymphangioma in Small Bowel: Causes, Symptoms, and Treatment Options
Case Presentation: About Cavernous Lymphangiomas: Symptoms & Complications: Endoscopic Recognition: Treatment Options: Conclusion: Cavernous lymphangiomas, though rare, present potential complications. Medical professionals should be well-informed about them and the available treatment options. Read more: https://www.thepracticingendoscopist.com/p/mid-gi-bleeding-of-obscure-cause
Understanding Cronkhite-Canada Syndrome
By Klaus Mönkemüller, MD, PhD, FASGE, FJGES Cronkhite-Canada Syndrome (CCS) is a rare, non-inherited gastrointestinal condition of unknown etiology, often presenting as a diagnostic challenge with multiple symptoms, which may be vague and non-specific. Case presentation: A 48-year-old woman presented with chronic diarrhea and loss of taste. On the clinical exam she appeared pale, had […]
Pneumatosis Coli: Characteristics, Diagnosis, and Etiologies
An elderly patient presented with abdominal pain, diarrhea, and fever. A colonoscopy found pneumastosis coli in sigmoid colon polypoid lesions ranging from 10 to 30mm in size. This article describes the diagnosis, characteristics, and etiologies of pneumatosis coli. Key Points: Conclusion:Pneumatosis coli is a condition with multiple potential etiologies that can present in children and […]
(DIE) – Dabigatran-Induced Exfoliative Esophagitis
Non-vitamin K anticoagulants (NOAC), also known as direct oral anticoagulants (DOAC) are now commonly used for a variety of conditions requiring chronic anticoagulation. The dabigatran pellets are covered with a tartaric acid core. This strong acid may result in squamous epithelial damage with ensuing exfoliative esophagitis. Elderly patients are more prone to suffer esophageal damage […]
Tattooing – Tips and Tricks for the Best India Ink Tattoo
India ink tattooing is a crucial technique in endoscopy, allowing surgeons to locate and resect lesions precisely, enabling minimally invasive approaches. Proper Injection Technique Avoid transmucosal or full-thickness needle insertion to prevent intraperitoneal injection and potential complications. Create a submucosal cushion by injecting saline first, followed by the ink, ensuring the ink remains contained within […]
Gastric Hyperplastic Polyps
Question: A routine EGD for GERD, found to have one gastric polyp 8mm – turned out to be a hyperplastic polyp in at 45M? No H. pylori, no atrophy. Follow up? Short answer: No surveillance is necessary in this patient, especially because the patient is NOT infected with H. pylori and there was no gastric […]
Does the White Deposit (Chicken Skin Sign) Around the Base of the Polyps Have Any Prognostic Value?
“Chicken skin” mucosa (or “goose skin” in German-speaking countries, or “fish skin” in the Mediterranean and some Far East countries) was first described in Western countries in 1998 by Shatz et al. (Am J Gastroenterol). The authors found that CSM was associated frequently with adenomatous polyps and adenocarcinoma. Histologically, CSM is caused by an accumulation […]