Inflammatory Fibroid Polyps (IFP) or Vanek Tumors of the GI Tract

The images show Vanek tumors of the duodenum (left) and the stomach (right) (Stomach photo by @patholwaker) Inflammatory fibroid polyps (IFP) or “Vanek tumors” are rare submucosal lesions arising from a reactive, benign granuloma-like process of the GI tract (1). This tumor is most commonly located in the stomach (70%), ileum (29%) and colon (6%) (2-4). […]
Mastering the Use of Hemoclips (Through-The-Scope-Clips)

By: By Klaus Mönkemüller, MD, PhD, FASGE, FJGES. Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA Hemoclips, originally designed for hemostasis, are versatile tools that have revolutionized various endoscopic procedures. 1. Understanding Hemoclips Hemoclips are multifaceted tools that currently are used beyond their original purpose of hemostasis, and therefore we will refer […]
Tips for Placement of Clips for Hemostasis

We are excited to bring you a brand new video on “Tips for Placement of Clips for Hemostasis”. In this lecture, we will delve into the important topic of clip placement for achieving hemostasis during medical procedures. >>> Click here to watch the full video Our expert speaker will be discussing the various through the scope clips […]
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 […]