Small Bowel Bleeding Due to GIST
CASE REPORT Gastrointestinal stromal tumors (GIST) are mesenchymal neoplasms arising from the cells of Cajal. While most GISTs are gastric, 30% occur in the small bowel and tend to be more aggressive, with a 5-year survival rate of 25%. Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, […]
Esophageal Intramural Pseudodiverticulosis (EIP)
CASE IMAGE Esophageal intramural pseudodiverticulosis (EIP) is an uncommon, benign condition characterized by multiple tiny, flask-shaped openings within the wall of the esophagus, representing dilated excretory ducts of the esophageal submucosal glands. Reid Wasserman, DO Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of […]
Endoscopic Resection of Large Duodenal Lipoma
CASE REPORT Large duodenal lipomas can cause obstruction, intussusception, and bleeding. Endoscopic resection requires special consideration because fat tissue increases electrical resistance, necessitating pure cutting current and a pre-injection technique. Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA ⚡ Clinical Pearl Fat tissue increases […]
Technical Tips and Tricks in ERCP: Fully Covered Metallic Stent-Assisted Direct Cholangioscopy
TECHNIQUE ARTICLE Direct cholangioscopy using ultraslim endoscopes enables diagnostic and therapeutic interventions of the biliary tract. However, failure rates reach up to 15%, mainly due to cannulation difficulty. We present the novel concept of stent-assisted direct cholangioscopy. Ali Safdar Khan, MD, MSPH Division of Gastroenterology, Baptist Health, Little Rock, Arkansas, USA Klaus Mönkemüller, MD, PhD, […]