Gastric Adenoma Resection in a Patient with Lynch Syndrome
Surveillance EGD in Lynch syndrome found a 20 mm flat fundic adenoma. Hot EMR resected intestinal-type adenoma with low-grade dysplasia.
Gastrointestinal Manifestations of Systemic Sclerosis
On this pageDiagnosis·History·Findings·Technique·Discussion·References Case Report Susan Feldman, MD and Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Department of Gastroenterology, Carilion Clinic / Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Figure 1 · Endoscopic findings (A) Esophageal motility disorder with dilation and retained secretions. (B) Megaduodenum with wide separation between Kerckring folds. (C) Mega […]
Endoscopic Placement of Colonic Self-Expanding Metal Stent for Malignant Obstruction
On this pageDiagnosis·History·Findings·Technique·Discussion·References Case Report Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Carilion Clinic / Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Figure 1 · Endoscopic and fluoroscopic steps Figure 1. (A-C) CT showing metastasis and dilated bowel with the obstructing lesion marked. (D) Endoscopic view of the tight distal sigmoid stenosis. (E-F) […]
Acetic Acid Chromoendoscopy in Barrett Esophagus for Dysplasia Detection
On this pageHistory·Findings·Technique·Discussion·References Case Report Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Experienced teaching points Clinical Pearls 01Acetic acid chromoendoscopy enhances the detection of dysplasia in Barrett esophagus by highlighting areas with altered cellular pathology. 02A 2.5% acetic […]
Endoscopic Placement of a Self-Expanding Metal Stent for Obstructing Sigmoid Diverticulitis
On this pageHistory·Findings·Technique·Discussion·References Case Report Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Experienced teaching points Clinical Pearls 01Self-expanding metal stents serve as an effective bridge to surgery for decompression of benign colonic obstructions, such as those caused by […]
Endoscopic Balloon Dilation of a Benign Duodenal Stenosis
On this pageHistory·Findings·Technique·Discussion·References Case Report Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Experienced teaching points Clinical Pearls 01Guidewire placement is critical for safe endoscopic balloon dilation of duodenal stenoses, preventing distal perforation. 02Direct endoscopic visualization during balloon inflation […]
Pseudo-Mirizzi on ERCP: A Warning Sign for Vanishing Calot Syndrome
On this pageHistory·Findings·Discussion·References Case Report Juan De Dios Díaz Rosales, MD, MSc and Daniel A. Portillo-Rodríguez, MD Gastrointestinal Endoscopy Surgeon at Instituto Mexicano del Seguro Social and Universidad Autónoma de Ciudad Juárez. His clinical and academic interests include digestive diseases, biliary tract disorders, and therapeutic endoscopy. Experienced teaching points Clinical Pearls 01Subsequent surgery confirmed an […]
Small Bowel Bleeding Due to GIST
On this pageHistory·Classification of Small Bowel GIST·References Case Report Klaus Mönkemüller , MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Small Bowel Bleeding Due to GIST 50 Experienced teaching points Clinical Pearls 01Small-bowel GISTs account for 30% of all GISTs and tend to be more aggressive […]
Esophageal Intramural Pseudodiverticulosis (EIP)
On this pageHistory·References Case Image Reid Wasserman, DO and Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Experienced teaching points Clinical Pearls 01EIP is characterized by multiple tiny, flask-shaped outpouchings within the esophageal wall, representing dilated excretory ducts of submucosal glands rather than true diverticula. […]
Endoscopic Resection of Large Duodenal Lipoma
On this pageHistory·Key Aspects When Resecting a Duodenal Lipoma·References Case Report Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Experienced teaching points Clinical Pearls 01Fat tissue increases electrical resistance. Use pure cutting current only (never coagulation) and pre-inject + circumferential incision before snare resection […]
Technical Tips and Tricks in ERCP: Fully Covered Metallic Stent-Assisted Direct Cholangioscopy
On this pageHistory Technique Article Ali Safdar Khan, MD, MSPH and Klaus Mönkemüller, MD, PhD, FASGE (USA), FJGES (Japan), FESGE (Europe) Professor of Medicine, Department of Gastroenterology, Ameos Klinikum Halberstadt, Germany and Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Experienced teaching points Clinical Pearls 01Direct cholangioscopy using ultraslim endoscopes may fail […]