Esophageal Intramural Pseudodiverticulosis (EIP)
Reid Wasserman, DO Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Esophageal intramural pseudodiverticulosis (EIP) is an uncommon, benign condition characterized by multiple tiny, flask-shaped openings (in barium esophagogram – outpouchings) (tiny diverticula) […]
Transient or “Left”-Sided Ischemic Colitis: Case Reports With Focus on its Endoscopic Spectrum
By Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Troy Pleasant, MD, and Anand Dwivedi, MD Virginia Tech Carilion School of Medicine, Virginia, USA Transient or left-sided ischemic colitis is the most common type of ischemia of the gastrointestinal tract. Indeed, ischemic colitis is the second or third most common cause of lower GI bleeding. Herein we […]
Hemostasis of Bleeding Duodenal Ulcer Using Injection Gold Probe
Diana Dougherty, MD, and Klaus Mönkemüller, MD, PhD, FASGE, FJGESDepartment of Gastroenterology, Carilion Memorial Hospital, VirginiaVirginia Tech Carilion School of Medicine, Roanoke, USA An 80-year-old man presented with melena. Esophagogastroduodenoscopy (EGD) revealed a large duodenal ulcer with a visible vessel, located anteriorly (Figure 1). Hemostasis was achieved with combination injection and compression electrocoagulation therapy using […]
Dieulafoy Lesion of the Duodenum
Dieulafoy Lesion of the Duodenum Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An 72-year-old female with past medical history of chronic kidney disease stage IV, type 2 diabetes mellitus, atrial fibrillation presented with recurrent overt gastrointestinal bleeding (melena and hematemesis, hemoglobin 7.1 […]
The Irony of Iron: Gastric Ulcer due to Iron Pills
Rami Musallam, MD, Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Andres Gutierrez, MD, Gastroenterology Fellow, Clinica de Gastroenteroogi “Prof. Carolina Olano”, Hospital de Clinicas, Universidad de La Republica, Uruguay and Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech […]
Esophageal Varix with Nipple Sign
Rami Musallam, MD, Gastroenterology Fellow, Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Professor of Medicine Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 50-year-old patient with a history of cirrhosis due to ethanol use presented to the emergency room with hematemesis and melena for one day. The patient had clinical […]
Quick Endoscopic Diagnostic Tip: Kissing Ulcers of the Duodenum
Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA The term “kissing ulcers” of the duodenum describes the presence of two different ulcers facing each other, usually one located anteriorly and the other posteriorly. It appears that the original description was in the surgical literature by […]
Quick Endoscopic Diagnostic Tip: Iron Pill Gastritis
Jay Bapaye, MD, Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA David Lebel, MD, Assistant Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA 60-year-old male patient with multiple medical problems, […]
Endoscopic Tips and Tricks: First-Line Monotherapy with Over-The-Scope-Clip for Massive Bleeding due to Duodenal Ulcer with Huge Visible Vessel
Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA A middle-aged patient was admitted with hematemesis and hemorrhagic shock. After hemodynamic stabilization, EGD was performed, showing active bleeding and a partially adherent blood clot on a huge duodenal ulcer. The blood and blood clot were removed with […]
Immune Checkpoint Inhibitor Induced Colitis or “Immune Mediated Colitis”
by Hiral Patel, MD, Robert Moylan, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 70-year-old woman with history of metastatic melanoma on treatment with ipilimumab presented with acute onset abdominal pain and bloody bowel movements. Figure 1. Immune checkpoint […]