Quiz Answer: Is This Paris 0-Is, Kudo IIIL Colon Polyp Resectable?
A 35-year-old with Lynch Syndrome. Sessile Paris 0-Is, Kudo IIIL polyp. Non-lifting sign on injection. Final diagnosis: invasive adenocarcinoma. Full endoscopic teaching analysis.
Esophageal Inlet Patch Causing Acute Dysphagia and Food Impaction
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 Correspondence: Klaus Mönkemüller, MD, PhD — Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Abstract Background: Esophageal inlet patches are areas of […]
Ileal Carcinoid Tumor: Endoscopic Diagnosis of a Neuroendocrine Tumor with G1 Differentiation
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 Co-authors: Jay Bapaye, MD; Kerry Whitt, MD — Department of Gastroenterology, Virginia Tech Carilion School of Medicine, Roanoke, USA Correspondence: Klaus Mönkemüller, MD, PhD — Department of Gastroenterology, Carilion […]
Fully Covered Self-Expanding Metal Stent for Esophago-Pulmonary Fistula
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 Correspondence: Klaus Mönkemüller, MD, PhD — Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Abstract Background: Esophago-pulmonary fistulae are rare but serious […]
Severe Gastric Ulcers due to Radiation with Yttrium-90 Microspheres
A 75-year-old woman with hepatocellular carcinoma developed severe gastric ulcers following Yttrium-90 transarterial radioembolization — a complication occurring in 2–4% of cases that is often refractory to PPI therapy due to transmural radiogenic damage.
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 […]
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 […]