Emesis or Prolapse Gastropathy
by Subhash Garikipati, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 35-year-old man presented with nausea and vomiting followed by hematemesis. During EGD prolapse gastropathy was diagnosed (Figure 1). Figure 1. Prolapse gastropathy. Upper panels show the patchy area […]
Cap-Assisted Push Enteroscopy Argon Plasma Coagulation
Jay Bapaye, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An-year-old man presented with melena. Esophagogastroduodenoscopy (EGD) and colonoscopy were unremarkable. Capsule endoscopy showed active bleeding from the proximal jejunum, approximately 15 minutes after the capsule passed through the pylorus. The […]
Gastric Antral Vascular Ectasia (GAVE) in Heyde Syndrome
Jay Bapaye, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An 80-year-old female with past medical history of chronic kidney disease stage IV, type 2 diabetes mellitus, quadruple coronary artery bypass, aortic and mitral stenosis treated with bioprosthetic aortic and mitral […]
Device Review: How to Place a Rectal Decompression Tube Through-The-Scope
by Diana Dougherty, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 40-year-old pregnant woman presented with acute constipation and abdominal distention. A sigmoid volvulus was diagnosed (Figure 1). There was a transition point in the sigmoid colon with a […]
Endoscopic Removal of a Pen Inside the Stomach Using the Soft, Mega, Distal Transparent Cap
Anand Dwivedi, MD Carilion Memorial Hospital Virginia Tech Carilion School of Medicine Roanoke Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA There is a myriad of instruments to remove swallowed objects greater than 6 cm in length (such as pens, pencils, and toothbrushes) including nets (e.g. […]
Cecal Volvulus
Jacob C Davis, DO Internal Medicine Resident, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA A 61-year-old male with a past medical history significant for DVT/PE on Eliquis and HTN presented to the emergency room […]
Therapeutic Dilemma: Barrett Esophagus in the Setting of Esophageal Varices
by Hiral Patel, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 50-year-old patient was sent to our endoscopy service because of Barrett’s esophagus and esophageal varices. He had been biopsied at another institution for a tongue of cylindrical epithelium […]
How to Deploy a Capsule Endoscope During EGD
by Joel Joseph, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An elderly lady with obscure occult gastrointestinal bleeding could not swallow the capsule endoscope (CE) (PillCam) (Figure 1A). Therefore, an EGD was scheduled to introduce the capsule endoscope into […]
Endoscopic Utensil Description: The Duette Multiband Mucosectomy Device
by Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA The Duette device (Figure 2, Figure 1D) is essentially an endoscopic banding device for varicesaccompanied by a hexagonal snare. Let’s dwell into this practical device used for endoscopic resection. The objective of suctioning and banding gastrointestinal […]
Top Tips for Dealing With a Colon Polyp in a Difficult Situation
by Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Traditionally difficult polyps have been defined by their shape (e.g. larger than 20 mm, flat, thick stalk) or location (cecum, angulated part of colon, close to appendix orifice or diverticulum). However, we believe that […]