Rodolfo Valentino Syndrome: Perforated Duodenal Ulcer Mimicking Appendicitis
By Joel Joseph, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES, FESGEDepartment of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Case Presentation: 80-year-old patient with history of lung cancer on immune checkpoint inhibitor therapy presented with acute right lower abdominal pain, elevated inflammatory markers and mild lactic acidosis. The patient […]
Tools of the Trade: The Retentia ® Clip
Tools of the Trade: The Retentia ® Clip Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Figure 1. Retentia Clip. Key technical information. The Retentia Clip has some interesting and nice features: It is rotatable, It can be deployed with scope in retroflexed […]
Ileum Intubation Made Easy
A Pro Tip for Clipping Mallory-Weiss Tears
What’s your strategy for clipping a Mallory-Weiss tear? A common mistake is starting proximally. For a more secure closure, place the first clip distally (furthest from the scope). Then, place subsequent clips proximally to create a stable V- or Y-shape, as shown in this diagram from our new guide. This is a preview of the […]
Technical Review: Endoscopic Resection of a Cardia Polyp Inside a Hiatal Hernia Sack Using the Duette Device
by Diana Dougherty, MD, and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A middle-aged male patient presented for EGD because of dyspepsia and heartburn. On EGD he was found to have erosive reflux esophagitis grade C based on the Los Angeles classification, […]
Technical Review: Esophageal Dilation with the BougieCap
Luka K. Schöpf, MS, Josip Juraj Strossmayer Universität Osjiek, Croatia, Ameos Klinikum Halberstadt, Germany Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Professor of Medicine, Department of Gastroenterology, Ameos Klinikum Halberstadt, Germany, UEES Guayaquil, Ecuador, Universidad de la República, Uruguay and Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 72-year-old man presented with […]
Marking Technique for Identifying and Resection Flat Colon Polypoid Lesions or Polyps in Difficult Locations
By Klaus Mönkemüller, MD, PhD, FASGE, FJGES and Reid Wasserman, DO Virginia Tech Carilion School of Medicine, Virginia, USA One of the most frustrating aspects of dealing with small, flat, diminutive colon polypoid lesions or those lying in awkward location is their “disappearance” during colonoscopy, especially when the colon is not perfectly well prepped or […]
Caps in GI Endoscopy
Question What is the best way to inspect the papilla of Vater in the abscence or lack of availability of a duodenoscope (side-viewing scope, ERCP scope)? Answer Today we present a useful tip for inspection of the papilla of Vater using distal transparent cap. A close and detailed inspection of the major papilla may be […]
Cronkhite Canada Syndrome (CCS)
A 48-year-old woman presented with chronic diarrhea and loss of taste. On clinical exam she appeared pale, had brittle nails and had partial hair loss. She was found to have severe iron deficiency anemia. Colonoscopy showed multiple reddish, edematous mucosal streaks and polyps and pseudopolyps ranging from 5 to about 20 mm. On EGD […]
The MIRacle Sign
Adil S. Mir MD FACP; Klaus Mönkemüller MD, PhD, FASGE, FJGES Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Upper gastrointestinal (GI) endoscopy or esophagogastroduodenoscopy (EGD) continues to be an extremely useful diagnostic tool for perspicuous macroscopic findings. Besides, attention to detail remains of utmost significance in deciphering clinical clues to rather uncommon pathophysiology. […]