Post written by Matheus C. Franco, MD, from the Cleveland Clinic Foundation, in Cleveland, Ohio, USA. A 61-year-old female presented with poor appetite, weight loss, and diarrhea. CT scan from outside hospital showed no significant abnormalities. Further investigation with MRI revealed a 1.4 cm cystic lesion in the body of pancreas with wall thickness and enhancing …
Continue reading Pancreatic pseudoaneurysm mimicking cystic neoplasm with worrisome features
Post written by Andrew P Wright, MD and Anoop Prabhu, MD, from the University of Michigan Health System in Ann Arbor, Michigan, United States. We present a case of a 58-year-old man with decompensated cirrhosis and transfusion-dependent anemia with nodular gastric antral vascular ectasia (GAVE) refractory to multiple treatment sessions with mucosal ablative therapies that we …
Continue reading Stepwise endoscopic eradication of GAVE using detachable snare and band ligation
Post written by Hideaki Koga, MD and Akio Katanuma, MD from the Center for Gastroenterology at Teine-Keijinkai Hospital in Sapporo, Japan. A 76-year-old man who underwent laparoscopic cholecystectomy (LC) and pancreaticoduodenectomy presented with repeated cholangitis. CT showed mild dilation of the bile duct with an enhancing wall, and the surgical clips after LC located near …
Continue reading Surgical clip removal using short-type single-balloon enteroscope
Post written by Dr. Harry Aslanian from the Section of Digestive Diseases at Yale University. We thought it would be interesting for non-endosonographers to see how easily and quickly ROSE can provide diagnostic information. Among endosonographers, there is local variation in cytopathologists’ comfort level with pancreas cytology and variable interest in ROSE. While some centers have …
Continue reading Clinical Utility of Rapid On-site Cytopathology
Post written by Vivek Kumbhari, MD, at Johns Hopkins Hospital in Baltimore, Maryland, USA. Weight regain after Roux-en-Y gastric bypass (RYGB) is common and is partially attributable to dilatation of the gastrojejunostomy (GJ), which diminishes the restrictive capacity of RYGB. Endoscopic revision of dilated GJ, called transoral outlet reduction (TORe), has been proved effective in …
Continue reading Demonstration of transoral gastric outlet reduction
Dr. Roy J Mukkada, MD, DNB, from the Department of Gastroenterology & Hepatology, VPS Lakeshore Hospital, Kochi, Kerala, India, presents this video case. A 65-year-old man (an alcoholic and a smoker) presented with recurrent abdominal pain, weight loss, and loss of appetite. He was known to have had chronic calcific pancreatitis since 2014. CT of …
Continue reading EUS-guided coiling for bleeding duodenal collateral vessel
Gabriel D. Lang, MD, from the Division of Gastroenterology, Washington University, Saint Louis, Missouri, presents this video case. A 67-year-old female with locally advanced duodenal adenocarcinoma with previous metal biliary and enteral stents presented with jaundice. The cholangiogram demonstrated a complete obstruction at the proximal end of the stent. Multiple attempts to advance a variety …
Continue reading Completely obstructed bile duct? Let cholangioscopy guide the way
Saikiran Raghavapuram, MD, Mohit Girotra, MD, FACP, and Benjamin Tharian, MD, MRCP, FRACP, from the University of Arkansas for the Medical Sciences present this video case. We present a 63-year-old male with a history of orthotopic liver transplantation 3 years ago, who presented with cholestatic jaundice. Work up revealed severe stricture of proximal common bile …
Continue reading Successful management of ischemic cholangiopathy
Ming-Yan Cai, MD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China, presents this video case. During a regular EGD exam, using a magnifying scope with narrow-band imaging (NBI) function, we observed a very interesting pattern of Ancylostoma duodenale. A male worm was coiled around a female one and the …
Continue reading Mating Ancylostoma Duodenale under Magnifying Endoscopy
Dr. Mohit Girotra, MD, FACP, and Dr. Benjamin Tharian, MD, MRCP, FRACP, from the Stanford University School of Medicine, Stanford, California and the University of Arkansas for Medical Sciences, Little Rock, Arkansas present this video case. A 73-year-old woman with failed prior ERCP for choledocholithiasis underwent successful endoscopic retrograde cholangiopancreatography (ERCP) with extraction of a …
Continue reading Successful removal of deeply migrated pancreatic stent
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