Endoscopic resection of a duodenal Brunner gland hamartoma presenting with GI bleeding

Post written by Tara Keihanian, MD, MPH, and Sunil Amin, MD, MPH, from the Department of Medicine, Division of Gastroenterology, University of Miami Miller School of Medicine, Miami, Florida. A 64-year-old man with multiple comorbidities presented to our hospital with a 3-day history of weakness, melena, and acute anemia. Upper endoscopy (EGD) showed a large …

Continue reading Endoscopic resection of a duodenal Brunner gland hamartoma presenting with GI bleeding

Endoscopic closure assisted by a novel traction device after duodenal ESD

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 58-year-old man was found to have a flat-elevated lesion of 20 mm in size in the second portion of the duodenum. We selected endoscopic submucosal dissection (ESD) for en bloc resection because endoscopic mucosal resection …

Continue reading Endoscopic closure assisted by a novel traction device after duodenal ESD

Failure of over-the-scope clip to control duodenal ulcer bleeding despite successful application

Post written by Calvin J. Koh, MBBS, from the Division of Gastroenterology and Hepatology, Medicine, National University Hospital, and Faculty of Medicine, National University of Singapore, Singapore. This case shows a patient with a large, oozing (Forrest 1b) duodenal ulcer for which an over-the-scope clip was deployed successfully to the ulcer base with the bleeding …

Continue reading Failure of over-the-scope clip to control duodenal ulcer bleeding despite successful application

Nonampullary duodenal subepithelial neuroendocrine tumor removed R0 by ESD

Post written by Borathchakra Oung, MD, from the Department of Endoscopy and Gastroenterology, Edouard Herriot Hospital, Lyon, France. Managing lesions endoscopically in the duodenum can be challenging due to its thin wall and anatomically narrow lumen that limit endoscope maneuver. We reported a case of a subepithelial neuroendocrine tumor located in duodenal bulb just behind …

Continue reading Nonampullary duodenal subepithelial neuroendocrine tumor removed R0 by ESD

Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction

Post written by Keshav Kukreja, MD, Aman Deep, MD, and Tomas DaVee, MD, MSCI, from the Department of Gastroenterology, USF Health Morsani College of Medicine, Tampa, Florida, and the Interventional Gastroenterology at the University of Texas (iGUT), McGovern Medical School at UTHealth, Memorial Hermann Hospital, Houston, Texas, USA. Our video case describes a 57-year-old woman …

Continue reading Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction

Gastric and duodenal pseudomelanosis: a new insight into its pathogenesis

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a case of gastric and duodenal pseudomelanosis; its full development was documented on serial upper endoscopies over 2 years, preceded by an 18-month daily iron supplement, interval development of iron …

Continue reading Gastric and duodenal pseudomelanosis: a new insight into its pathogenesis

Duodenal ESD for a large protruded lesion located just behind the pyloric ring

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 72-year-old man was found to have a large protruded tumor measuring approximately 60 mm in diameter in the duodenal bulb. He underwent ESD under general anesthesia in the operating room. After local injection of sodium hyaluronate …

Continue reading Duodenal ESD for a large protruded lesion located just behind the pyloric ring

Successful ex-vivo probe-based confocal laser endomicroscopy of a superficial nonampullary duodenal epithelial tumor

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 65-year-old woman was found to have a flat-elevated tumor measuring approximately 55 mm in diameter in the second part of the duodenum by endoscopy. The preoperative histological diagnosis by biopsy sampling was high-grade intraepithelial neoplasia. …

Continue reading Successful ex-vivo probe-based confocal laser endomicroscopy of a superficial nonampullary duodenal epithelial tumor