Post written by Mohannad Abou Saleh, MD, Catherine Vozzo, DO, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe the EUS diagnosis of a type IIIA choledochal cyst in an 81-year-old woman with a history of diabetes mellitus type II, hypertension, hyperlipidemia, GERD, and irritable bowel …
Continue reading EUS diagnosis of asymptomatic type III choledochal cyst
Post written by Rami Archid, MD, from the Department of General, Visceral and Transplant Surgery, Eberhard-Karls-University Hospital, Tuebingen, Germany. A 61-year-old male patient was treated for Siewert type I gastroesophageal junction adenocarcinoma. Neoadjuvant chemotherapy using FLOT regimen (5-fluorouracil, leucovorin, oxaliplatin, docetaxel) with Trastuzumab was followed by esophagectomy with cervical esophagogastrostomy. On postoperative day 3, he …
Continue reading Endoscopic negative pressure therapy for upper gastrointestinal leaks
Post written by Wei An, MD, Dan Wang, MD, and Liang-Hao Hu, MD, from the Department of Gastroenterology, ChangHai Hospital, The Second Military Medical University, Shanghai, China. A 69-year-old man with a history of chronic pancreatitis was referred to our hospital for severe abdominal distention and vomiting. Computed tomography revealed multiple pancreatic calcifications and a …
Post written by Bo Sun, MD, from the Department of Gastroenterology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. This case was a 40-year-old woman with a 2-month history of increased bowel movements and feelings of incomplete evacuation. Her colonoscopy detected a rectal submucosal elevation with unrevealing biopsy results. Pelvic MRI suggested a rectal …
Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California. EUS-guided gastroenterostomy is increasingly utilized to treat gastric outlet obstruction after surgery. We describe a case of EUS-guided gastroenterostomy facilitated by extrinsic abdominal compression to treat gastric obstruction following surgical resection of a gastrointestinal stromal tumor. A 77-year-old woman underwent laparoscopic resection of …
Post written by Hirosato Tamari, MD, from the Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan. A 67-year-old man underwent a positron emission tomography/computed tomography (PET/CT) scan for thyroid cancer and was found to have an accumulation in the cecum (SUVmax value: 8.1) and in the thyroid gland. Colonoscopy revealed a pedunculated appendiceal polyp. The …
Continue reading Use of a new traction device to expose the base of a pedunculated appendiceal polyp
Post written by Omar Sadiq, MD, from the Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan. We present a case of a 70-year-old woman who developed a colovaginal fistula following debulking surgery for stage 3 ovarian carcinoma. She refused further surgical intervention, and endoscopic interventions such as over-the-scope clips and endoscopic suturing were not successful. …
Continue reading Colovaginal fistula closure using a cardiac septal defect occluder
Post written by Ravishankar Asokkumar, MBBS, MRCP, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, and DUKE-NUS Graduate Medical School, Singapore. We described a case demonstrating the endoscopic closure technique of a large iatrogenic gastric perforation presenting in a delayed fashion. The perforation was closed using multiple over-the-scope clips, and we avoided surgery. …
Continue reading Delayed endoscopic closure of a giant gastric perforation
Post written by Hassan Atalla, MSc, and Arata Sakai, MD, PhD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt, and the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. A 60-year-old man with history of Roux-en-Y hepaticojejunostomy for …
Post written by Nao Fujimori, MD, PhD, from the Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Hemobilia is a rare but life-threatening adverse event related to pancreato-biliary diseases, transhepatic percutaneous, or endoscopic interventions. The rupture of the pseudoaneurysm after a plastic stent or self-expandable metallic stents (SEMSs) …
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