Dr Janey Pratt, Assistant Professor of Surgery at Harvard Medical School and Massachusetts General Hospital, delivered grand rounds at the MGH GI unit on the topic of weight-loss surgery. The presentation was recorded April 7, 2012. [...]
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Introduction: An 80 yo male was referred for jaundice due to cancer of the pancreatic head resulting in obstruction of the distal common bile duct (CBD). An attempt at ERCP had already been undertaken but failed due to periampullary tumour invasion and ulceration. Informed consent for attempted EUS guided access to the biliary tree was given after [...]
A 61 y/o otherwise healthy man presented to his primary care provider complaining of 2 years of intermittent dysphagia primarily to meat. An esophogram revealed a large polypoid filling defect in the thoracic esophagus and he was referred for an EGD. Upon further questioning, the patient stated that he had intermittently had difficulty breathin [...]
A 68 year old African American female with a history of diabetes, hypertension, hyperlipidemia, diverticulosis, and arthritis presented with complaints of palpitations. She was tachycardic on admission with a pulse of 105. Further history revealed she had noted darkened stools 3 weeks prior to presentation. She also complained of occasional naus [...]
Cholangioscopy has an increasingly important role in the diagnosis and treatment of biliary and pancreatic diseases. Initiative attempts were made during late 1970s, but due to the technical difficulties the procedure did not find a place in routine endoscopic practice (1,2). Over the past 20 years miniature scopes were designed which pass through [...]
Dr Gregory Lauwers, Professor at the Department of Pathology at Harvard Medical School, presented clinical grand rounds for the MGH GI Unit. The presentation was recorded on February 7, 2012. [...]
Dr Garret Cullen, Assistant Director of the Center for Inflammatory Bowel Disease at Beth Israel Deaconess Medical Center, presented clinical grand rounds at the MGH GI Unit on January 24, 2012. [...]
The patient had undergone cholecystectomy for calculous gallbladder disease, followed by ERCP with biliary stent placement. He was referred for endoscopic removal of a proximally migrated biliary stent. Scout film obtained at the time of ERCP showed a 10-French plastic biliary stent predominantly within the left intrahepatic biliary tree. Attemp [...]
An 82-year-old male with a history of coronary artery disease, obesity, and atrial fibrillation on chronic anticoagulation with warfarin presented to the emergency department with melena. He denied any abdominal pain, nausea, vomiting, hematemesis, or lightheadedness. He does have chronic pain and ran out of his acetaminophen/hydrocodone and subs [...]
Dr Brenna Casey Bounds, Assistant Professor at Harvard University Medical School and Massachusetts General Hospital, delivered grand rounds at the MGH GI Unit on the topic of autoimmune pancreatitis. Clinical cases are presented. [...] |
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