Endoscopic Diagnosis of Secondary Aortoenteric Fistula

Stanley Yakubov, MD, Albert Einstein College of Medicine, Maimonides Medical Center
Steven Shamah, MD, Albert Einstein College of Medicine, Maimonides Medical Center
Joseph Hanono, MD, Albert Einstein College of Medicine, Maimonides Medical Center
Maryanne Ruggiero, MD, Albert Einstein College of Medicine, Maimonides Medical Center
Ira Mayer, MD, Albert Einstein College of Medicine, Maimonides Medical Center
Jack Braha, DO, Albert Einstein College of Medicine, Maimonides Medical Center

An 88 yr old female presented to the Emergency Department with black tarry stool for two weeks along with weakness, fatigue and hypotension. Past Medical History was significant for Coronary artery disease, Hypertension, Diabetes and a surgical history of AAA repair 8 years prior to admission. On Physical examination temperature was 95.5 degrees [...]

Treatment of Multiple Angioectasias with APC

Christian Jackson, MD, Loma Linda VA Medical Center, Loma Linda University Medical Center
Elliot Joo, MD, Loma Linda VA Medical Center, Loma Linda University Medical Center
Scott Lee, MD, Loma Linda VA Medical Center, Loma Linda University Medical Center

A 74 year old male with a history of hypertension, diabetes, hyperlipidemia, presented for an outpatient endoscopy after he was found to have iron deficiency anemia and fecal occult blood positive on a stool sample by his primary care physician. The patient underwent an esophagogastroduodenoscopy (EGD) that revealed multiple angioectasias througho [...]

Gastric Hyperplastic Polyps

Madhusudhan Sunkavalli, MD, University at Buffalo, Buffalo, NY
Bo Xu, MD, PhD, Roswell Park Cancer Institute, Buffalo, NY
Andrew J. Bain, MD, University at Buffalo, Buffalo, NY, Roswell Park Cancer Institute, Buffalo, NY

Case 1: 67-year-old male underwent EGD for evaluation of iron deficiency anemia, which revealed multiple large polyps in the gastric antrum. He was referred to our center for further evaluation. Video 1: Upper endoscopy showed approximately 15 polyps in the antrum and extending into the pylorus. They were mostly pedunculated and the largest was 25 [...]

Bigelow Rounds presented by Dr Ruma Rajbhandari

Ruma Rajbhandari, MD, Massachusetts General Hospital

Dr Ruma Rajbhandari, GI Fellow at Massachusetts General Hospital, presents two patient cases in Bigelow Rounds at the MGH GI Unit. The presentation was recorded 09 April 2013. [...]

Endoscopic Closure of a Gastropleural Fistula

Antonio Mendoza Ladd, MD, Lenox Hill Hospital
Paresh Shah, MD, Lenox Hill Hospital
Gregory Haber, MD, Lenox Hill Hospital

Step 1: Identification of the fistula. The suture line of the prior sleeve gastrectomy is identified and followed proximally, to a focal area of nodularity with inflammatory pseudopolyps in the anastomotic scar. Moving proximally towards the GE junction, the gastric opening of the fistula is clearly identified in the greater curvature of the stom [...]

Removal of an Internally Migrated Pancreatic Duct Stent

Ara B. Sahakian, MD, Yale University
Harry Aslanian, M.D., Yale University
James Ostroff, MD, University of California, San Francisco
Priya A. Jamidar, MD, Yale University

Pancreatic duct stents are useful in reducing the risk of post-ERCP pancreatitis. Risks of placing pancreatic duct stents include internal migration, difficult or failed placement, and ductal damage. Improper placement of pancreatic duct stents can predispose to migration. Removal of internally migrated pancreatic duct stents can be technically cha [...]

Harry Thomas’ Cases from the Bigelow

Harry J. Thomas, MD, Massachusetts General Hospital

Dr Harry Thomas, GI Fellow at Massachusetts General Hospital, presented clinical cases at Bigelow Rounds. The presentation was recorded 24 July 2012. [...]

Pancreatic Lymphoepithelial Cyst

Sandeep T. Samuel, MD, University at Buffalo, Buffalo, NY
Neil Wilkinson, MD, Roswell Park Cancer Institute, Buffalo, NY
Kanheira Kazunouri, MD, Roswell Park Cancer Institute, Buffalo, NY
Andrew J. Bain, MD, Roswell Park Cancer Institute, Buffalo, NY

A 67-year-old male presented with left upper quadrant abdominal pain of one month duration. A CT scan showed a 3 cm cystic lesion with internal fat content arising from the tail of pancreas. The CA 19-9 level was within normal reference range at 8.4 U/mL. Patient was referred to our institution for further evaluation with endoscopic ultrasound. [...]

Surgical Management of Chronic Ulcerative Colitis

James M. Becker, MD, Massachusetts General Hospital

Dr James Becker of the Department of Surgery at Massachusetts General Hospital delivered Clinical Grand Rounds at the MGH GI Unit on the topic of ulcerative colitis. The presentation was recorded 5 June 2012. [...]

Personalizing therapy for Inflammatory Bowel Disease

Ashwin N. Ananthakrishnan, MD, MPH, Massachusetts General Hospital

Dr Ashwin Ananthakrishnan, Assistant Professor of Medicine at Harvard Medical School and Massachusetts General Hospital, presented Clinical Grand Rounds of the topic of personalized therapy for IBD. The presentation was recorded 1 May 2012. [...]