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 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 [...]
 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 [...]
 Sharlene L. D’Souza, MD, University of Michigan
Dejan Micic, MD, University of Michigan
B. Joseph Elmunzer, MD, University of Michigan
A 29-year-old female with no prior medical history was transferred to our facility for evaluation of post-prandial nausea and right upper quadrant abdominal pain. These symptoms had been present for the past three months. She reported emesis of undigested food within five minutes of oral intake, which resulted in the patient being on a liquid-onl [...]
 Jonathan Buscaglia, MD, Stony Brook University Medical Center
Parantap Gupta, MD, Stony Brook University Medical Center
A 56 year old man with malignant duodenal obstruction presents with recurrent nausea and vomiting. The endoscope is not able to be passed through the existing duodenal stent. Both the duodenal stent and the previously placed biliary stent can be seen. A standard biliary extraction balloon is passed through the narrowed lumen of the previously place [...]
 Jose Alberto Gonzalez-Gonzalez, MD, Centro Reginal de Enfermedades Dijestivas, UANL, Monterrey, Mexico
Genaro Vazquez-Elizondo, MD, Centro Reginal de Enfermedades Dijestivas, UANL, Monterrey, Mexico
A 24 year old male patient with hematemesis was evaluated in the emergency room. One year previously he had sustained an abdominal gunshot complicated with an aortic infra-renal pseudo-aneurysm that required placement of an aortic Dacron knitted graft. The physical examination upon admission was unremarkable. An upper endoscopy was performed, but t [...]
 Harry Aslanian, M.D., Yale University
Manmeet Padda, MD, Yale University
A 50 year old male with chief complaint of post-prandial vague abdominal pain had a capsule endoscopy exam, which showed submucosal mass in the proximal small bowel. Upper endoscopy showed a 2 cm submucosal bulge in the third portion of the duodenum occupying 1/4th of the lumen with normal overlying mucosa. This lesion was soft and collapsed some [...]
 Rajesh N. Keswani, MD, Washington University
Steven A. Edmundowicz, MD, Washington University
A 24 year old female was referred for complaints intermittent nausea and vomiting and weight loss. The upper GI barium study demonstrates an enlarged diverticulum in the second portion of the duodenum. A thin radiolucent stripe is seen around the diverticulum which has been described as the halo sign. Upper endoscopy is performed which identifies a [...]
 Mohammad Bilal, Harvard Medical School
David G. Forcione, M.D., Harvard Medical School, Massachusetts General Hospital
Peter B. Kelsey, M.D., Harvard Medical School, Massachusetts General Hospital
During a routine endoscopy for Barrett's related dysplasia surveillance, this mucosal abnormality was identified. On endoscopy, these pigmented areas of mucosa in the antrum, pylorus, and duodenum were seen. This is the classic endoscopic finding of pseudomelanosis of the gastrointestinal tract, whose features include a brownish-black pigmen [...]
 Chandra S. Dasari, MD, MD Anderson Cancer Center
Gottumukkala S. Raju, MD, MD Anderson Cancer Center
The following video demonstrates the endoscopic view of a duodenal ulcer and a look at its pathogenesis by reviewing The leaking roof concept by C. S. Goodwin. The most important causative factor for a duodenal ulcer is Helicobacter pylori. Endoscopic view of a DU. The endoscope is in the duodenum. Retracting the scope from the second part of [...]
 William R. Brugge, M.D., Harvard Medical School, Massachusetts General Hospital
Duodenum – carcinoid tumor, with EUS FNA This is a 54 yo female with known chronic liver disease who underwent upper GI endoscopy and a small carcinoid lesion was found in the duodenum. On this examination we see a smooth, round, superficial, subepithelial lesion with some central dimpling. The findings are consistent with a neuroendocrine [...]
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