|
|||||
Category: Esophagus
Granular cell tumors (GCT) are relatively uncommon, but can occur through out the length of the gastrointestinal tract, particularly in the esophagus (1). Endoscopically, they appear as firm yellow nodules and can be mistaken for lipomas, carcinoid tumors and gastrointestinal stromal tumors. GCT generally behave in a benign manner, although mal [...]
The patient is a 66 year old male referred for evaluation of dysphagia. His medical history is notable for obesity and longstanding gastroesophageal reflux disease. He had undergone laparoscopic Roux en Y gastric bypass and Nissen fundoplication 5 years prior. Endoscopy demonstrated an adenocarcinoma at the gastroesophageal junction, staged as a [...]
This video demonstrates the experimental technique for endosonographic access to the lesser sac in human cadavers – an opportunity for transgastric endoscopic pancreatic surgery. It should be noted that this video depicts an experimental technique that is not currently intended for use outside of a research protocol. Transluminal endos [...]
A 65 year old male presented with 1 yr history of dysphagia. An upper endoscopy showed white wart like appearing exudative lesions involving the mid and lower esophagus. The entire esophageal mucosa was friable. The appearance is more extensive in the lower esophagus with luminal narrowing but without any obstruction. Here you can see that the lesi [...]
A 53-year old female with hepatitis C, alcohol abuse, and child C cirrhosis presented with hematemesis for one day. Vital signs on admission were a blood pressure of 100/66 and heart rate of 110. Laboratory results were hemoglobin: 10 g/dL, platelets: 89,000, and INR: 2.8. She had a previous history of esophageal varices without any bleeding or [...]
Our case is a 75 year old male who presented with obstructive jaundice, fever, and leukocytosis with bandemia. CT scan of the abdomen showed common bile duct and pancreatic duct dilation. There was a large pancreatic mass seen along with multiple liver lesions. Here in the abdominal CT scan the red arrows are pointing at multiple small loculated [...]
In the following video we present the case of a 65 year old man with multiple medical comorbidities admitted to the hospital after acute onset of abdominal discomfort, nausea, vomiting, inability to tolerate an oral diet and “coffee ground” emesis A Computed Tomorgraphy (CT) scan was performed. On coronal view, we see the dilated [...]
We report the case of a 14-year-old male with a medical history of two episodes of epigastric pain at the age of 6 and 9 years that were relieved with PPI's administration. He also had to make permanent changes in his eating habits such as avoiding meat. He presented with acute dysphagia to solids and liquids and acute retrosternal pain. On [...]
This patient has an esophageal cancer just on the double varices. If you use sclera therapy before ESD, the risk of severe fibrosis increases. Therefore, EVL was performed in the lower esophagus. The size of varix decreased, however, the varix remains. When performing ESD, there are several risk factors that should be considered carefully. T [...]
Endoscopic treatment of a pedunculated submucosal tumor (SMT) has not been well developed. The unroofing technique involves snaring the pedunculated SMT at the middle of the mass and resecting only its upper half. However, this technique is applicable only in cases of lipomas and cystic lymphangiomas. An endoscopic cautery snare resection of a l [...] |
|||||
|
© original authors & DAVE Project - released under a Creative Commons license - disclaimer - contact us |
|||||
John C. Deutsch, MD, St. Mary’s Duluth Clinic 
Patrick Yachimski, MD, Vanderbilt University Medical Center 
B. Joseph Elmunzer, MD, University of Michigan
Vinay K. Katukuri, MD, Thomas Jefferson University
Lauren Layer, University of Texas Medical Branch
Manmeet Padda, MD, Yale University
Keith L. Obstein, MD, Brigham and Women’s Hospital
Dimitri Coumaros, MD, University Louis Pasteur, Strasbourg, France 
Tsuneo Oyama, MD, 
Suck-Ho Lee, MD, PhD, Soonchunhyang University, Cheonan, Korea, Beth Israel Deaconess Medical Center, Harvard Medical School 
