DAVE Project – Gastroenterology

Suck-Ho Lee, MD, PhD, Beth Israel Deaconess Medical Center, Harvard Medical School, Soonchunhyang University, Cheonan, Korea

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 [...]

Shou Jiang Tang, MD, University of Texas Southwestern Medical Center
Manmeet Padda, MD, Yale University

This is a 77 year old male who complained of progressive dysphagia to solids and liquids after unimpressive EGD 3 months ago for coffee ground emesis. He had a remote history of neck irradiation for neck tumor 40 years ago. Endoscopic examination of his larynx revealed multiple telangiectasia suggestive of prior radiation exposure. The arytenoid [...]

Tsuneo Oyama, MD,

This is a typical case of Barrett's esophagus. Endoscopy reveals irregular mucosa and I diagnosed this lesion as an adenocarcinoma from such findings. However, the lateral extension was obscure. NBI endoscopy revealed irregular mucosal pattern, but the lateral extension was still unclear. On the other hand, Magnified endoscopy with NBI system [...]

Cynthia Leung, MD, Palo Alto Veteran’s Hospital, Stanford University School of Medicine
Roy Soetikno, M.D., Palo Alto Veteran’s Hospital, Stanford University School of Medicine

An 89 yo man presented with a history of black, tarry stools for 1 day. His past medical history was notable for atrial fibrillation with rapid ventricular response, hypertension, and a complicated urologic history with large exophytic renal cysts, urethral stricture, abdominal abscess, fungal UTI, and acute renal failure requiring bilateral nephro [...]

Sahil Mittal, MD, University of Texas Medical Branch
Rami Hawari, MD, University of Texas Medical Branch
Gottumukkala S. Raju, MD, MD Anderson Cancer Center

Case We are presenting a case of a 45 y/o male underwent an upper endoscopy to evaluate for symptoms of gastroesophageal reflux. A small mucosal lesion was seen in mid esophagus. After careful examination a decision was made to proceed with endoscopic resection. The following video shows the procedure. Here we can see the mucosal lesion with ch [...]

Krishna S. Kasturi, MD, MPH, University of Texas Medical Branch
Rajasekhara Mummadi, M.D., University of Texas Medical Branch
Gottumukkala S. Raju, MD, MD Anderson Cancer Center

This presentation features a case of Scleroderma with characteristic upper GI involvement. The endoscopy findings, pathophysiology, diagnostic evaluation, and management strategies are discussed briefly. Case: A 57-year-old Caucasian female with past medical history of Scleroderma presented to our gastroenterology clinic for further evaluation [...]

Klaus Gottlieb, MD, University of Washington
Anders Merg, MD, University of Washington

This 6 minute video describes the endoscopic repair of a complete fibrous obstruction of the esophagus acquired during the treatment of esophagus cancer with radiation and chemotherapy. The patient was not able to swallow his own saliva. At the conclusion of the treatment, which included recreation of a channel through the esophagus and placement o [...]

David J. Case, B.A., University of Texas Medical Branch
Ronica Case, BSN, University of Texas Medical Branch
Rajasekhara Mummadi, M.D., University of Texas Medical Branch
Gottumukkala S. Raju, MD, MD Anderson Cancer Center

This video shows endoscope withdrawl from the level of the lower esophageal sphincter. This patient is a 39 year old Caucasian female, on chronic hemodialysis for End Stage Renal Disease secondary to Adult Polycystic Kidney Disease. She presented with upper epigastric abdominal pain. Physical exam findings included visible swollen veins over the p [...]

Todd H. Baron, M.D., Mayo Clinic

This is an elderly woman with multiple comorbidities who presented with dysphagia. This lesion was identified on upper endoscopy at an outside hospital. Biopsies demonstrated malignant melanoma. This area is flat and spreading. There is a second, lobulated area which is the most likely cause of the patient's dysphagia. She was not a good surgi [...]

J. Royce Groce, M.D., University of Texas Medical Branch
Sajid Jalil, MD, University of Texas Medical Branch
Guillermo Gomez, MD, University of Texas Medical Branch
Andras Kollace, MD, University of Texas Medical Branch
J.B. Zwischen-Berger, MD, University of Texas Medical Branch
Gottumukkala S. Raju, MD, MD Anderson Cancer Center

Slide 1. We will talk about endoscopic management Post-operative anastomotic leaks illustrated by 4 cases. Slide 2 Any post- operative deterioration in a patient following foregut surgery should be suspected of having a leak. Slide 3. The principles of management of anastomotic leak involve containment, adequate drainage, IV antibiotics and [...]