DAVE Project – Gastroenterology

Paulo Sakai, MD, PhD, University of Sao Paulo, Brazil
Fabio Y. Hondo, MD, University of Sao Paulo, Brazil
Rogerio Kuga, MD, University of Sao Paulo, Brazil
George A. Cortas, MD, University of Sao Paulo, Brazil
Adriana Ribeiro, MD, University of Sao Paulo, Brazil
Educardo de Moura, MD, University of Sao Paulo, Brazil
Ivan Ceccenello, MD, University of Sao Paulo, Brazil
Shinichi Ishioka, MD, University of Sao Paulo, Brazil

-This picture depicts the upper digest tract. The endoscope, the enteroscope with double-balloon advances -Transilumination is performed and palpation to see where the best puncture to be made. -Using the Freka System from Germany, which is depicted here. It shows two needles system. Where thread pass in one needle and a loopwire pass in another, [...]

Paul A. Akerman, MD, Brown University
Daniel Cantero, MD, Brown University
Jesus Pangtay, MD, Brown University

The Endoease Discovery SB is a 55 French 130 cm overtube with a 5mm raised helical element at its distal end. The Discovery SB is placed over the pediatric colonoscope. The locking device permits fixing the Discovery SB to the colonoscope for spiral advancement or unlocking to permit pushing of the colonoscope through the overtube. To achieve [...]

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

This patient has a history of gastroparesis and is referred for a percutaneous endoscopic jejunostomy. The endoscope is passed beyond the ligament of Trietz. In this case, a pediatric variable stiffness colonoscope was used. A standard PEG kit is used. A finder needle is passed into the bowel lumen and grasped tightly so as to maintain appositi [...]

Hironori Yamamoto, M.D., Jichi Medical School

Double balloon enteroscopy is a novel technique that allows examination of the entire small intestine. Three double balloon enteroscopic interventions in the small intestine are shown in this video clip: 1. Endoscopic hemostasis 2. Balloon dilation of a stricture 3. Snare polypectomy [...]

Peter B. Kelsey, M.D., Harvard Medical School, Massachusetts General Hospital

This is the appearance of the normal ileal mucosa as viewed through a standard video colonoscope under an aqueous medium. These delicate villi are 0.2 to 0.4 mm long and contribute significantly to the 500 fold increase in surface area of the small intestine. In fact, between the folding of the small bowel, these surface villi, and then the additi [...]

Myles Keroack, M.D., Massachusetts General Hospital

This capsule study was performed on this 56 year old man with crampy abdominal pain, complaining of 2 loose stools per day, but no hematochezia, or weight loss. The SBFT and CT scan showed abnormal small bowel loops raising the possibility of sprue. The capsule study demonstrated the classic saw-toothed pattern of sprue with an otherwise featureles [...]

Myles Keroack, M.D., Massachusetts General Hospital

This 27 year old male was referred for VCE after negative EGD and colonoscopy was performed for evaluation of recurrent severe gastrointestinal bleeding requiring multiple transfusions. He had undergone extensive surgery following a gunshot wound 18 month previously which required repair of small bowel and vascular injuries as well as IVC filter pl [...]