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 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 [...]
 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 [...]
 Sergio Coda, MD, PhD, Imperial College London, UK
Paolo Trentino, MD, University of Rome
This video demonstrates the ESD technique used to remove a type 0-IIa+IIc 15 mm early gastric cancer of the fundus in a 79 year-old male patient. The procedure took place in the operating theatre, under deep sedation, with back-up surgical team available. Preoperative endoscopy included contrast chromoscopy with 0.2% indigo carmine dye together w [...]
 Gregory Lam, DO, SUNY Downstate Medical Center
Yvette Lam-Tsai, MD, SUNY Downstate Medical Center
A 68 year old African American female with a history of diabetes, hypertension, hyperlipidemia, diverticulosis, and arthritis presented with complaints of palpitations. She was tachycardic on admission with a pulse of 105. Further history revealed she had noted darkened stools 3 weeks prior to presentation. She also complained of occasional naus [...]
 Gottumukkala S. Raju, MD, MD Anderson Cancer Center
Muslim Atiq, MD, MD Anderson Cancer Center
Jeffrey H. Lee, MD, MD Anderson Cancer Center
Staging of gastric cancer. A 73 year old man underwent EGD for gastroesophageal reflux disease. It revealed a 3 cm antral mass; biopsies were positive for cancer. He was referred to our center for tumor staging. It consisted of a CT scan to rule out metastasis and an EUS for locoregional staging. Let us look at the CT scan first. As you can see her [...]
 Antonio Mendoza Ladd, MD, Lenox Hill Hospital
David H. Robbins, MD, Lenox Hill Hospital
A 35 Year old Caucasian female was referred for evaluation of heartburn refractory to PPI. At upper endoscopy a 1X2 cm gastric diverticulum was incidentally found in the fundus of the stomach. Closer examination of this diverticulum revealed no mass or perforation of its walls. It was covered with normal appearing mucosa and did not show any evid [...]
 Rana Khan, MD, New York Methodist Hospital, Brooklyn, New York
Won Sohn, MD, New York Methodist Hospital, Brooklyn, New York
CASE PRESENTATION: We present a case of 31years old female who was evaluated for intermittent episodes of nausea, non-bilious vomiting & upper abdominal discomfort for more than one year. Her past medical history was significant for resolved Parotid and Thyroid cancers. Remaining history and review of the systems were unremarkable. Her physical ex [...]
 Adolfo Parra-Bianco, MD, PhD,
ESD is a technique for the resection of early gastrointestinal neoplasia, whose main advantage is that lesion without almost any size limit can be resected. However, it is technically challenging and associated with a significant risk of perforation. Submucosal dissection, after having completed the circumferential incision, is the most difficult s [...]
 Mihir S. Wagh, MD, University of Florida
Introduction A 44 year old female with a past history of Roux-en-Y gastric bypass underwent an emergent antrectomy for a perforated peptic ulcer. This resulted in a completely excluded remnant stomach which required a permanent surgical gastrostomy tube for drainage of secretions. This figure shows the anatomy after Roux-en-Y gastric bypass. The [...]
 Vinay Chandrasekhara, M.D.,
The treatment of pancreatic pseudocysts has historically been managed by surgeons; however, endoscopic drainage of pancreatic pseudocysts by expert endoscopists has become an accepted alternative to surgery when an intervention is indicated. Its advantage over percutaneous drainage is the ability to place multiple internal drains with minimal patie [...]
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