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 Andrew J. Bain, MD, University of California San Diego
Suresh Pola, MD, University of California San Diego, Veterans Affairs San Diego Medical Center
Thomas Savides, MD, University of California San Diego
A 54 year old female underwent upper endoscopy at an outside facility for evaluation of dyspepsia showing a subepithelial gastric mass. Mucosal biopsies were non-diagnostic. The patient was referred to our center for endoscopic ultrasound and further tissue sampling. Upper endoscopy showed a 1 cm subepithelial mass in the gastric antrum locate [...]
 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 [...]
 Kenneth F. Binmoeller, MD, California Pacific Medical Center
Using a curved linear array echoendoscope, the gastric fundus can be imaged with the transducer positioned in the distal esophagus. Transesophageal access offers an alternative route to treat gastric fundal varices under EUS-guidance without entering the stomach. This anatomical cartoon illustrates transesohageal access to the gastric fundus [...]
 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 [...]
 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 [...]
 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 [...]
 Evan S. Dellon, MD, MPH, University of North Carolina
Nicholas J. Shaheen, MD, MPH, University of North Carolina
This video will review the equipment and technique for cryoablation of Barrett's esophagus with high grade dysplasia, including set-up, priming the catheter, placing the decompression tube, and performing cryoablation. Prior to the procedure, the cryoablation unit is filled with liquid nitrogen. The unit itself has an indicator panel which [...]
 Manmeet Padda, MD, Yale University
Harry Aslanian, M.D., Yale University
85 year old male was recently diagnosed with gastric adenocarcinoma. His past medical history included coronary artery disease; he underwent coronary bypass surgery, hypertension, benign prostate hyperplasia, and asthma. Family history was significant for gastric cancer in his nephew. He had history of smoking in the past. Upper endoscopy s [...]
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