The DAVE Project, an acronym for the Digital Atlas of Video Education,
is a collection of teaching tools. The project consists of a gastrointestinal endoscopy video atlas and
medical lectures and presentations. The most recent additions to the collection are displayed below.
Physicians are encouraged to submit material, for consideration, new entries to enrich and expand the atlas.
Biliary - Viabil Metallic Stent Placement in Malignant Biliary Stricture
Giuseppe Aliperti, MD : 12 May 2008
This case regards a 76 year old lady with painless jaundice. An EUS reveals a carcinoma of the pancreas which is resectable because of vascular invasion. An ERCP reveals a distal biliary stricture as you will see on the fluoroscopic monitor on the right. We are currently placing a ConMed Viabil stent over a guidewire. We're inserting the stent there. I normally like to use a guidewire for.... view more....
Giuseppe Aliperti, MD : 12 May 2008
This case regards a 76 year old lady with painless jaundice. An EUS reveals a carcinoma of the pancreas which is resectable because of vascular invasion. An ERCP reveals a distal biliary stricture as you will see on the fluoroscopic monitor on the right. We are currently placing a ConMed Viabil stent over a guidewire. We're inserting the stent there. I normally like to use a guidewire for.... view more....
Colon - Retention of Resolution Clips on Colorectal Polypectomy Sites
Omkar Dave, B.S. : 12 May 2008
We will demonstrate the retention of resolution clips on a colorectal polypectomy site. One significant complication of colorectal polypectomy is acute or delayed postpolypectomy hemorrhage. Large polyps in the proximal colon, especially >1 cm, carry the greatest risk of postpolypectomy hemorrhage. Hemoclips have been shown to be very effective in treating both immediate and late bleeding in s.... view more....
Omkar Dave, B.S. : 12 May 2008
We will demonstrate the retention of resolution clips on a colorectal polypectomy site. One significant complication of colorectal polypectomy is acute or delayed postpolypectomy hemorrhage. Large polyps in the proximal colon, especially >1 cm, carry the greatest risk of postpolypectomy hemorrhage. Hemoclips have been shown to be very effective in treating both immediate and late bleeding in s.... view more....
Biliary - Control of Hemobilia In Desperation
Giuseppe Aliperti, MD : 12 May 2008
This case presents with a 54 year old female with hepatic cirrhosis (presumed from NASH). She presents with melena jaundice and undergoes EGD and ERCP. Non-bleeding esophageal varices are found, as well as hemobilia. EUS reveals a nest of varices compressing the main bile duct. This is proven by Doppler. The patient is not a candidate for TIPS, surgical shunting, or liver transplant, due to ca.... view more....
Giuseppe Aliperti, MD : 12 May 2008
This case presents with a 54 year old female with hepatic cirrhosis (presumed from NASH). She presents with melena jaundice and undergoes EGD and ERCP. Non-bleeding esophageal varices are found, as well as hemobilia. EUS reveals a nest of varices compressing the main bile duct. This is proven by Doppler. The patient is not a candidate for TIPS, surgical shunting, or liver transplant, due to ca.... view more....
Management of Complications after Bariatric Surgery
Matthew M. Hutter, MD, MPH : 14 May 2008
Dr. Matthew Hutter, Director of the Codman Center for Clinical Effectiveness in Surgery at Massachusetts General Hospital, presents Clinical Grand Rounds at the MGH GI Unit. The discussion includes numerous images of bariatric complications. The presentation was originally recorded 06 May 2008.
Matthew M. Hutter, MD, MPH : 14 May 2008
Dr. Matthew Hutter, Director of the Codman Center for Clinical Effectiveness in Surgery at Massachusetts General Hospital, presents Clinical Grand Rounds at the MGH GI Unit. The discussion includes numerous images of bariatric complications. The presentation was originally recorded 06 May 2008.
Antiviral Therapy for Chronic Hepatitis C: Frustration and Hope
Jules L. Dienstag, MD : 07 May 2008
Dr. Jules Dienstag, Professor of Medicine at Harvard Medical School and Massachusetts General Hospital presents clinical grand rounds at the MGH GI Unit on the topic of "Antiviral Therapy for Chronic Hepatitis C". This presentation was recorded 18 March 2008.
Jules L. Dienstag, MD : 07 May 2008
Dr. Jules Dienstag, Professor of Medicine at Harvard Medical School and Massachusetts General Hospital presents clinical grand rounds at the MGH GI Unit on the topic of "Antiviral Therapy for Chronic Hepatitis C". This presentation was recorded 18 March 2008.
Novel Spy-Scope Video of Biliary Papillomatosis
Kumaravel Perumalsamy, MD : 06 May 2008
64 year old Asian gentleman presented with right upper quadrant abdominal pain and weight loss of few weeks duration. Physical examination revealed an icteric male with right upper quadrant tenderness. Laboratory evaluation showed total bilirubin of 3.5, direct bilirubin of 2.5, AST 180, ALT 220, ALP 280 and albumin of 3.8. Right main duct and intra-hepatic ductal dilations were noted on MR abdomen. ERCP was performed. Cholangiogram showed amorphous filling defect in the right main duct and multiple filling defects in the right intra hepatics. Sphincterotomy was done. Balloon sweep retrieved friable, soft polypoid tissue from bile ducts.
Kumaravel Perumalsamy, MD : 06 May 2008
64 year old Asian gentleman presented with right upper quadrant abdominal pain and weight loss of few weeks duration. Physical examination revealed an icteric male with right upper quadrant tenderness. Laboratory evaluation showed total bilirubin of 3.5, direct bilirubin of 2.5, AST 180, ALT 220, ALP 280 and albumin of 3.8. Right main duct and intra-hepatic ductal dilations were noted on MR abdomen. ERCP was performed. Cholangiogram showed amorphous filling defect in the right main duct and multiple filling defects in the right intra hepatics. Sphincterotomy was done. Balloon sweep retrieved friable, soft polypoid tissue from bile ducts.
Parental Obesity and Offspring Serum Alanine and Aspartate Aminotransferase Levels: The Framingham Heart Study
Alan C. Mullen, MD, PhD : 17 Apr 2008
Dr. Alan Mullen, Clinical and Research Fellow at Harvard Medical School, presented clinical journal club at the MGH GI Unit. The recent article from the journal Gastroenterology titled "Parental Obesity and Offspring Serum Alanine and Aspartate Aminotransferase Levels" was presented.
Alan C. Mullen, MD, PhD : 17 Apr 2008
Dr. Alan Mullen, Clinical and Research Fellow at Harvard Medical School, presented clinical journal club at the MGH GI Unit. The recent article from the journal Gastroenterology titled "Parental Obesity and Offspring Serum Alanine and Aspartate Aminotransferase Levels" was presented.
Liver Case Conference
Karin L. Andersson, M.D. : 16 Apr 2008
Dr. Karin Andersson and Dr. Joseph Misdraji, respectively Fellow and Assistant Professor of Medicine at Massachusetts General Hospital and Harvard Medical School, present Liver Case Conference at Massachusetts General Hospital GI Unit. Numerous pathologic slides are reviewed. This presentation was recorded 15 Apr 2008.
Karin L. Andersson, M.D. : 16 Apr 2008
Dr. Karin Andersson and Dr. Joseph Misdraji, respectively Fellow and Assistant Professor of Medicine at Massachusetts General Hospital and Harvard Medical School, present Liver Case Conference at Massachusetts General Hospital GI Unit. Numerous pathologic slides are reviewed. This presentation was recorded 15 Apr 2008.
Gastroesophageal Varices and Variceal Hemorrhage in Cirrhosis
Michael Thiim, MD : 03 Apr 2008
Dr. Michael Thiim, Clinical Instructor in Medicine at Massachusetts General Hospital, presents clinical fellows conference on the topic of "Gastroesophageal Varices and Variceal Hemorrhage in Cirrhosis". This presentation was recorded 18 March 2008.
Michael Thiim, MD : 03 Apr 2008
Dr. Michael Thiim, Clinical Instructor in Medicine at Massachusetts General Hospital, presents clinical fellows conference on the topic of "Gastroesophageal Varices and Variceal Hemorrhage in Cirrhosis". This presentation was recorded 18 March 2008.
