The Practicing Endoscopist

GI Endoscopy tips Saturday mornings.

The most practice-oriented online publication in GI Endoscopy. Real cases, practical pearls, and high-quality endoscopic images, written by clinicians for clinicians.

Edited by Klaus Mönkemüller, MD, PhD, FASGE, FJGES · Professor of Medicine, Virginia Tech Carilion School of Medicine

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Latest Vanek Tumor of the Stomach A sessile 18 to 20 mm antral polyp in a 50-year-old woman. Endoscopic mucosal resection with clip closure, and immunohistochemistry (CD34 positive, CD117 and DOG1 negative) that ruled out GIST. Read article

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Acetic Acid (Vinegar) Chromoendoscopy for Colon Polyps Diffuse aceto-whitening marks a serrated lesion. Focal erythema without whitening pointed to dysplasia in a villous adenoma. How 2.5% acetic acid works in the colon. An Exophytic Ileocecal Mass: Diffuse Large B-Cell Lymphoma Diagnosed by Colonoscopic Biopsy A lobulated, exophytic ileocecal mass should not automatically be approached as adenocarcinoma. Adequate targeted biopsies established DLBCL before treatment planning. How Would You Remove This Pedunculated Polyp (Paris 0-Ip, Kudo IIIL)? A large sigmoid 0-Ip polyp in a patient on Eliquis. Ten ways to resect it, and why prophylactic hemostasis comes before the cut. Endoscopic Management of a Duodenal Dieulafoy's Lesion Spurting D2 Dieulafoy in a patient with hematochezia: protruding vessel, no ulcer crater. One through-the-scope clip stopped the bleed immediately. Plummer-Vinson Syndrome with Celiac Disease and Esophageal Varices Iron-deficiency anemia, proximal esophageal webs that blocked a standard endoscope, biopsy-proven celiac disease, and varices that improved without banding. Post-Prandial Thoracic Pain and Pre-Syncopal Symptoms: Watch Out for Roemheld Syndrome Postprandial chest pain and autonomic symptoms after a negative cardiac workup, with a large hiatal hernia, reflux esophagitis, and ineffective esophageal motility. Ménétrier Disease: A Diagnostic Challenge of Enlarged Gastric Folds Gastric Adenoma Resection in a Patient with Lynch Syndrome Gastrointestinal Manifestations of Systemic Sclerosis Esophageal dysmotility, megaduodenum, and mega-ileum in systemic sclerosis with practical teaching points for endoscopists. Acetic Acid Chromoendoscopy in Barrett Esophagus for Dysplasia Detection Endoscopic Balloon Dilation of a Benign Duodenal Stenosis

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