Objective Underwater endoscopic mucosal resection (UEMR) is reported to be superior conventional (CMER) for the complete of large polyps and may offer increased procedural efficiency. Aims To compare recurrence rates adverse events between UEMR CEMR define risk factors related recurrence. Also, assess in piecemeal (EMR) based on number pieces resected. Methods We identified all patients with treated using technique at Carilion Clinic, Roanoke, VA, USA January 1, 2014 December 31, 2017...

Gastric lipomas are slow-growing benign lesions of the stomach that often detected incidentally. Most cases asymptomatic but larger may become symptomatic, thereby requiring treatment. Multiple endoscopic modalities have been used for resection in past. We present case a 67-year-old patient who presented with upper GI bleeding secondary to gastric lipoma, which was successfully resected by submucosal dissection.

Adult duodenoduodenal intussusception is extremely rare due to the retroperitoneal fixation of second, third, and fourth parts duodenum. A majority clinically significant with identifiable etiologies typically neoplastic more causes including retained food indwelling enteral tubes, specifically gastrojejunostomy (GJ) tubes. Herein, we discuss case a 23-year-old male who developed upon PEGJ placement associated gastroduodenal dilation telescope phenomenon. To best our knowledge, there are no...

Introduction: Esophageal variceal bleeding portends a 6-week mortality of 10-30%. First-line treatment is endoscopic band ligation, but this can be ineffective in 10-20% cases. Balloon tamponade has historically been used to temporize unstable patients often associated with complications. Self-expandable metal stents (SEMS) may offer an alternative for varices. A single type SEMS approved indication Europe unavailable the United States. Methods: We performed retrospective review tertiary...

INTRODUCTION: Objective: The efficacy of Endoscopic mucosal resection (EMR) large colon polyp could be addressed by assessing the recurrence rate, complication rates, and number procedures needed to eradicate residual tissue. Aims: Assess risk factors for after EMR polyps compare between endoscopists who completed advanced endoscopy fellowship skilled did not complete advance fellowship. METHODS: We identified all patients with documented colonic treated using technique at Carilion Clinic,...

The novel over-the-scope Padlock clip was reported to assist in the management of esophageal fistulas, refractory gastrointestinal (GI) bleeding, and GI defects closure. A little is known about non-lifting colon polyps with fibrosis secondary prior intervention. Resection could be challenging given tools used remove such are different between institutions. In this study, we describe our experience removing polyp.

Introduction: The stomach is a common extra-nodal organ affected by mucosa-associated lymphoid tissue (MALT) lymphoma. About 10% of cases are Helicobacter pylori-negative. We present 2 such in whom radiotherapy was pursued. Case Description/Methods: A 73 yo female with PMH sick sinus syndrome s/p pacemaker placement and anxiety presented generalized weakness post-prandial abdominal pain associated near-syncope, nausea melena. She denied NSAID abuse, smoking cigarettes, anticoagulation,...

Mucosa-associated lymphoid tissue (MALT) lymphoma is a common cause of gastric lymphoma. Although most cases are associated with an H. pylori infection, approximately 10% pylori-negative. Patients MALT usually asymptomatic or present nonspecific symptoms such as abdominal pain, dyspepsia, weight loss, and occult gastrointestinal bleeding. In this report, we describe two patients pylori-negative who both presented acute upper bleeding that led to hemodynamic instability. After resuscitation,...

Introduction: Underwater EMR (UEMR) is an alternative technique to remove large polyps that does not require submucosal lifting. UEMR reported be superior conventional for the complete resection of and may offer increased procedural effectiveness. we aimed evaluate outcomes including frequency adverse events after polypectomy. Methods: We identified all patients with documented colonic treated using at Carilion Clinic, Roanoke between 01/01/2014-12/31/2017, follow-up through 6/2018....

Merkel cell carcinoma (MCC), a high grade cutaneous neuroendocrine tumor (NET), is often confused with basal (BCC), basaloid squamous (SCC), and other primary site small carcinomas. Usually limited to skin regional lymph nodes, solid organ metastasis uncommon results in mortality. We present case of man abdominal pain liver lesions who was diagnosed unknown (MCCUP). A 74-year-old presented one-week history shortness breath, pleuritic chest pain, pain. Significant medical included prostate...

INTRODUCTION: Synchronous carcinomas in the same patient were first elucidated early 1930s. Following this initial recognition, awareness of synchronous coupled with advancements medical technology have made diagnosis two primary from separate sites time interval possible. We present a case newly diagnosed esophageal and ascending colon adenocarcinomas presenting lower gastrointestinal bleed. CASE DESCRIPTION/METHODS: A 74-year-old female history abdominal aortic aneurysm repair on...

INTRODUCTION: Removing nonlifting colon polyps with fibrosis secondary to prior intervention could be challenging. The novel over-the-scope Padlock clip was used in esophageal fistulas, refractory gastrointestinal bleeding, and GI defects closure. In this study, we describe our experience remeoving nonlifitng polyp. CASE DESCRIPTION/METHODS: A 69-year-old man is referred clinic assist the management of partially excised large, non-granular, broad-based Tubulovillous adenoma. polyp cecum...

INTRODUCTION: Endoclips could be placed prophylactically at the polypectomy site after removal of large polyps to prevent post-polypectomy bleeding. The effect an increased number endoclips deployed endoscopic mucosal resection (EMR) on polyp recurrence is unknown. AIMS: Evaluate risk in patients with undergoing EMR based endocips deployed. METHODS: We identified all documented colon treated using technique Carilion Clinic, Roanoke between 01/01/2014–12/31/2017, follow-up through 10-2018....