GI Endoscopy tips every Saturday morning. The most practice-oriented online publication in GI Endoscopy.https://thepracticingendoscopist.com/en-ushttps://thepracticingendoscopist.com/p/quick-endoscopic-diagnostic-tip-iron-pill-gastritishttps://thepracticingendoscopist.com/p/quick-endoscopic-diagnostic-tip-iron-pill-gastritisJay Bapaye, MD , Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA David Lebel, MD , Assistant Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of MMon, 18 Aug 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/a-pro-tip-for-clipping-mallory-weisshttps://thepracticingendoscopist.com/p/a-pro-tip-for-clipping-mallory-weissWhat's your strategy for clipping a Mallory-Weiss tear? A common mistake is starting proximally. For a more secure closure, place the first clip distally (furthest from the scope). Then, place subsequent clips proximally to create a stable V- or Y-shape, as shown in this diagram Sat, 16 Aug 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/cat-scratch-colonhttps://thepracticingendoscopist.com/p/cat-scratch-colonAndres Gutierrez, MD; Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA A 75-year-old woman underwent colonoscopy for obscure gastrointestinal bleeding. Her procedure reTue, 17 Jun 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/the-irony-of-iron-gastric-ulcer-due-to-iron-pillshttps://thepracticingendoscopist.com/p/the-irony-of-iron-gastric-ulcer-due-to-iron-pillsRami Musallam, MD , Gastroenterology Fellow, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Andres Gutierrez, MD , Gastroenterology Fellow, Clinica de Gastroenteroogi “Prof. Carolina Olano”, Hospital de Clinicas, Universidad de La Republica, Uruguay and VirginiTue, 17 Jun 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/rodolfo-valentino-syndrome-perforated-duodenal-ulcer-mimicking-appendicitishttps://thepracticingendoscopist.com/p/rodolfo-valentino-syndrome-perforated-duodenal-ulcer-mimicking-appendicitisBy Joel Joseph, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES, FESGE Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Case Presentation: 80-year-old patient with history of lung cancer on immune checkpoint inhibMon, 17 Mar 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/tools-of-the-trade-the-retentia-cliphttps://thepracticingendoscopist.com/p/tools-of-the-trade-the-retentia-clipTools of the Trade: The Retentia ® Clip Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Figure 1. Retentia Clip. Key technical information. The Retentia Clip has some inteSun, 16 Mar 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/cecal-volvulushttps://thepracticingendoscopist.com/p/cecal-volvulusJacob C Davis, DO Internal Medicine Resident, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine  Klaus Mönkemüller, MD, PhD, FASGE, FESGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA A 61-year-old male wiMon, 03 Mar 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/dieulafoy-lesion-of-the-duodenumhttps://thepracticingendoscopist.com/p/dieulafoy-lesion-of-the-duodenumDieulafoy Lesion of the Duodenum Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An 72-year-old female with past medical history of chronic kidney disease stage IV, type 2Fri, 14 Feb 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/hemostasis-of-bleeding-duodenal-ulcer-using-injection-gold-probehttps://thepracticingendoscopist.com/p/hemostasis-of-bleeding-duodenal-ulcer-using-injection-gold-probeDiana Dougherty, MD, and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Virginia Tech Carilion School of Medicine, Roanoke, USA An 80-year-old man presented with melena. Esophagogastroduodenoscopy (EGD) revealed a larFri, 14 Feb 2025 00:00:00 GMThttps://thepracticingendoscopist.com/p/cap-assisted-push-enteroscopy-argon-plasma-coagulationhttps://thepracticingendoscopist.com/p/cap-assisted-push-enteroscopy-argon-plasma-coagulationJay Bapaye, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 78-year-old man presented with melena. Esophagogastroduodenoscopy (EGD) and colonoscopy were unremarkaMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/device-review-how-to-place-a-rectal-decompression-tube-through-the-scopehttps://thepracticingendoscopist.com/p/device-review-how-to-place-a-rectal-decompression-tube-through-the-scopeby Diana Dougherty, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 40-year-old pregnant woman presented with acute constipation and abdominal distention. AMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-removal-of-a-pen-inside-the-stomach-using-the-soft-mega-distal-transparent-caphttps://thepracticingendoscopist.com/p/endoscopic-removal-of-a-pen-inside-the-stomach-using-the-soft-mega-distal-transparent-capAnand Dwivedi, MD Carilion Memorial Hospital Virginia Tech Carilion School of Medicine Roanoke Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA There is a myriad of instruments to remove swallowed objects greMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-utensil-description-the-duette-multiband-mucosectomy-devicehttps://thepracticingendoscopist.com/p/endoscopic-utensil-description-the-duette-multiband-mucosectomy-deviceAdvancing endoscopic precision: A deep dive into the Duette's dual-sensor technology and clinical validationMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/gastric-antral-vascular-ectasia-gave-in-heyde-syndromehttps://thepracticingendoscopist.com/p/gastric-antral-vascular-ectasia-gave-in-heyde-syndromeJay Bapaye, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA An 80-year-old female with past medical history of chronic kidney disease stage IV, type 2 diabetes mellMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/how-to-deploy-a-capsule-endoscope-during-egdhttps://thepracticingendoscopist.com/p/how-to-deploy-a-capsule-endoscope-during-egdAn elderly lady with obscure occult gastrointestinal bleeding could not swallow the capsule endoscope (CE) (PillCam) (Figure 1A). Therefore, an EGD was scheduled to introduce the capsule endoscope into the duodenum. Mon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/microscopic-colitis-not-always-microscopichttps://thepracticingendoscopist.com/p/microscopic-colitis-not-always-microscopicBy Joel Joseph, MD, Troy Pleasant, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Virginia Tech Carilion School of Medicine, Virginia, USA 80-year-old patient with ongoing watery diarrhea for several weeks. Colonoscopy images shown here. Note that there is significant patchy edeMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/stent-delivery-device-with-transparent-inner-guiding-catheter-and-how-to-place-a-plastic-stent-intohttps://thepracticingendoscopist.com/p/stent-delivery-device-with-transparent-inner-guiding-catheter-and-how-to-place-a-plastic-stent-intoBy Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA; Universidad de la República, Uruguay; PD at University Otto-von-Guericke, Germany; UEES, Universidad Espiritu Santo, Guayaquil, Ecuador; University of BelgMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/therapeutic-dilemma-barrett-esophagus-in-the-setting-of-esophageal-variceshttps://thepracticingendoscopist.com/p/therapeutic-dilemma-barrett-esophagus-in-the-setting-of-esophageal-varicesby Hiral Patel, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 50-year-old patient was sent to our endoscopy service because of Barrett's esophagus and esoMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/top-tips-for-dealing-with-a-colon-polyp-in-a-difficult-situationhttps://thepracticingendoscopist.com/p/top-tips-for-dealing-with-a-colon-polyp-in-a-difficult-situationFrom ergonomics to execution: An expert's guide to mastering complex polyp removalMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/transient-or-left-sided-ischemic-colitis-case-reports-with-focus-on-its-endoscopic-spectrumhttps://thepracticingendoscopist.com/p/transient-or-left-sided-ischemic-colitis-case-reports-with-focus-on-its-endoscopic-spectrumBy Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Troy Pleasant, MD, and Anand Dwivedi, MD Virginia Tech Carilion School of Medicine, Virginia, USA Transient or left-sided ischemic colitis is the most common type of ischemia of the gastrointestinal tract. Indeed, ischemic colitis is tMon, 23 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-resection-of-an-esophageal-pseudodiverticulum-in-radiation-induced-stenosishttps://thepracticingendoscopist.com/p/endoscopic-resection-of-an-esophageal-pseudodiverticulum-in-radiation-induced-stenosisNovel endoscopic technique using IT Knife Nano demonstrates safe and rapid resection of esophageal pseudodiverticulum in a complex post-radiation stenosis case, highlighting an innovative approach to managing challenging upper GI complicationsSun, 08 Dec 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/technical-review-endoscopic-resection-of-a-cardia-polyp-inside-a-hiatal-hernia-sack-using-the-duettehttps://thepracticingendoscopist.com/p/technical-review-endoscopic-resection-of-a-cardia-polyp-inside-a-hiatal-hernia-sack-using-the-duettethe Duette device was an ideal and safe tool to resect a polypoid lesion located in the cardia, inside a large hernia sack.Fri, 22 Nov 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/tips-for-the-endoscopy-suite-measurement-of-polyp-size-using-the-qtip-rulerhttps://thepracticingendoscopist.com/p/tips-for-the-endoscopy-suite-measurement-of-polyp-size-using-the-qtip-rulerby Anand Dwivedi, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA PDF - Tips for the Endoscopy Suite: Measurement of Polyp Size using the “QTip Ruler” An eldeFri, 08 Nov 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/technical-review-esophageal-dilation-with-the-bougiecaphttps://thepracticingendoscopist.com/p/technical-review-esophageal-dilation-with-the-bougiecapLuka K. Schöpf, MS, Josip Juraj Strossmayer Universität Osjiek, Croatia, Ameos Klinikum Halberstadt, Germany Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Professor of Medicine, Department of Gastroenterology, Ameos Klinikum Halberstadt, Germany, UEES Guayaquil, Ecuador, Universidad Thu, 31 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-management-of-post-sphincterotomy-bleeding-eight-hemostatic-tipshttps://thepracticingendoscopist.com/p/endoscopic-management-of-post-sphincterotomy-bleeding-eight-hemostatic-tipsBy Klaus Mönkemüller, MD, PhD, FASGE, FJGES  Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA, Honorary. Professor, Universidad de La República, Montevideo, Uruguay, Honorary Professor, UEES, Guayaquil, Ecuador Post-sphincterotomy bleeding is aThu, 24 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/mistakes-in-the-management-of-small-bowel-bleedinghttps://thepracticingendoscopist.com/p/mistakes-in-the-management-of-small-bowel-bleedingFree Video CourseThu, 17 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/emesis-or-prolapse-gastropathyhttps://thepracticingendoscopist.com/p/emesis-or-prolapse-gastropathyby Subhash Garikipati, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 35-year-old man presented with nausea and vomiting followed by hematemesis. During EGWed, 16 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-therapy-for-bleeding-gastroesophageal-varix-gov-2https://thepracticingendoscopist.com/p/endoscopic-therapy-for-bleeding-gastroesophageal-varix-gov-2by Hiral Patel, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 45-year-old woman with history of cirrhosis presented with acute onset hematemesis and hypotTue, 15 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-therapy-for-bleeding-jejunal-diverticulumhttps://thepracticingendoscopist.com/p/endoscopic-therapy-for-bleeding-jejunal-diverticulumby Hiral Patel, MD, Robert Moylan, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA How Do You ACTUALLY Master GI Bleeding? A 70-year-old man with history of hTue, 15 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/immune-checkpoint-inhibitor-induced-colitis-or-immune-mediated-colitishttps://thepracticingendoscopist.com/p/immune-checkpoint-inhibitor-induced-colitis-or-immune-mediated-colitisby Hiral Patel, MD, Robert Moylan, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 70-year-old woman with history of metastatic melanoma on treatment with iTue, 15 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/ileum-intubation-made-easyhttps://thepracticingendoscopist.com/p/ileum-intubation-made-easyFree Video CourseSun, 13 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/mini-review-on-proton-pump-inhibitors-ppi-with-focus-on-their-mechanism-of-actionhttps://thepracticingendoscopist.com/p/mini-review-on-proton-pump-inhibitors-ppi-with-focus-on-their-mechanism-of-actionMaren Haslach-Häfner, B.A. Berufsfachschule für Pflege Kronach, Helios Bildungszentrum Kronach, Germany Proton pump inhibitors (PPI=are the most common medications utilized to treat upper gastrointestinal bleeding resulting from acid-peptic disorders and ingestion of non-steroidaWed, 09 Oct 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/technical-review-pillsense-a-novel-swallowable-capsule-to-detect-upper-gastrointestinal-bleedinghttps://thepracticingendoscopist.com/p/technical-review-pillsense-a-novel-swallowable-capsule-to-detect-upper-gastrointestinal-bleedingKlaus Mönkemüller, MD, PhD, FASGE, FJGES   Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA, Universidad de la República, Montevideo, Uruguay, University of Belgrade, Serbia, UEES, Guayaquil, Ecuador Upper gastrointestinal bleeding (UGIB) is a Sat, 21 Sep 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-resection-giant-gastric-polyp-treat-upper-gi-bleedinghttps://thepracticingendoscopist.com/p/endoscopic-resection-giant-gastric-polyp-treat-upper-gi-bleedingHow Endoscopic Snare Resection Solved Both Bleeding and Malignancy RiskFri, 06 Sep 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-resection-of-lumenal-occluding-laterally-spreading-tumor-of-the-sigmoid-colonhttps://thepracticingendoscopist.com/p/endoscopic-resection-of-lumenal-occluding-laterally-spreading-tumor-of-the-sigmoid-colonTroy Pleasant, MD Gastroenterology Fellow, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA An elderly patient presented with recFri, 06 Sep 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-tips-tricks-firstline-monotherapy-overthescopeclip-massive-bleeding-due-duodenal-ulcer-huhttps://thepracticingendoscopist.com/p/endoscopic-tips-tricks-firstline-monotherapy-overthescopeclip-massive-bleeding-due-duodenal-ulcer-huKlaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA A middle-aged patient was admitted with hematemesis and hemorrhagic shock. After hemodynamic stabilization, EGD was performed, showing active bleeding and a paFri, 06 Sep 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/esophageal-varix-nipple-signhttps://thepracticingendoscopist.com/p/esophageal-varix-nipple-signRami Musallam, MD, Gastroenterology Fellow, Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Professor of Medicine Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA   A 50-year-old patient with a history ofFri, 06 Sep 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/portal-hypertensive-dueodenopathyhttps://thepracticingendoscopist.com/p/portal-hypertensive-dueodenopathyBy Jay Bapaye, MD (GI Fellow) and Klaus Mönkemüller, MD, PhD, FASGE, FJGES (Professor of Medicine), Virginia Tech Carilion School of Medicine, Virginia, USA 60-year-old male with cirrhosis presented with microcytic anemia and hemoccult positive stools. EGD, colonoscopy and capsulFri, 06 Sep 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/quick-endoscopic-diagnostic-tip-kissing-ulcers-duodenumhttps://thepracticingendoscopist.com/p/quick-endoscopic-diagnostic-tip-kissing-ulcers-duodenumKlaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA The term “kissing ulcers” of the duodenum describes the presence of two different ulcers facing each other, usually one located anteriorly and the othFri, 06 Sep 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/cavehttps://thepracticingendoscopist.com/p/caveDuring upper endoscopic evaluation of patients with classic gastric antral vascular ectasias (GAVE) we have observed a few patients who also had classic GAVE-appearing lesions in the gastric cardiaFri, 23 Aug 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/gastric-volvulushttps://thepracticingendoscopist.com/p/gastric-volvulusDiscover the types, symptoms, and management of gastric volvulus through an 87-year-old patient's case study. Learn about organoaxial and mesenteroaxial volvulus, and their clinical implications.Fri, 09 Aug 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/esophageal-lacerationhttps://thepracticingendoscopist.com/p/esophageal-lacerationBy Hiral Patel, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Virginia Tech Carilion School of Medicine, Virginia, USA 80-year-old patient with history of recent myocardial infarction, coronary stent placement and dual antiplatelet therapy presented with melena, hypotension andFri, 26 Jul 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/gurvits-syndromehttps://thepracticingendoscopist.com/p/gurvits-syndromeBlack Esophagus or Acute Esophageal NecrosisFri, 12 Jul 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/six-top-tips-use-argon-plasma-coagulation-treating-angiodysplasias-endoscopic-atlashttps://thepracticingendoscopist.com/p/six-top-tips-use-argon-plasma-coagulation-treating-angiodysplasias-endoscopic-atlasSix Top Tips to Use Argon Plasma Coagulation When Treating Angiodysplasias: An Endoscopic Atlas   Adil S. Mir, MD, FACP Gastroenterology Fellow, Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA  Reid WasThu, 13 Jun 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-resection-of-zenker-s-diverticulumhttps://thepracticingendoscopist.com/p/endoscopic-resection-of-zenker-s-diverticulumHow I Do It: Endoscopic Resection of Zenker’s Diverticulum By Jay Bapaye, MD, Klaus Mönkemüller, MD, PhD, FASGE, FJGES Virginia Tech Carilion School of Medicine, Virginia, USA Zenker's diverticulum, also known as posterior pharyngeal pouch, is a pulsion diverticulum, resulting frMon, 03 Jun 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/bump-trickhttps://thepracticingendoscopist.com/p/bump-trickThe Bump Trick for Hemostasis (and Closure of Mucosal Defects) By Klaus Mönkemüller, MD, PhD, FASGE, FJGES and Joel Joseph, MD Virginia Tech Carilion School of Medicine, Virginia, USA image via endocollab.com Often, bleeding lesions are located on the right (Panel A), as in this Thu, 30 May 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/tips-and-tricks-to-manage-a-mallory-weiss-tearhttps://thepracticingendoscopist.com/p/tips-and-tricks-to-manage-a-mallory-weiss-tearThe Practicing Endoscopist by EndoCollabMon, 06 May 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-band-ligation-of-esophageal-variceshttps://thepracticingendoscopist.com/p/endoscopic-band-ligation-of-esophageal-varicesQuick Tips and Tricks for Endoscopic Band Ligation of Esophageal Varices By Diana Dougherty, MD (Gastroenterology Fellow) and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA; Universidad de la República, MonFri, 26 Apr 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/meat-bolus-impactionhttps://thepracticingendoscopist.com/p/meat-bolus-impactionQuick Case: Meat Bolus Impaction by Reid Wasserman, DO and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Middle aged male presents with food bolus impaction.&Fri, 05 Apr 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/laterally-spreading-tumor-lst-in-ascending-colonhttps://thepracticingendoscopist.com/p/laterally-spreading-tumor-lst-in-ascending-colonQuick Case: Laterally Spreading Tumor LST in Ascending Colon by Diana Dougherty, MD and Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Laterally spreading tumoThu, 14 Mar 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/revolution-in-polyp-removalhttps://thepracticingendoscopist.com/p/revolution-in-polyp-removalMarking Technique for Identifying and Resection Flat Colon Polypoid Lesions or Polyps in Difficult Locations By Klaus Mönkemüller, MD, PhD, FASGE, FJGES and Reid Wasserman, DO Virginia Tech Carilion School of Medicine, Virginia, USA One of the most frustrating aspects of dealing Fri, 01 Mar 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/eleview-submucosal-injection-solutionhttps://thepracticingendoscopist.com/p/eleview-submucosal-injection-solutionBy Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Virginia, USA; Universidad de la República, Montevideo, Uruguay; University of Belgrade, Belgrade, Serbia, Universidad Espiritu Santo; Ecuador, University of Osijek, CroaTue, 06 Feb 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-resection-of-lst-in-ascending-colonhttps://thepracticingendoscopist.com/p/endoscopic-resection-of-lst-in-ascending-colonDiana Dougherty, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A flat polypoid lesion was found in the ascending colon (A). As this lesion was larger than 10 mm, Wed, 31 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/zenkers-diverticulumhttps://thepracticingendoscopist.com/p/zenkers-diverticulumBy Reid Wasserman, DO, Klaus Mönkemüller, MD, PhD, Adil S. Mir, MD FACP Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA Department of Internal Medicine, Division of Gastroenterology Image courtesy of EndoCollab.com An elderly male presented with dysphagia to solSat, 27 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/58-year-old-patient-experiences-severehttps://thepracticingendoscopist.com/p/58-year-old-patient-experiences-severeHemobilia, though rare, can be a severe post-procedure complication, requiring prompt diagnosis and effective treatment.Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/73-yo-woman-asthma-anxiety-colonoscopy-done-chronic-diarrhea-altered-mucosal-nodularity-ascending-cohttps://thepracticingendoscopist.com/p/73-yo-woman-asthma-anxiety-colonoscopy-done-chronic-diarrhea-altered-mucosal-nodularity-ascending-coWhat Is Your Diagnosis?Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/advances-in-endoscopic-vacuum-therapyhttps://thepracticingendoscopist.com/p/advances-in-endoscopic-vacuum-therapyThis cutting-edge treatment continues to evolve, offering new solutions for gastrointestinal defects and improving patient outcomes.Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/aggressive-fluid-resuscitation-inhttps://thepracticingendoscopist.com/p/aggressive-fluid-resuscitation-inA ground-breaking, solid, practice-changing, and "dogma-removing" studyFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/ampullomahttps://thepracticingendoscopist.com/p/ampullomaCase of the WeekFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/amyloidosishttps://thepracticingendoscopist.com/p/amyloidosisInvestigating the Intersection of Rheumatoid Arthritis, Gastrointestinal Bleeding, and AmyloidosisFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/angiodysplasias-of-the-cecum-andhttps://thepracticingendoscopist.com/p/angiodysplasias-of-the-cecum-andThe classic teaching refers to Heyde’s syndrome as “the association of aortic stenosis and cecal angiodysplasias”. Whereas this is partially true, in this newsletter you will learn that Heyde syndrome is a type of hemophilia (acquired von Willebrand disease) leading to GI bleedinFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/antibiotics-use-is-associated-withhttps://thepracticingendoscopist.com/p/antibiotics-use-is-associated-withAntibiotic use may increase colorectal cancer risk by altering the gut microbiota. Indeed, emerging data support a pathogenic role of certain bacteria, such as  Fusobacterium nucleatum , in colon carcinogenesis (1,2). Although it is well known that factors such as excess bodFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/biologic-chromoendoscopy-the-eyehttps://thepracticingendoscopist.com/p/biologic-chromoendoscopy-the-eyeBy Klaus Mönkemüller, MD, PhD, FASGE, FJGES  Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, USA  Natural or Biologic Chromoendoscopy for Detection of Colorectal Polyps   Endoscopic detection and resection of colorectal polyps is the key Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/cameron-lesionshttps://thepracticingendoscopist.com/p/cameron-lesionsLearn about the causes, identification, and treatment of Cameron lesions - linear erosions of the stomach often missed on initial endoscopy of large hiatal hernias.Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/can-experience-colonoscopy-prep-noticed-patients-receive-dont-good-boston-scorehttps://thepracticingendoscopist.com/p/can-experience-colonoscopy-prep-noticed-patients-receive-dont-good-boston-scoreCan I have your experience with colonoscopy prep? I have noticed that most of the patients we receive don't have a good Boston score? We had a similar experience as you and we have changed two essential aspects of colon prep. First, we created an instruction sheet for the patientFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/candida-esophagitishttps://thepracticingendoscopist.com/p/candida-esophagitisThe classic endoscopic appearance of candida esophagitis is that of multiple confluent, protuberant, yellowish-white, plaque-like lesions with the appearance of cottage cheese.Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/caps-gi-endoscopyhttps://thepracticingendoscopist.com/p/caps-gi-endoscopyQuestion What is the best way to inspect the papilla of Vater in the abscence or lack of availability of a duodenoscope (side-viewing scope, ERCP scope)? Answer Today we present a useful tip for inspection of the papilla of Vater using distal transparent cap. A close and detailedFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/chicken-skin-mucosahttps://thepracticingendoscopist.com/p/chicken-skin-mucosaDoes the White Deposit (Chicken Skin Sign) Around the Base of the Polyps Have Any Prognostic Value? “Chicken skin” mucosa (or “goose skin” in German-speaking countries, or “fish skin” in the Mediterranean and some Far East countries) was first described in Western countries in199Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/clostridioides-difficile-infectionhttps://thepracticingendoscopist.com/p/clostridioides-difficile-infectionA Comprehensive Summary with Quick Facts for Your PracticeFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/cronkhite-canada-syndrome-ccshttps://thepracticingendoscopist.com/p/cronkhite-canada-syndrome-ccsA 48-year-old woman presented with chronic diarrhea and loss of taste. On clinical exam she appeared pale, had brittle nails and had partial hair loss. She was found to have severe iron deficiency anemia. Colonoscopy showed multiple reddish, edematous mucosal streaks and polyps aFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/cytomegalovirus-cmv-gastritishttps://thepracticingendoscopist.com/p/cytomegalovirus-cmv-gastritisCMV Gastritis in Renal Transplant PatientFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/die-dabigatraninduced-exfoliative-esophagitishttps://thepracticingendoscopist.com/p/die-dabigatraninduced-exfoliative-esophagitisToday we present a case of drug-induced exfoliative esophagitis (DIE) - Dabigatran-induced Exfoliative Esophagitis Non-vitamin K anticoagulants (NOAC), also known as direct oral anticoagulants (DOAC) are now commonly used for a variety of conditions requiring chronic anticoagulatFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-removal-of-esophagealhttps://thepracticingendoscopist.com/p/endoscopic-removal-of-esophagealDiana L. Dougherty, MD and Klaus Mönkemüller, MD, PhD Virginia Tech Carilion Hospital, Virginia, USA The tripod grasper was originally developed to retrieve colon polyps (Figure 1). Given its versatile design, it soon became evident that this device was also useful for removing oFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-resection-of-complex-duodenalhttps://thepracticingendoscopist.com/p/endoscopic-resection-of-complex-duodenalBy Klaus Mönkemüller, MD, PhD, FASGE (USA), FJGES (Japan)  Pedunculated Duodenal Adenoma, 0-Ip  This polyp is located in the second part of the duodenum.   What resection technique would you use?  And what precautions would you take to prevent the polyp from gFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/endoscopic-spectrum-of-left-sidedhttps://thepracticingendoscopist.com/p/endoscopic-spectrum-of-left-sidedThe endoscopic spectrum of ischemic colitis is broad. Key elements though are sparing of the rectum and segmental distribution, mainly in the left colon (at the watershed area, arc of Riolan). Colonic ischemia occurs due to changes in systemic circulation and/or alterations in loFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/erefs-score-for-eosinophilic-esophagitishttps://thepracticingendoscopist.com/p/erefs-score-for-eosinophilic-esophagitis including edema, rings, exudates, furrows, and stricturesFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/ergonomics-in-gastrointestinal-endoscopyhttps://thepracticingendoscopist.com/p/ergonomics-in-gastrointestinal-endoscopysharing tips on improving ergonomics in the endoscopy unitFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/focal-segmental-bile-duct-dilationhttps://thepracticingendoscopist.com/p/focal-segmental-bile-duct-dilationCaroli's disease: Causes and features of rare biliary tract malformationFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/fully-covered-selfexpanding-metal-stent-option-recalcitrant-duodenal-stenosishttps://thepracticingendoscopist.com/p/fully-covered-selfexpanding-metal-stent-option-recalcitrant-duodenal-stenosisI have only used fully covered self-expanding metal stents for palliative situations such as malignant gastric outlet obstruction or duodenal perforation (by instruments or due to lymphoma). There are case reports of using fc-SEMS for benign conditions. Your case is very challengFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/gastric-antral-vascular-ectasia-gavehttps://thepracticingendoscopist.com/p/gastric-antral-vascular-ectasia-gaveGastric antral vascular ectasia (GAVE) or watermelon stomach is an uncommon but important cause of gastrointestinal bleeding and anemia, first described in 1953 by Rider et al (1). GAVE is characterized by a “characteristic” endoscopic pattern, mainly represented by red spots eitFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/gastric-hyperplastic-polypshttps://thepracticingendoscopist.com/p/gastric-hyperplastic-polypsQuestion: A routine EGD for GERD, found to have one gastric polyp 8mm - turned out to be a hyperplastic polyp in at 45M? No H. pylori, no atrophy. Follow up? Short answer: No surveillance is necessary in this patient, especially because the patient is NOT infected with H. pylori Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/giant-prolapsing-gastric-polyphttps://thepracticingendoscopist.com/p/giant-prolapsing-gastric-polypCase of the WeekFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/granular-cell-tumor-gcthttps://thepracticingendoscopist.com/p/granular-cell-tumor-gctAlthough some guidelines dichotomize the decision to resect granular cell tumors (also called Abrikosoff's tumor) based on presence or absence of symptoms, others, including ourselves support the decision to resect based in histological criteria. Let's not forget that GCT can be Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/handling-post-operative-common-bilehttps://thepracticingendoscopist.com/p/handling-post-operative-common-bileThis middle-aged patient with diabetes mellitus underwent open cholecystectomy for an emphysematous gallbladder and presented 72-hours later with abdominal pain.  How would you treat this bile leak? The most common recommendation is to perform a biliary sphincterotomy. Many Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/how-does-clostridioides-difficilehttps://thepracticingendoscopist.com/p/how-does-clostridioides-difficileIn clinical practice, all practicing endoscopists see and treat patients with C. difficile infection (CDI). One of the criteria for the severity of CDI is leukocytosis (1). Indeed, the leukocytosis in CDI can be so bad, that occasionally it’s called “leukemoid reaction”. Let’s loFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/inflammatory-fibroid-polyps-ifp-orhttps://thepracticingendoscopist.com/p/inflammatory-fibroid-polyps-ifp-orThe images show Vanek tumors of the duodenum (left) and the stomach (right) (Stomach photo by @patholwaker) Inflammatory fibroid polyps (IFP) or "Vanek tumors" are rare submucosal lesions arising from a reactive, benign granuloma-like process of the GI tract (1). This tumor Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/introducing-this-vs-that-a-traininghttps://thepracticingendoscopist.com/p/introducing-this-vs-that-a-trainingThis vs That Digital Flashcards . Never be confused by similar GI diseases again! Flashcards for diseases that every endoscopist must know! Grab yours by clicking here . What Is the Diagnosis of This Rectal Polyp? This is no simple polyp. And too often, there is a tendency to insFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/is-endoscopic-submucosal-dissectionhttps://thepracticingendoscopist.com/p/is-endoscopic-submucosal-dissectionEndoscopic submucosal dissection (ESD) is a treatment for superficial tumors, pre-cancerous, and early cancerous lesions in the gastrointestinal (GI) tractFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/journal-clubhttps://thepracticingendoscopist.com/p/journal-clubPaper discussion: Endoscopic mucosal resection combined with hybrid argon plasma coagulation to prevent recurrence of large nonpedunculated colorectal polypsFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/liver-tests-and-ratios-a-practicalhttps://thepracticingendoscopist.com/p/liver-tests-and-ratios-a-practicalKnowledge of liver tests are essential for the daily practice of gastroenterology and endoscopy. The response of the liver to various types of injury varies and is often reflected by differentiated elevation of different liver tests. Classic examples are a ratio of 2:1 of AST:ALTFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/lumenapposing-selfexpanding-metal-stents-lams-versus-plastic-stents-infected-pancreatic-necrosis-onehttps://thepracticingendoscopist.com/p/lumenapposing-selfexpanding-metal-stents-lams-versus-plastic-stents-infected-pancreatic-necrosis-oneLumen-apposing metal stents (LAMS) have larger lumen and are supposed to drain better. In this comparative study, the need for further necrosectomy was the same for LAMS or plastic stents. It was not a head-to-head comparative study.  The authors compared the results from thFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/master-the-art-of-endoscopy-tattooshttps://thepracticingendoscopist.com/p/master-the-art-of-endoscopy-tattoosUncover the Pro Technique for Precise Creation of a Tattoo for Subsequent Lesion Identification Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/mastering-the-use-of-hemoclips-throughhttps://thepracticingendoscopist.com/p/mastering-the-use-of-hemoclips-through​Hemoclips, originally designed for hemostasis, are versatile tools that have revolutionized various endoscopic procedures.Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/mechanism-of-action-of-pcabs-potasiumhttps://thepracticingendoscopist.com/p/mechanism-of-action-of-pcabs-potasiumBackground: Conventional proton pump inhibitors (PPIs) are the main first-line therapy to treat acid-related disorders (1). However, they have a number of limitations including slow onset of action, influence by cytochrome P450 polymorphisms, unsatisfactory effects at night, and Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/mid-gi-bleeding-of-obscure-causehttps://thepracticingendoscopist.com/p/mid-gi-bleeding-of-obscure-causeBy Klaus Mönkemüller. MD, PhD, FASGE (USA), FJGES (Japan)  Professor of Internal Medicine. Virginia Tech Carilion Medical School, Roanoke, USA  Honorary Professor, Universidad de La República, Montevideo, Uruguay  Visiting Professor, Faculty of Medicine, UniversityFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/multiple-polypoid-sigmoid-colon-lesionshttps://thepracticingendoscopist.com/p/multiple-polypoid-sigmoid-colon-lesionsAn elderly patient presented with abdominal pain, diarrhea and fever. A colonoscopy was performed about 10 days after the initial symptoms had improved. At that point the main indication for colonoscopy was the presence of mild hematochezia. What is the diagnosis? When discoverinFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/new-guidelines-from-the-asge-forhttps://thepracticingendoscopist.com/p/new-guidelines-from-the-asge-forThe new guidelines for the diagnosis and management for eosinophilic esophagitis are out. Let’s see what they say. I have prepared a list of key takeaways.Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/optimal-way-use-variable-stiffness-colonoscopes-difficult-colonoscopies-adverse-eventshttps://thepracticingendoscopist.com/p/optimal-way-use-variable-stiffness-colonoscopes-difficult-colonoscopies-adverse-eventsWhat is the optimal way to use variable stiffness colonoscopes in difficult colonoscopies? Have you had any adverse events? Variable stiffness is a wonderful addition to colonoscopes, especially pediatric colonoscopes, which I use for most colonoscopies in the hospital where I haFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/palisade-veinshttps://thepracticingendoscopist.com/p/palisade-veinsThe palisade vessels are tiny capillaries (or veins) located in the distal submucosa of the esophagus and are quite important to distinguish esophagus from stomach. Whereas in most countries endoscopists use the beginning of the proximal gastric folds to determine the location ofFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/superior-mesenteric-artery-syndromehttps://thepracticingendoscopist.com/p/superior-mesenteric-artery-syndromeJonathan Rozenberg, DO, MPH; Jay A. Bapaye, MD; Klaus Mönkemüller, MD, PhD, FASGE, FJGES; Adil S. Mir, MD, FACP Institution: Virginia Tech Carilion School of Medicine, Roanoke, VA, USA Superior mesenteric artery syndrome (SMAS) depicts the rare phenomena of the third (or horizontFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/the-esd-emr-hybrid-or-pre-cuttinghttps://thepracticingendoscopist.com/p/the-esd-emr-hybrid-or-pre-cuttingA technique to improve complete entrapment and resection colorectal, esophageal and stomach lesions.Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/the-miracle-signhttps://thepracticingendoscopist.com/p/the-miracle-signThe Practicing Endoscopist NewsletterFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/tip-for-inspection-of-the-papillahttps://thepracticingendoscopist.com/p/tip-for-inspection-of-the-papillaToday we present a useful tip for inspection of the papilla of Vater using a distal transparent capFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/tips-for-management-of-colon-polypshttps://thepracticingendoscopist.com/p/tips-for-management-of-colon-polypsBy Varun Kesar, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Pedunculated polyps (Paris 0-Ip) with thick and long stalk (Figure 1) pose a resection challenge as the pedicle usually has one or more big arteries and thus, the risk of intra- or post-polypectomy bleeding is increaFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/tips-postemr-bleeding-lesions-located-anal-verge-distal-rectumhttps://thepracticingendoscopist.com/p/tips-postemr-bleeding-lesions-located-anal-verge-distal-rectumThis polyp is located on the anal verge, right proximal to the dentate line. What would you do? A. Endoscopic band ligation B. Refer to colorectal surgeon or proctologist C. Resect using regular snare D. Resect using EMR technique E. Other Answer Polyps or polypoid lesions locateFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/treating-upper-gastrointestinal-bleedinghttps://thepracticingendoscopist.com/p/treating-upper-gastrointestinal-bleedingState-of-the-Art Endoscopic Techniques for Managing Upper Gastrointestinal HemorrhageFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/ulcerations-of-the-intestines-inhttps://thepracticingendoscopist.com/p/ulcerations-of-the-intestines-inPresented by Prof. Adrian Canavesi: Middle-aged patient 42 with MEN IIb syndrome, s/p thyroidectomy about 10 years ago for medullary thyroid cancer, s/p bilateral adrenalectomy due to pheochromocytoma one year later. Since then, taking hydrocortisone and fludrocortisone. About 5 Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/understanding-cronkhite-canada-syndromehttps://thepracticingendoscopist.com/p/understanding-cronkhite-canada-syndromeA Comprehensive Overview of Cronkhite-Canada Syndrome: Symptoms, Diagnosis, and Treatment ApproachesFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/unusual-bile-duct-problems-the-sumphttps://thepracticingendoscopist.com/p/unusual-bile-duct-problems-the-sumpWhat is the Sump Syndrome?Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/use-co2-water-immersion-diagnostic-colonoscopies-daily-basishttps://thepracticingendoscopist.com/p/use-co2-water-immersion-diagnostic-colonoscopies-daily-basisDo You Use CO2 and Water Immersion in Diagnostic Colonoscopies on a Daily Basis? Yes. And Yes. Using CO2 is a great for colonoscopy for several reasons: a) improved patient tolerability, b) improved cecal intubation rate, c) improves therapeutic possibilities as the colFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/water-assisted-colonoscopy-wac-orhttps://thepracticingendoscopist.com/p/water-assisted-colonoscopy-wac-orWater immersion or assisted technique for colonoscopy (WAC) insertion has been noted to help reduce pain and occasionally makes difficult colonoscopies somewhat easier by straightening out the colon and reducing angulations (1, 2). WAC has been gathering interest in recent years Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/what-is-a-phrygian-cap-gallbladderhttps://thepracticingendoscopist.com/p/what-is-a-phrygian-cap-gallbladderA phrygian cap gallbladder is a congenital anomaly of the gallbladder with an incidence of 4%. It can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology. A Phrygian cap, however, has no pathological significance and normally causes nFri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/where-does-the-measurement-fr-frenchhttps://thepracticingendoscopist.com/p/where-does-the-measurement-fr-frenchEvery day in the endoscopy unit we use instruments and accessories with measures in “French” (Fr)Fri, 26 Jan 2024 00:00:00 GMThttps://thepracticingendoscopist.com/p/zenkerhttps://thepracticingendoscopist.com/p/zenker Dysphagia in an Elderly PatientFri, 26 Jan 2024 00:00:00 GMT