Barrett’s Esophagus Case Study 1: Intestinal Metaplasia
A 62-year-old male presented with complaints of daily heartburn and chest discomfort. These symptoms had been ongoing for seven to eight years but had worsened over the last few months. He underwent an upper endoscopy and Barrett's esophagus was diagnosed.
Barrett’s Esophagus Case Study 2: Low-Grade Dysplasia
A 59-year-old male was diagnosed with Barrett's esophagus five years ago. On his last surveillance endoscopy, random biopsies of Barrett's mucosa showed low-grade dysplasia. The patient was referred to IESMG for further evaluation and treatment.
Barrett’s Esophagus Case Study 3: High-Grade Dysplasia
A 66-year-old white male was diagnosed with Barrett's esophagus. Endoscopy and biopsies showed an area of nodular high-grade dysplasia. At IESMG, he underwent endoscopic mucosal resection (EMR) of the nodular area with success. He is now considered for ablation of residual Barrett's esophagus.
Barrett’s Esophagus Case Study 4: Barrett’s with Focal Carcinoma-In-Situ
A 78-year-old male ex-smoker with emphysema and a long-standing history of GERD was found on upper endoscopy to have Barrett’s esophagus with a focal area of raised mucosa. A 1 cm nodular lesion was identified along a “tongue” of Barrett’s mucosa.
Barrett’s Esophagus Case Study 5: Barrett’s with Multifocal High-Grade Dysplasia
A 63-year-old male with chronic GERD was diagnosed to have circumferential Barrett’s involving a 4 to 5 cm segment of the distal esophagus. Biopsies showed high-grade dysplasia, confirmed by a second pathologist.
Cyanoacrylate Treatment of Gastric Varices Case Study 1: Recurrent Gastrointestinal Bleeding
A 60-year-old man with cirrhosis secondary to alcoholic liver disease presented with a history of multiple gastrointestinal bleeds over a three-year period. The patient had a history of both esophageal and gastric varices and had undergone multiple episodes of esophageal variceal band ligation.
Cyanoacrylate Treatment of Gastric Varices Case Study 2: Gastric Varices with Portal and Splenic Vein Thrombosis
An 80-year-old male with a history of multiple endocrine neoplasia type 1 presented to an outside hospital with burgundy stool. He had a history of gastric varices secondary to thrombosis of the portal and splenic veins.
Cyanoacrylate Treatment of Gastric Varices Case Study 3: Acute Gastric Variceal Bleeding After Surgical Shunt
A 71-year-old male with cryptogenic cirrhosis and hepatocellular carcinoma was transferred from an outlying hospital with acute GI bleeding. He underwent portal decompressive surgery one year earlier for variceal bleeding.
Cyanoacrylate Treatment of Gastric Varices Case Study 4: Bleeding Duodenal Varices
A 42-year-old male with a history of necrotizing biliary pancreatitis complicated by splenic vein thrombosis presented with episodic transfusion-dependent melena. Multiple upper and lower endoscopies, RBC tagged scans, and small bowel radiographs were unrevealing of a bleeding source.
Endoscopic Mucosectomy Case Study 1: Flat Duodenal Adenoma
An 83-year-old male with a history of iron deficiency anemia underwent upper endoscopy and was found to have a 3 cm sessile adenoma in the second portion of the duodenum extending over two folds. Biopsies showed tubular adenoma without dysplasia. He was referred to IESMG for consideration of mucosectomy.
Endoscopic Mucosectomy Case Study 2: Large Colon Adenoma
A 54-year old female who underwent screening colonoscopy was found to have a 5 cm adenomatous growth encompassing the hemicircumference of the sigmoid colon. Biopsies showed a tubular-villous adenoma. She was referred for mucosectomy.