Background Perforation of an acute ulcer is a serious and life-threatening condition. Treatment for this sudden abdominal event is surgical in the majority of cases.

A 31-year-old female patient presented to the University Hospital’s emergency department with upper abdominal pain that had persisted for 2 weeks. She also reported a

Ascaris infestation show quite a wide array of clinical manifestations as it maybe asymptomatic showing only long term manifestations of growth retardation and malnutrition ,

Achieving sustained biliary drainage in patients with cholestasis or cholangitis often represents a turning-point in the treatment of malignant and infectious diseases with hepatobiliary involvement.

Clinical case: A 78-year-old lady presented as an emergency case with stool retention for several days in chronic constipation, with known diverticulosis and acutely increasing

Further training in endoscopy using virtual reality: the VIGATU project is developing a VR endoscopy simulator for doctors and nursing staff

A 68-year old woman with advanced endometrial cancer and evidence of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and cytomegalovirus (CMV) infection was referred to endoscopy unit

Here we present a case of a patient qualified for endosonographic evaluation of unspecific esophageal submucosal lesion (SEL). The lesion was detected during routine upper

A 38-year-old man in a clearly impaired general state of health presented for clarification of Hb-relevant gastrointestinal bleeding with melena and transfusion-refractory thrombopenia.

Konsiliarische Vorstellung eines 47-Jährigen, multimorbiden Patienten bei dem in einem externen Krankenhaus zuvor mittels EMR ein Barrettfrühkarzinom abgetragen wurde. Trotz der basalen R1 Situation und

Invasive amebiasis in the colon, with ulcerations in the right colon.

Gastric Intestinal Metaplasia is a risk factor of intestinal-type gastric cancer, but WLI was not adequate to detect IM of stomach. NBI system with and

PPIs have become routine in ICU units to prevent bleeding in critically ill patients – but are they justified?

Since 2017, ESGE guidelines require that a standard snare should no longer be used for the removal of small polyps, and especially diminutive polyps. The

We present a case of a 46-year-old patient with an HCV-associated, multilocular hepatocellular carcinoma. Therapy with Sorafenib was discontinued as a result of serious side

This article provides an overview of the scoring systems commonly used for diagnosing chronic pancreatitis by means of endoscopic ultrasonography (EUS), and for classifying the

Almost everybody prescribes at least low-dose PPI to their Barrett patients even if they complete asymptomatic – is this warranted?

Until only a few years ago, endoscopic therapy for benign biliary stricture involved implantation of one or multiple plastic stents, exchanged every 3 months, for

Cold snare resection has been established in diminutive polyps (up to 5 mm) as being at least as safe and partially more effective than biopsy

Polyp differential diagnosis by endoscopy has become a hot topic in the frame of the DISCARD discussion, stating that histologic analysis of small/diminutive (< 5

Disturbances of the intestinal microbiota have been linked to the pathogenesis of ulcerative colitis (UC). In active UC microbiota differs from that in healthy subjects

For clinical cases, endoscopic full-thickness resection (EFTR) was developed and first described by Suzuki and Ikeda in 2001. It was performed in three Japanese patients

The adenoma detection rate (ADR) is the holy grail of quality assurance in colonoscopy. It is the main parameter for outcome quality — or more

Endosonographic drainage of pancreatic cysts is currently regarded as the standard throughout the world, in comparison with other treatments (such as percutaneous drainage or surgery).

The latest developments in the field of gastroenterology and endoscopy are presented every year at Digestive Diseases Week (DDW) in Chicago — although in recent

During hemostasis in patients with nonvariceal upper gastrointestinal hemorrhage, the Forrest classification is recommended for risk stratification, as it correlates best with the risk of

This guidelines on capsule endoscopy was put together by 7 Canadian experts and published in a high-ranking journal. It is limited to capsule endoscopy in

In the German-speaking countries (and also in Scandinavia), the majority of endoscopic procedures (usually diagnostic) that were carried out in the 1960s and 1970s were

The most frequent causes of a pain-related presentation to the proctologist are anal venous thrombosis and anal fissure. Both of these conditions typically result from

Celiac disease is a chronic inflammation trigged by the ingestion of gluten and resulting in a dense infiltration of lymphocytes in the proximal small intestine.

Adenoma detection rate (ADR) has become the holy grail of colonoscopy outcome quality measurement and efforts to increase ADR are ongoing.

The application of non-steroidal anti-inflammatory drugs (NSAIDs) such as indometacin or diclofenac to prevent post-ERCP pancreatitis (PEP) has been examined in several randomized trials throughout

Screening colonoscopy is well established in a few Western countries as primary method of colorectal cancer (CRC) screening; however, most Western countries use conventional (FOBT)

Among the gastric submucosal tumors, neuroendocrine tumors are a special entity, which also require examination of independent gastric mucosal biopsies for classification.

Heterotope Magenschleimhaut des Ösophagus (heterotopic gastric mucosa, gastric inlet patch) entspricht funktionellem Magengewebe, das sich nicht an der anatomisch üblichen Lokalisation befindet. Sie ist in

Depending on the patient’s degree of sedation and the examiner’s level of experience, carrying out a precise examination of the Z-line may not be very

The following gallery of images is intended to present the newly evaluated characteristics in the WASP classification, but it also illustrates the problems that still

Unclear smaller polyps in the rectum may represent a pitfall — if they do not look like perfectly typical hyperplasia or small adenomas, then carcinoids

Flat polyps are difficult to identify and may be easily overlooked, particularly in the right colon, where there is sometimes limited bowel cleansing. If a

Considerable debate is currently taking place among therapeutic endoscopists regarding the best method of resecting early carcinomas, particularly in the upper gastrointestinal tract — whereas

The current standard is that when polyps or adenomas are identified on (screening) colonoscopies, they should be either directly removed or, if not, patients should

As a therapeutic discipline, proctology belongs primarily to the field of visceral surgery. However, the diagnosis of proctologic diseases is relevant to all physicians working

Since the early 2000s, meta-analyses based on smaller studies have shown that open and laparoscopic surgery for rectal carcinoma produce similar results.

The efficacy of surveillance for Barrett’s patients is a matter of controversy, and it is probably due to the low long-term risk of carcinoma developing

Cystic pancreatic tumors are increasingly being detected at the asymptomatic stage, thanks to improved imaging, and “screening” imaging in particular. This often then leads to

Low-grade dysplasia (low-grade intraepithelial neoplasia, LGIN) is difficult to distinguish from inflammation histopathologically. The interobserver variance rates usually show kappa values below 0.4, representing a

The risk of progression of nonneoplastic Barrett’s esophagus to high-grade intraepithelial neoplasia or adenocarcinoma is extremely low and has been reported in recent studies to

Achalasia is a rare neuromuscular disease of unclear etiology that probably has a genetic background. The precise etiopathogenesis of achalasia is still unclear. Above all,

Patients with chronic inflammatory bowel disease (IBD) are at increased risk for the development of colorectal carcinomas and the corresponding precursor lesions. This applies both

Fecal tests have increasingly moved on from the classic fecal occult blood test (FOBT) to fecal immunologic testing (FIT), particularly in countries with newly introduced

A new wide-angle colonoscope now provides a viewing angle of 330°, at least on one level, which represents practically a doubling in comparison with previous

There has been increasing discussion regarding quality indicators in colonoscopy, and on the ways in which what parameters should be assessed and compared using benchmarking.

It has long been known that bacterial infection can be transmitted via endoscopes. Review studies have shown that infections are still occurring and are usually

Sessile serrated adenomas (SSAs) are the latest fashion in gastroenterological endoscopy. Individual histopathological examinations have shown that there is a separate pathway to carcinoma, apparently