EndoCollab™ | GI Endoscopy Community

EndoCollab Quiz

Elderly, acute abdominal pain, elevated liver tests, nausea, now continuous vomiting.

Diagnosis?

a. Gastric outlet obstruction from a peptic ulcer
b. Acute pancreatitis
c. Duodenal adenocarcinoma
d. Bouveret syndrome

Vote in the reply to see the answer.

Toronto Upper GI Cleaning Score, per area:
3 Entire mucosa well seen, no suction or washing
2 Nonadherent liquid or blood, suction only
1 Mucus, bubbles, liquid, blood: suction and/or washing
0 Content not removable by suction or washing, or obstruction hiding most of the area

Downhill or uphill varices?

Prof. Klaus Mönkemüller, in our WhatsApp group:

Most downhill varices start in the upper esophagus and generally do not pass the mid esophagus.

Big all the way down?

Check the spleen.

Usually normal in downhill varices, unless cirrhose cardiaque.

New duodenal nodules, 10 years after a duodenal EMR.

From our private WhatsApp group.

Duodenal adenomas often come back, even after complete resection.

One member would biopsy the depressed lesion as if malignant: at least 8 biopsies from all sides.

Histology pending.

EndoCollab Quiz

Patient with a history of pancreatitis, now with fullness and abdominal pain.

EGD showed the following finding.

What is your diagnosis?

Reply below with your answer.