ACG Case Reports JournalPub Date : 2024-12-20eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001571
Himsikhar Khataniar, Aakash Desai, Gursimran S Kochhar
{"title":"Initial Experience With Safety and Efficacy of Endoscopic Full-Thickness Resection in Patients With Inflammatory Bowel Disease: A Case Series.","authors":"Himsikhar Khataniar, Aakash Desai, Gursimran S Kochhar","doi":"10.14309/crj.0000000000001571","DOIUrl":"10.14309/crj.0000000000001571","url":null,"abstract":"<p><p>Endoscopic full-thickness resection (EFTR) is a novel endoscopic technique for removing complex colorectal lesions. The inflammatory bowel disease (IBD) population poses unique challenges for endoscopic resection due to an increased prevalence of fibrotic, nonlifting lesions and higher recurrence rates compared with the general population. This case series reports on the successful use of EFTR in 5 patients with IBD who had challenging colonic polyps, including fibrotic and nonlifting lesions. Technical success was achieved in all cases without any postoperative complications. Follow-up surveillance revealed no residual lesions or recurrence, and histopathological analysis confirmed full-thickness resection in all samples. This is one of the first case series suggesting that EFTR is a promising, safe, and effective alternative to surgery for managing complex colorectal polyps in patients with IBD.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01571"},"PeriodicalIF":0.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ACG Case Reports JournalPub Date : 2024-12-20eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001574
Nihal Ijaz Khan, Abdullah Abbasi, Saurabh Chandan, Sagar Pathak, Charanjeet Singh, Muhammad K Hasan
{"title":"A Case of Transduodenal Endoscopic Ultrasound-Guided Biopsy of an Appendiceal Lesion.","authors":"Nihal Ijaz Khan, Abdullah Abbasi, Saurabh Chandan, Sagar Pathak, Charanjeet Singh, Muhammad K Hasan","doi":"10.14309/crj.0000000000001574","DOIUrl":"10.14309/crj.0000000000001574","url":null,"abstract":"<p><p>Vermiform appendiceal cancers are rare and commonly diagnosed incidentally after appendectomy for acute appendicitis. Establishing a diagnosis and staging appendiceal cancer is important as the treatment options differ based on the subtypes of tumor and their spread in the peritoneum. The role of endosonography in tissue diagnosis of appendiceal cancer is limited. Most cases are diagnosed and staged radiologically and surgically. Tissue diagnosis is key in management, especially when diagnosis is unclear by other modalities. We report a case of transduodenal endoscopic ultrasound-guided biopsy of an appendiceal lesion, which had significant impact on patient outcome.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01574"},"PeriodicalIF":0.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ACG Case Reports JournalPub Date : 2024-12-20eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001573
Karam Karam, Elias Fiani, Ihab I El Hajj
{"title":"Inadvertent Wire Shearing During Endoscopic Ultrasound-Guided Rendezvous Procedure.","authors":"Karam Karam, Elias Fiani, Ihab I El Hajj","doi":"10.14309/crj.0000000000001573","DOIUrl":"10.14309/crj.0000000000001573","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01573"},"PeriodicalIF":0.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ACG Case Reports JournalPub Date : 2024-12-20eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001558
Jacob Draves, Halil Tekiner, Steven H Yale, Eileen S Yale
{"title":"Chilaiditi Sign: Involvement of the Large and Small Intestines?","authors":"Jacob Draves, Halil Tekiner, Steven H Yale, Eileen S Yale","doi":"10.14309/crj.0000000000001558","DOIUrl":"10.14309/crj.0000000000001558","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01558"},"PeriodicalIF":0.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ACG Case Reports JournalPub Date : 2024-12-09eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001560
Rached Zeghlache, Tijana Samardzic, Katelyn Norman
{"title":"Nonhepatic Hyperammonemic Encephalopathy: An Unmasked Urea Cycle Disorder in the Setting of Late Gastric Bypass Complication.","authors":"Rached Zeghlache, Tijana Samardzic, Katelyn Norman","doi":"10.14309/crj.0000000000001560","DOIUrl":"10.14309/crj.0000000000001560","url":null,"abstract":"<p><p>We present the case of a woman with nonhepatic hyperammonemic encephalopathy, a rare complication of bariatric surgery. Proposed mechanism include underlying urea cycle disorders and increased ammonia production. Clinically, states of hyperammonemia present with predominantly neurological symptoms of behavioral disturbances, lethargy, seizures, and coma. Given the high morbidity and mortality rate of nearly 40%, early recognition and treatment of the underlying mechanisms of hyperammonemia are crucial.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01560"},"PeriodicalIF":0.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142805971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ACG Case Reports JournalPub Date : 2024-12-04eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001563
Sabine Eid, Maureen Bauer, Nathalie Nguyen
{"title":"The Role of Transnasal Endoscopy in Diet Management of Eosinophilic Esophagitis.","authors":"Sabine Eid, Maureen Bauer, Nathalie Nguyen","doi":"10.14309/crj.0000000000001563","DOIUrl":"10.14309/crj.0000000000001563","url":null,"abstract":"<p><p>The diagnosis and monitoring of eosinophilic esophagitis (EoE) relies on clinical symptoms and histological examination of the esophageal mucosa. Currently, esophagogastroduodenoscopy with biopsy is the standard of care in the diagnosis and monitoring of EoE. Unsedated transnasal endoscopy (TNE) is a less invasive and less costly procedure that can be performed without general anesthesia. Here, we describe the first case of a 15-year-old adolescent girl who underwent TNE exclusively to identify all food triggers for EoE. She underwent 12 TNEs over a period of 4 years to identify food triggers for EoE to ultimately achieve the remission of her disease.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01563"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ACG Case Reports JournalPub Date : 2024-12-04eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001566
Erika Tsuchiyose, Michael Talanian, Haihui Liao, Erik Holzwanger
{"title":"Endoscopic Ultrasound-Guided Diagnosis of Gallbladder Mixed Neuroendocrine Non-Neuroendocrine Tumor With an Anomalous Pancreaticobiliary Junction.","authors":"Erika Tsuchiyose, Michael Talanian, Haihui Liao, Erik Holzwanger","doi":"10.14309/crj.0000000000001566","DOIUrl":"10.14309/crj.0000000000001566","url":null,"abstract":"<p><p>Mixed neuroendocrine non-neuroendocrine neoplasms are exceedingly rare tumors, especially those of gallbladder origin. Anomalous pancreaticobiliary junction is an uncommon congenital abnormality that can predispose various types of hepatobiliary malignancies. We present an unusual case of a 46-year-old woman with anomalous pancreaticobiliary junction who presented to the emergency department with nausea, vomiting, and right upper quadrant pain. Magnetic resonance imaging revealed a gallbladder mass concerning for primary malignancy and liver lesions. Endoscopic ultrasound and fine-needle biopsy were valuable diagnostic tools used to sample the gallbladder, liver lesions, and common hepatic duct under one minimally invasive procedure. Pathology showed a gallbladder mixed neuroendocrine non-neuroendocrine neoplasms, with neuroendocrine components in the liver and adenocarcinoma components in the common hepatic duct.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01566"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ACG Case Reports JournalPub Date : 2024-12-04eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001568
Chloe Lahoud, Mark Tawfik, Liliane Deeb, Sherif Andrawes
{"title":"Endoscopic Submucosal Dissection for En-Bloc Removal of a Large Obstructing Duodenal Mass.","authors":"Chloe Lahoud, Mark Tawfik, Liliane Deeb, Sherif Andrawes","doi":"10.14309/crj.0000000000001568","DOIUrl":"https://doi.org/10.14309/crj.0000000000001568","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01568"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}