A 67-year-old man presented with food impaction and was found to have a gastric polyp obstructing the esophageal outlet. Due to the polyp's location and size, no immediate endoscopic intervention was performed, and the patient returned for intraoperative endoscopy and polypectomy. Cases of gastric polyps causing esophageal obstruction have not been identified in the literature. This case is uni...

Bile leaks are an important cause of morbidity after living donor liver transplantation (LDLT). This complication occurs in the early postoperative period and has an incidence of 15-40% [1]. These images (Figs. 1 and 2) are from a 57-yearold female who presented with symptoms of gastric outlet obstruction and was found to have a massive biloma. She had undergone a LDLT for hepatitis C cirrhosis...

A 5-day-old female neonate presented with persistent non-bilious projectile vomiting since birth. Baby girl was born at term by normal vaginal delivery. Antenatal scans at 12 and 20 weeks of pregnancy were reported as normal. Mother had polyhydramnios in late pregnancy. Baby was discharged home the same day of birth. The baby however developed non-bilious projectile emesis on the same day after...

Amyloidosis is characterized by extracellular deposition of insoluble protein fibrils that stain with Congo red application and appear apple green under polarized light. The presenting symptoms result from the involvement of many affected, nonspecific and generalized organ systems. Our patient was an 80-year-old woman with no medical history. She presented with a 2-week history of nausea and vo...

JB Most endoscopists who are asked this question would immediately think of anatomic problems that limit or prevent access to the main duodenal papilla for cannulation, such as prior upper gastrointestinal surgery (eg, Billroth II gastrectomy, Roux-en-Y biliary diversion, or gastric bypass procedures) or gastric outlet obstruction (Figure 1). However, the difficulty of an endoscopic retrograde ...

Study sample No sample size appears to have been determined in the planning phase of the study in order to ensure a certain power. The study included consecutive histories of 22 patients who underwent palliative endoscopic stenting and 17 patients who underwent gastric bypass surgery for malignant gastric outlet obstruction between October 2001 and December 2004. No patient refused access to hi...

Gastrointestinal stromal tumours (GISTs), are relatively common tumours of the gastrointestinal tract, most commonly found in the stomach. Previously they were termed as leiomyomas and leiomyosarcomas. Clinically, they are asymptomatic but may cause abdominal pain or bleeding from ulceration of the overlying mucosa. We present a case of gastroduodenal intussusception secondary to large gastric ...

By incision of the pyloric muscle and “plastic” reconstruction of the pyloric channel, pyloroplasty facilitates gastric emptying when the gastric outlet is obstructed either mechanically by ulcer, stenosis, or hypertrophy, or functionally by antropyloric vagotomy. First described by Heineke in 1886 and by Mikulicz in 1888, the Heineke-Mikulicz technique is still considered the principal pylorop...