We report a rare but severe complication of routine transnasal esophagogastroduodenoscopy (EGD). The tip of a transnasal endoscope was locked in a bent position. Since the bent tip was unable to be returned to a neutral position, the snare from another endoscope inserted transorally was used to straighten it, which allowed the transnasal endoscope to be withdrawn with only mild injury to the ga...

Metastasis to the esophagus from a distant primary cancer is a rare manifestation in a patient with a history of oncological disease presenting with obstructive upper gastrointestinal symptoms. Computed tomography of the thorax or esophagogastroduodenoscopy can be non-diagnostic as the disease tends to be submucosal. In such a situation, endoscopic ultrasound (EUS) with fine needle aspiration (...

We report the case of a 67-year-old woman presenting with epigastric pain. Computed tomography identified diffuse phlegmonous esophagitis. Esophagogastroduodenoscopy revealed multiple perforations in the mucosal layer of the esophagus. A large amount of pus was drained internally through the gut. The patient was treated with antibiotics and early jejunostomy feeding. Although phlegmonous esopha...

Gastritis cystica profunda (GCP) is a rare hyperplastic lesion of unclear etiology. Clinical symptoms of GCP are variable and range from nonspeci ic abdominal pain to gastric outlet obstruction. Often the diagnosis of GCP has been dif icult to make as simple esophagogastroduodenoscopy (EGD) guided biopsy can fail to yield the diagnosis. Here, we report a case of GCP that presented in a challeng...

A 55-year-old Japanese man without dyslipidemia underwent esophagogastroduodenoscopy screening. He was diagnosed with reflux esophagitis, atrophic gastritis, and multiple gastric ulcers. In addition, scattered white villi were seen in the superior duodenal angle. No white villi were seen in any other parts of the duodenum. Esophagogastroduodenoscopy performed three months after Helicobacter pyl...