A 59-year-old female patient without significant medical history was referred for a second opinion esophago-gastro-duodenoscopy against background of progressive postprandial dyspeptic complaints and weight loss about 5 kg. The previous examination described as diffusely irregular mucosal changes specific findings on multiple conventional endoscopic biopsies. recent EGD could replicate diffuse ...

BACKGROUND In our previous case report of circumferential mucosal resection for short-segment Barrett's esophagus with high-grade dysplasia, symptoms of gastro-esophageal reflux disease (GERD) were significantly improved. This observation suggests that anti-reflux mucosectomy (ARMS) could represent an effective anti-reflux procedure, with the advantage that no artificial devices or prostheses w...

OPENING ARGUMENT Stark strategies face patient and clinician in the presence of a degenerating dysplastic Barrett’s mucosa. Surgical removal offers an overaggressive flawed approach reminiscent of the politics of “Total War” (Karl Von Clausewitz 1780–1831: “Vom Kriege”). Decisive action assures eradication but without definitive knowledge of the threat and incurring extensive collateral damage....

PURPOSE Hirschsprung-associated enterocolitis (HAEC) is a serious complication of Hirschsprung's disease (HD), with generalized sepsis and high mortality rate. Although the surgical correction of HD is mostly successful, challenges remain in the management of children with repeated episodes of enterocolitis. The authors describe a novel modification of transanal rectal mucosectomy and partial i...

Patients will typically present symptoms of chronic post-radiation colitis and proctitis 8–12 months after finishing their treatment. Endoscopic methods play the main role treatment bleeding caused by proctitis. Surgical is required for remained approximately 10% patients. Here we a 64 year old female with metastatic breast cancer, who was referred to us intractable rectal bleeding. Total colon...