Rare presentation of Brunner's gland adenoma: another differentiation in patients with recurrent "idiopathic" pancreatitis.

Background: Brunner's gland adenoma (BGA) is an unusual benign neoplasm arising from Brunner's glands in the duodenum. When symptomatic it presents either with duodenal obstruction or bleeding. However, pancreatitis secondary to ampullary obstruction from a BGA is very rare.

Laparoscopic retrieval of a missing pancreatic pseudocyst drain.

A 20-year woman who presented with acute pancreatitis developed a pseudocyst that was successfully drained by endoscopic placement of a stent as a cystogastrostomy. The first stent used went fully into the cyst and was irretrievable. Two years later a computed tomography showed the stent lying anterior to the left kidney.

Re-introduction of azathioprine in previously intolerant patients.

Background And Aims: Azathioprine is an important steroid sparing agent in the management of patients with inflammatory bowel disease. However, side effects are a problem in a significant minority of patients. We proposed that desensitization might increase the number of patients able to tolerate the drug.

Intussusception caused by a heterotopic pancreas. Case report and literature review.

Context: Intussusception in adults is rare, accounting for 0.1% of adult hospital admissions. In contrast to this, it is the leading cause of obstruction in children.

Making the diagnosis of coeliac disease: is there a role for push enteroscopy?

Coeliac disease is one of the most common genetically based diseases. The wide clinical spectrum of the disease and the availability of highly specific antibody testing have led to an increased number of patients undergoing gastroscopy with distal duodenal biopsies. Histological confirmation of the characteristic small bowel changes with partial or total villous atrophy remain the gold standard for making a diagnosis.