Device-assisted enteroscopy in the UK: description of a large tertiary case series under conscious sedation.

Objective: Device-assisted enteroscopy (DAE) has developed rapidly, particularly with the advent of double-balloon enteroscopy (DBE). This study reports a case series from a UK tertiary centre for DAE across two modalities-DBE and spiral enteroscopy (SE)-under conscious sedation.

Design: Retrospective observational study of 257 enteroscopy procedures from 2008 to 2014.

Meckel's diverticulum in an adult: an obscure presentation of gastrointestinal bleeding.

A 17-year-old boy, with a background of haemophilia A, presented to hospital with an episode of brisk and painless per rectal (PR) bleeding. Initial investigation with gastroscopy and colonoscopy revealed no source of bleeding. Examination of the small bowel including MRI, CT angiogram and capsule endoscopy revealed no abnormalities.

Autoimmune pancreatitis complicated by spontaneous subcapsular splenic haemorrhage.

Context: Autoimmune pancreatitis is a rare but increasingly recognised condition with unique clinical, immunological and histological features. We report the first case of autoimmune pancreatitis associated with spontaneous splenic haemorrhage.

Case Report: A 75-year-old man presented with severe epigastric pain radiating to the back associated with nausea and vomiting.

Understanding why patients die after gastrostomy tube insertion: a retrospective analysis of mortality.

Objectives: To understand the causes of mortality of inpatients receiving a percutaneous endoscopic gastrostomy (PEG) tube compared with a survival curve predicted from a model proposed by Levine et al (2007).

Design: A retrospective study of patients receiving a PEG over an 18-month period.

Setting: Royal United Hospital Bath, a district general hospital in the southwest of England.