Duodenal polyposis secondary to portal hypertensive duodenopathy.

Portal hypertensive duodenopathy (PHD) is a recognized, but uncommon finding of portal hypertension in cirrhotic patients. Lesions associated with PHD include erythema, erosions, ulcers, telangiectasia, exaggerated villous pattern and duodenal varices. However, duodenal polyposis as a manifestation of PHD is rare.

Esophageal granular cell tumor colliding with intramucosal adenocarcinoma: a case report.

We report a case of a granular cell tumor colliding with intramucosal adenocarcinoma of the esophagus. A 58-year-old white was found to have a 5 mm nodule in the distal esophagus detected by upper gastrointestinal endoscopy performed as part of the workup of long standing reflux. Endoscopic biopsies revealed intramucosal adenocarcinoma arising in the setting of Barrett's esophagus.

Endoscopic balloon dilation compared with sphincterotomy for extraction of bile duct stones.

Background And Aims: Endoscopic retrograde cholangiopancreatography is commonly performed to remove bile duct stones. The aim of this study was to determine short-term outcomes of endoscopic balloon dilation of the sphincter of Oddi compared with sphincterotomy for stone extraction.

Methods: A randomized, controlled multicenter study of 117 patients assigned to dilation and 120 to sphincterotomy was performed in a spectrum of clinical and academic practices.

Gallstones.

Preview Gallstones, already estimated to occur in 1 of every 10 Americans, may be even more common than that, since many stones are asymptomatic and discovered only incidentally. In an effort to avoid the expense of surgery and the recovery period afterward, investigators have developed pharmacologic, radiographic, and other nonsurgical treatment methods, which continue to be refined. Dr Jaffe summarizes these alternatives, patient selection, success rates, and posttreatment recurrence.