VideoGIE Image Quiz

  1. Colonoscopy follow-up

    A 65-year-old man presented for follow-up colonoscopy. During this examination, the above endoscopic image was captured. What is the diagnosis?
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  2. Duodenal lesions

    A 41-year-old man presented with melena. Endoscopy showed these lesions in the duodenum. What medical problem can these be associated with?
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  3. Multiple biliary lesions

    A 75-year-old man presented with progressive jaundice. He had a remote history of prior cholecystectomy for adenocarcinoma of the gallbladder. MRCP demonstrated multiple intraluminal filling defects with dilated intrahepatic ducts. The extrahepatic ducts were normal. The patient underwent ERCP with cholangioscopy. What is the etiology of his biliary obstruction?
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  4. Biliary access options

    What method is used to access the bile duct in these images?
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  5. Refractory Barrett's esophagus

    A 64-year-old woman with chronic reflux symptoms is found to have long-segment Barrett’s esophagus, C7M8 with low-grade dysplasia. Which of the following statements regarding Barrett’s esophagus is true?
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  6. A nonalcoholic solution

    A 67-year-old man with NYHA class III heart failure and atrial fibrillation with defibrillator placement presents for evaluation of a cystic mass in the body and tail of the pancreas. An EGD with EUS is performed and cyst fluid CEA is 1655. Which of the following cyst features are high risk for malignancy?
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  7. It’s a dirty business

    A 64-year-old man is admitted with acute cholecystitis and choledocholithiasis. During the ERCP consent process, the patient voices concern about the risk of infection from a contaminated scope. Which of the following statements about endoscope-related infection outbreaks is true?
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  8. A chest thumper

    A 35-year-old man presents with a 3-year history of intermittent chest pain, dysphagia, and regurgitation. Upper endoscopy reveals a normal esophagus and GE junction. Barium esophagram and high-resolution manometry results are shown in the image. The high-resolution manometry suggests which pattern of dysmotility?
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  9. A sneaky stricture

    A 50-year-old man presented with abdominal pain and diarrhea. CT showed thickening in the jejunum. This endoscopic finding was seen on small-bowel enteroscopy. What is the best next step?
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  10. A variety of views

    A 69-year-old man previously treated for cervical esophageal cancer presented with dysphagia. A stricture was seen in the cervical esophagus, and the following finding was seen more distal, distinct from the stricture. What do you suspect?
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