ACG Case Reports Journal

Esophagus | Volume 1, Issue 4

Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett’s Esophagus in the Setting of Varices

Meghan NeSmith, MD¹, Janice Jou, MD², M. Brian Fennerty, MD, FACG², Kenneth J. Kolbeck, MD, PhD³, Brent Lee, MD², and Joseph Ahn, MD, FACG²

ACG Case Rep J 2014;1(4):189–192. http://dx.doi.org/10.14309/crj.2014.48. Published: July 8, 2014.

Patients with Barrett’s esophagus and cirrhosis who develop high-grade dysplasia or adenocarcinoma in the setting of esophageal varices present a unique therapeutic dilemma.We present a case of variceal decompression with a TIPS allowing for successful EMR of Barrett’s esophagus with high-grade dysplasia overlying esophageal varices.

Full Text | PDF

Multifocal Synchronous Granular Cell Tumors of the Gastrointestinal Tract

Zachary Lipkin-Moore, BS¹, Rebecca M. Thomas, MD², and Robin D. Rothstein, MD¹

ACG Case Rep J 2014;1(4):193–195. http://dx.doi.org/10.14309/crj.2014.49. Published: July 8, 2014.

Granular cell tumors (GCT) are rare and unusual tumors, which are usually benign and asymptomatic. Only 5–10% of cases involve the gastrointestinal tract, most commonly as singular, non-cancerous lesions in the esophagus. We report a rare case of symptomatic, multifocal, synchronous GCT involving the esophagus, stomach, and cecum.

Full Text | PDF