GiT Updates and More
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Gi doctor with interests in endoscopy, gut health, liver & medicine in general.
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✅Waffle-like mucosa of the stomach
⚠️ Characteristic of linitis plastica, an advanced form of adenocarcinoma
💡 Important to recognise as biopsies are usually normal (due to submucosal infiltration)
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Elevated amylase is not always due to pancreatitis. Here are some other causes
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💡unusual ulcer was seen in the distal duodenum in a 86 year old with anaemia . The striped appearance is actually the Dacron mesh from a previous AAA repair, resulting in an imminent aortoenteric fistula.
✅Once seen, never forgotten!
In a patient with UGI bleed, ask about AAA repair, This is because:
✳️ Aortoenteric fistulas usually >D3
✳️ Most OGDs end in D2
✳️ Endoscopists will try to intubate distal duodenum if they know about it.
