The DAVE Project, an acronym for the Digital Atlas of Video Education,
is a collection of teaching tools. The project consists of a gastrointestinal endoscopy video atlas and
medical lectures and presentations. The most recent additions to the collection are displayed below.
Physicians are encouraged to submit material, for consideration, new entries to enrich and expand the atlas.
Intussuception in Peutz-Jegher Syndrom
Mike Babineaux, MD : 21 Jan 2010
A 30 year old woman with Peutz-Jegher syndrome presented with nausea, vomiting and crampy left abdominal pain. She had undergone multiple abdominal surgeries since child hood for intussuception of the small bowel due to large hamartomatous polyps. Her physical exam was remarkable for tachycardia, hyperpigmented spots on her lips and an abdomen tender to deep palpation with no rebound tenderness..... view more....
Mike Babineaux, MD : 21 Jan 2010
A 30 year old woman with Peutz-Jegher syndrome presented with nausea, vomiting and crampy left abdominal pain. She had undergone multiple abdominal surgeries since child hood for intussuception of the small bowel due to large hamartomatous polyps. Her physical exam was remarkable for tachycardia, hyperpigmented spots on her lips and an abdomen tender to deep palpation with no rebound tenderness..... view more....
Duodenum - Endoscopic Management of a Windsock Diveticulum
Rajesh N. Keswani, MD : 19 Jan 2010
A 24 year old female was referred for complaints intermittent nausea and vomiting and weight loss. The upper GI barium study demonstrates an enlarged diverticulum in the second portion of the duodenum. A thin radiolucent stripe is seen around the diverticulum which has been described as the halo sign. Upper endoscopy is performed which identifies a large diverticulum which intermittently obstructs.... view more....
Rajesh N. Keswani, MD : 19 Jan 2010
A 24 year old female was referred for complaints intermittent nausea and vomiting and weight loss. The upper GI barium study demonstrates an enlarged diverticulum in the second portion of the duodenum. A thin radiolucent stripe is seen around the diverticulum which has been described as the halo sign. Upper endoscopy is performed which identifies a large diverticulum which intermittently obstructs.... view more....
Intestine - EUS of an Appendiceal Adenoma
Jonathan M Buscaglia, MD : 13 Jan 2010
On routine examination of the cecum during screening colonoscopy, a 76 year-old man is noted to have a small amount of polypoid tissue extruding from the appendiceal orifice. The lesion is submerged in water and a 20 MHz, high-frequency, EUS probe is used for further evaluation. EUS allows for easy sonographic identification of the polyp. The bright white, hyperechoic portions of the colonic wall.... view more....
Jonathan M Buscaglia, MD : 13 Jan 2010
On routine examination of the cecum during screening colonoscopy, a 76 year-old man is noted to have a small amount of polypoid tissue extruding from the appendiceal orifice. The lesion is submerged in water and a 20 MHz, high-frequency, EUS probe is used for further evaluation. EUS allows for easy sonographic identification of the polyp. The bright white, hyperechoic portions of the colonic wall.... view more....
Pure Wire Guided Cannulation of the Bile Duct Using a Loop-tip Guidewire
Kapil Gupta, M.D. : 08 Dec 2009
In this video we will present two cases discussing the technique of bile duct access with pure wire guided cannulation using a loop tip guide wire. For pure wire guided cannulation, a sphincterotome is recommended. We should stay slightly away from the papilla so that papilla is clearly visualized and using the bow of sphincterotome the guide wire can be advanced in a cephalad direction over the.... view more....
Kapil Gupta, M.D. : 08 Dec 2009
In this video we will present two cases discussing the technique of bile duct access with pure wire guided cannulation using a loop tip guide wire. For pure wire guided cannulation, a sphincterotome is recommended. We should stay slightly away from the papilla so that papilla is clearly visualized and using the bow of sphincterotome the guide wire can be advanced in a cephalad direction over the.... view more....
Large Diameter Balloon Dilation for Removal of Bile Duct Stone
Manmeet Padda, MD : 20 Nov 2009
83 year old male with multiple co-morbidities presented with fever, abnormal liver enzymes and dilated common bile duct (CBD) up to 15 mm in size on abdominal CT scan and elevated international normalized ratio (INR). A pull type sphincterotome was used to cannulate the common bile duct. After the slight adjustment, the sphincterotome was advanced freely without any resistance into the common bi.... view more....
Manmeet Padda, MD : 20 Nov 2009
83 year old male with multiple co-morbidities presented with fever, abnormal liver enzymes and dilated common bile duct (CBD) up to 15 mm in size on abdominal CT scan and elevated international normalized ratio (INR). A pull type sphincterotome was used to cannulate the common bile duct. After the slight adjustment, the sphincterotome was advanced freely without any resistance into the common bi.... view more....
EUS FNA of a Pancreatic Neuroendocrine Tumor
Alina Stoita, MBBS : 20 Nov 2009
A 67 year old man was referred for an EUS of an incidental pancreatic mass lesion. His past medical history included a colorectal cancer resected 18 year ago. He was admitted to the hospital 1 month prior to the EUS for one episode of melaena. He had no weight loss and was otherwise well. He had a normal gastroscopy and colonoscopy and a capsule endoscopy showed a small bowel polyp. To further.... view more....
Alina Stoita, MBBS : 20 Nov 2009
A 67 year old man was referred for an EUS of an incidental pancreatic mass lesion. His past medical history included a colorectal cancer resected 18 year ago. He was admitted to the hospital 1 month prior to the EUS for one episode of melaena. He had no weight loss and was otherwise well. He had a normal gastroscopy and colonoscopy and a capsule endoscopy showed a small bowel polyp. To further.... view more....
Racial and Ethnic Disparities in Liver Disease
Andrea E. Reid, MD, MPH : 08 Jul 2009
Dr Andrea Reid, Gastroenterology Program Director at Massachusetts General Hospital, presented clinical grand rounds on the topic of "Racial and Ethnic Disparities in Liver Disease". Issues discussed include hepatitis B, hepatitis C, NAFLD, hepatocellular carcinoma, and liver transplantation. The lecture was recorded June 23, 2009.
Andrea E. Reid, MD, MPH : 08 Jul 2009
Dr Andrea Reid, Gastroenterology Program Director at Massachusetts General Hospital, presented clinical grand rounds on the topic of "Racial and Ethnic Disparities in Liver Disease". Issues discussed include hepatitis B, hepatitis C, NAFLD, hepatocellular carcinoma, and liver transplantation. The lecture was recorded June 23, 2009.
NOTES Transrectal Rectosigmoid Resection
Patricia Sylla, MD : 08 Jul 2009
Dr Patricia Sylla, Instructor in Surgery at Massachusetts General Hospital, delivered clinical grand rounds at the MGH GI Unit on the topic of transrectal rectosigmoid resection via NOTES. The lecture was recorded May 19, 2009.
Patricia Sylla, MD : 08 Jul 2009
Dr Patricia Sylla, Instructor in Surgery at Massachusetts General Hospital, delivered clinical grand rounds at the MGH GI Unit on the topic of transrectal rectosigmoid resection via NOTES. The lecture was recorded May 19, 2009.
What's New in Hereditary Colon Cancer?
Daniel C. Chung, M.D. : 21 Apr 2009
Dr. Daniel Chung, Clinical Director, Gastrointestinal Cancer Genetics Program at Massachusetts General Hospital and Assistant Professor of Medicine at Harvard Medical School, delivered clinical grand rounds at the MGH GI unit on the topic of hereditary colon cancer. Topics included Familial adenomatous polyposis (FAP), MYH-associated polyposis (MAP), Lynch syndrome. This presentation was recorded 24 March 2009.
Daniel C. Chung, M.D. : 21 Apr 2009
Dr. Daniel Chung, Clinical Director, Gastrointestinal Cancer Genetics Program at Massachusetts General Hospital and Assistant Professor of Medicine at Harvard Medical School, delivered clinical grand rounds at the MGH GI unit on the topic of hereditary colon cancer. Topics included Familial adenomatous polyposis (FAP), MYH-associated polyposis (MAP), Lynch syndrome. This presentation was recorded 24 March 2009.
Hepatitis C After Liver Transplantation
Fredric D. Gordon, MD : 21 Apr 2009
Dr Fredric Gordon, Medical Director of Liver Transplantation and Director of Hepatology at Lahey Clinic, delivered clinical grand rounds at the Massachusetts General Hospital GI Unit. The topic was "Hepatitis C After Liver Transplantation". The presentation was recorded 31 March 2009.
Fredric D. Gordon, MD : 21 Apr 2009
Dr Fredric Gordon, Medical Director of Liver Transplantation and Director of Hepatology at Lahey Clinic, delivered clinical grand rounds at the Massachusetts General Hospital GI Unit. The topic was "Hepatitis C After Liver Transplantation". The presentation was recorded 31 March 2009.
Two Cases from Fellows Rounds
Hamed Khalili, MD : 31 Mar 2009
Dr Hamed Khalili, Gi Fellow at Massachusetts General Hospital, presents Bigelow Rounds at the MGH GI Unit. The first case presented involves a 40 year old female with hepatitis C, who presents with numbness and tingling in her extremities and develops a rash. The second case involves a 76 year old man admitted for evaluation of suprapubic abdominal pain found to be anemia with guaiac positive stool.
Hamed Khalili, MD : 31 Mar 2009
Dr Hamed Khalili, Gi Fellow at Massachusetts General Hospital, presents Bigelow Rounds at the MGH GI Unit. The first case presented involves a 40 year old female with hepatitis C, who presents with numbness and tingling in her extremities and develops a rash. The second case involves a 76 year old man admitted for evaluation of suprapubic abdominal pain found to be anemia with guaiac positive stool.
Surgery in the Patient with Liver Disease
Lawrence S. Friedman, M.D. : 29 Mar 2009
Dr Lawrence Friedman, Chair of the Department of Medicine at Newton-Wellesley Hospital and Professor of Medicine at Harvard Medical School and Tufts University School of Medicine, presents Clinical Grand Rounds at MGH GI Unit on the topic of surgery in patients with liver disease. The presentation was recorded Feb. 17, 2009.
Lawrence S. Friedman, M.D. : 29 Mar 2009
Dr Lawrence Friedman, Chair of the Department of Medicine at Newton-Wellesley Hospital and Professor of Medicine at Harvard Medical School and Tufts University School of Medicine, presents Clinical Grand Rounds at MGH GI Unit on the topic of surgery in patients with liver disease. The presentation was recorded Feb. 17, 2009.
