Welcome to our image of the week!
Every week we present an endoscopic picture - click on the image for the diagnosis.24. September 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/24-09-2019.jpg)
diagnosis
Endosonographic image of a duodenal diverticulum using watre filling
![](https://www.endoscopy-campus.com/wp-content/uploads/24-09-2019.jpg)
17. September 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/17-09-2019.jpg)
diagnosis
Small pedunculated sigmoid adenoma (low grade); the distorted pattern at the polyp tip does not indicate more severe histopathology
![](https://www.endoscopy-campus.com/wp-content/uploads/17-09-2019.jpg)
10. September 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/10-09-2019-1.jpg)
diagnosis
Close-up image of a Barrett carcinoma on NBI only visible with a cap
![](https://www.endoscopy-campus.com/wp-content/uploads/10-09-2019-1.jpg)
3. September 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-03-09-2019.jpg)
diagnosis
Endosonographic visualization of a distal bile duct carcinoma with echopoor and irregular wall thickening and a small part of the bile duct lumen
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-03-09-2019.jpg)
27. August 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-08-2019.jpg)
diagnosis
See image of last week – visualization with cap and acetic acid staining – typical Barrett epithelium
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-08-2019.jpg)
20. August 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-08-2019.jpg)
diagnosis
Image of the cardia with questionable small Barrett island – see image next week
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-08-2019.jpg)
13. August 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-13-08-2019.jpg)
diagnosis
Reddish fundic gland polyp in the stomach (histologically confirmed)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-13-08-2019.jpg)
6. August 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-08-2019.jpg)
diagnosis
Slightly prominent appendiceal orifice in cecum
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-08-2019.jpg)
30. July 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-30-07-2019.jpg)
diagnosis
Distal esophagus in a patient with longstanding achalasia showing erosive changes, probably due to stasis
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-30-07-2019.jpg)
23. July 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-23-07-2019.jpg)
diagnosis
Valley Sign of a colon adenoma, first described by Dr. Rex in 2017
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-23-07-2019.jpg)
16. July 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-16-07-2019.jpg)
diagnosis
Tubullovillous adenoma.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-16-07-2019.jpg)
9. July 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-09-07-2019.jpg)
diagnosis
BLI highlights the mucosal surface and vascular pattern morphology. In combination with an optical zoom, in vivo diagnosis of a tubular adenoma can be easily achieved
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-09-07-2019.jpg)
25. June 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-25-06-2019.jpg)
diagnosis
Submucosal tunnel during a POEM procedure.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-25-06-2019.jpg)
18. June 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-18-06-2019.jpg)
diagnosis
Post-inflammatory polyps in ulcerative colitis imaged with LCI. Identification of dysplasia in those cases can become extremely challenging.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-18-06-2019.jpg)
11. June 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-11-06-2019.jpg)
diagnosis
NET of the rectum imaged with BLI. Although small, the lesion can be clearly demarked for subsequent endoscopic resection.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-11-06-2019.jpg)
28. May 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-28-05-2019.jpg)
diagnosis
Multiple vessels after polypectomy. Not that endoscopic clipping is not always necessary.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-28-05-2019.jpg)
21. May 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-21-05-2019.jpg)
diagnosis
Mucomyotomy of Zenker’s diverticulum. Muscle fibers are already clearly exposed.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-21-05-2019.jpg)
14. May 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-14-05-2019.jpg)
diagnosis
Gastric cancer imaged with BLI for visualization of the mucosal surface and vascular pattern network. Endoscopic resection (ESD) was performed for the lesions.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-14-05-2019.jpg)
7. May 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-07-05-2019.jpg)
diagnosis
Long segment Barrett’s esophagus imaged with LCI.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-07-05-2019.jpg)
30. April 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-30-04-2019jpg.jpg)
diagnosis
Small early gastric cancer visualized with LCI. The so called “red-in-purple” sign is always suspicious for neoplasia.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-30-04-2019jpg.jpg)
23. April 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/23-04-2019.jpg)
diagnosis
Inflammatory colon polyps are common. As identification of dysplasia in those lesions is difficult, endoscopic resection should be performed.
![](https://www.endoscopy-campus.com/wp-content/uploads/23-04-2019.jpg)
16. April 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/16-04-2019.jpg)
diagnosis
BLI highlights the mucosal surface and vascular pattern morphology. In combination with an optical zoom of 135-fold, optical diagnosis of a tubular adenoma can be easily achieved.
![](https://www.endoscopy-campus.com/wp-content/uploads/16-04-2019.jpg)
9. April 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/09-04-2019.jpg)
diagnosis
Endoscopic full thickness resection with the FTRD system. Duplication of the single layers is clearly visible.
![](https://www.endoscopy-campus.com/wp-content/uploads/09-04-2019.jpg)
2. April 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/02-04-2019.jpg)
diagnosis
Barrett’s cancer imaged with Linked Color Imaging (LCI) which strongly highlights the neoplastic tissue.
![](https://www.endoscopy-campus.com/wp-content/uploads/02-04-2019.jpg)
26. March 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-26-03-2019.jpg)
diagnosis
Large duodenal lipoma
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-26-03-2019.jpg)
12. March 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-12-03-2019.jpg)
diagnosis
Submucosal bulge in the esophagus, collapsing (right) suggesting esophageal duclication. Confirmation by endosonography showing mucosal structure in the wall of the duplication (below).
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-12-03-2019.jpg)
5. March 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-05-03-2019.jpg)
diagnosis
Duodenum in Graft versus Host Disease (GvHD)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-05-03-2019.jpg)
19. February 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-19-02-2019.jpg)
diagnosis
Food residues in a smaller Zenker diverticulum
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-19-02-2019.jpg)
12. February 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-12-02-2019.jpg)
diagnosis
Duodenal varices
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-12-02-2019.jpg)
5. February 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-05-02-2019.jpg)
diagnosis
Recurrent Zenker diverticulum, scarring and deviating
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-05-02-2019.jpg)
15. January 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-15-01-2019.jpg)
diagnosis
Healed duodenal ulcer without fibrin
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-15-01-2019.jpg)
8. January 2019
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-08-01-2019.jpg)
diagnosis
Small Zenker diverticulum (1 cm on barium swallow), hardly visible on endoscopy beside a hypertrophic upper sphincter
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-08-01-2019.jpg)
25. December 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-25-12-2018.jpg)
diagnosis
Healing duodenal ulcer with elevated margin at the upper duodenal curve
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-25-12-2018.jpg)
11. December 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-11-12-2018.jpg)
diagnosis
Linitis plastica (diffusely infltrating gastric cancer)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-11-12-2018.jpg)
4. December 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-04-12-2018.jpg)
diagnosis
Duodenal bulb ulcer
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-04-12-2018.jpg)
27. November 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-11-2018.jpg)
diagnosis
Epiphrenic diverticulum in the distal esophagus
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-11-2018.jpg)
20. November 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-11-2018.jpg)
diagnosis
Early gastric cancer at the angular fold (incisura angularis)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-11-2018.jpg)
13. November 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-13-11-2018.jpg)
diagnosis
Patient with a known ulcerative colitis and elevated liver enzyms - ERCP with typical aspect of a PSC
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-13-11-2018.jpg)
6. November 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-11-2018.jpg)
diagnosis
Barrett esophagus after forceps biopsies, simulating erosions or neoplasia
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-11-2018.jpg)
2. October 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-02-10-2018.jpg)
diagnosis
Patient with a large common bile duct stone
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-02-10-2018.jpg)
25. September 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-25-09-2018.jpg)
diagnosis
Duodenal diverticulum
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-25-09-2018.jpg)
18. September 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-18-09-2018.jpg)
diagnosis
Flat erosive Barrett cancer (AEG cancer type I, AEG=adenocarcinoma of esophagogastric junction)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-18-09-2018.jpg)
11. September 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-11-09-2018.jpg)
diagnosis
Classic long-segment Barrett esophagus
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-11-09-2018.jpg)
4. September 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-04-09-2018.jpg)
diagnosis
Capsule endoscopy in a patient with "Blue rubber bleb naevus Syndrom", showing a venous ectasia in the jejunum
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-04-09-2018.jpg)
28. August 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-28-08-2018.jpg)
diagnosis
Two angiodysplastic lesions at the gastric incisura (angular fold)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-28-08-2018.jpg)
21. August 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-21-08-2018.jpg)
diagnosis
Patient with a pseudomembranous colitis (Clostridium difficile)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-21-08-2018.jpg)
14. August 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-14-08-2018.jpg)
diagnosis
Barrett esophagus with prominent vessels in a patient with portal hypertension
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-14-08-2018.jpg)
7. August 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-07-08-2018.jpg)
diagnosis
Multifocal areas of intestinal metaplasia (NBI imaging)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-07-08-2018.jpg)
31. July 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-31-07-2018.jpg)
diagnosis
Small flat duodenal adenoma in the descending duodenum
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-31-07-2018.jpg)
24. July 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-24-07-2018.jpg)
diagnosis
Patient with Crohn's disease and fistulation from sigmoid colon to descending colon
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-24-07-2018.jpg)
17. July 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-17-07-2018.jpg)
diagnosis
Known Barrett esophagus with 2 small neoplastic lesions, on histology metastases of breast cancer
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-17-07-2018.jpg)
10. July 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-10-07-2018.jpg)
diagnosis
Fibrinous gastric erosions (NSAID)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-10-07-2018.jpg)
3. July 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-03-07-2018.jpg)
diagnosis
Flat duodenal adenoma at the distal end of the bulb
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-03-07-2018.jpg)
26. June 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-26-06-2018.jpg)
diagnosis
Barrett mucosa in near focus and with acetic acid staining with central high-grade dysplastic lesion
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-26-06-2018.jpg)
19. June 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-19-06-2018.jpg)
diagnosis
Pedunculated ampullary adenoma
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-19-06-2018.jpg)
5. June 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-05-06-2018.jpg)
diagnosis
Polypoid gastric erosions
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-05-06-2018.jpg)
15. May 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-15-05-2018.jpg)
diagnosis
Esophagus in advanced achalasia showing chronically inflamed and thickened mucosa and a distal ulcer due to pressure necrosis by obstructing food
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-15-05-2018.jpg)
1. May 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-01-05-2018.jpg)
diagnosis
Hämorrhagic gastric erosions
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-01-05-2018.jpg)
24. April 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-24-04-2018.jpg)
diagnosis
Duodenal involvement in Crohn´s disease
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-24-04-2018.jpg)
10. April 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-10-04-2018.jpg)
diagnosis
Esophagus in achalasia showing muscular rings and prominent veins
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-10-04-2018.jpg)
3. April 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-03-04-2018.jpg)
diagnosis
Perforation after endoscopic sphincterotomy
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-03-04-2018.jpg)
27. March 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-03-2018.jpg)
diagnosis
Gastric erosion with biopsy positive for cancer, but ESD specimen negative („biopsy cancer“)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-03-2018.jpg)
20. March 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-03-2018.jpg)
diagnosis
Duodenal bulb with gastric metaplasia (magnification endoscopy)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-03-2018.jpg)
6. March 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-03-2018.jpg)
diagnosis
Distal esophagus in achalasia; muscular spasm leads to overvisualization of submucosal vessels
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-03-2018.jpg)
27. February 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-02-2018.jpg)
diagnosis
Swollen und reddened papille with massive pus evaculation
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-27-02-2018.jpg)
20. February 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-02-2018.jpg)
diagnosis
Atrophic gastritis in the gastric fundus with vascular pattern
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-20-02-2018.jpg)
13. February 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-13-02-2018.jpg)
diagnosis
Duodenal bulb with reddisch gastric metaplasia
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-13-02-2018.jpg)
6. February 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-02-2018.jpg)
diagnosis
Boerhave syndrome with deep defect.
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-06-02-2018.jpg)
30. January 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-30-01-2018.jpg)
diagnosis
Papilla in a patient with Billroth II anatomy and pus
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-30-01-2018.jpg)
23. January 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-23-01-2018.jpg)
diagnosis
Atrophic gastritis with small neuroendocrine tumor
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-23-01-2018.jpg)
15. January 2018
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-16-01-2018.jpg)
diagnosis
Duodenal mucosa with 3 small metastases of breats cancer (histologically confirmed)
![](https://www.endoscopy-campus.com/wp-content/uploads/image-of-the-week-16-01-2018.jpg)