EndoCollab Quiz "Funny Gastric Polyp" - Polypoid lesion with depressed center - Location: Antrum, Greater Curvature, Pre-Pyloric Area Question: Most likely diagnosis? Reply below with your answer.

Hemoglobin from 9 to 4 g/dl in 24 hours. Colonoscopy showed hemorrhoids, a circumferential rectal ulcer and hard impacted stool everywhere. The first reply in our WhatsApp group asked about rectal prolapse and a pressure ulcer from fecal impaction. Eight days later she came back with profuse bleeding and collapsed. On the urgent sigmoidoscopy, opinions split: • The presenter: a rectal Dieulafoy lesion • One member: rectal ulcer and hemorrhoids, with a pulsatile lesion that seemed to arise from the earlier ulcer. Not a Dieulafoy as such, in that member's view, but it looked like the culprit • Another member: rectal Dieulafoy Nothing was found beyond the rectum at the earlier colonoscopy, and CT mesenteric angiography was normal. The only treatment suggested was to inject and clip the lesion. The outcome was not reported.

Albumin: evidence by indication. Indications are grouped as harmful, uncertain or beneficial, and placed by certainty of evidence, from very low to high.

Looks like a hernia. It is esophagus. In extensive Barrett's, the distal esophagus is columnar-lined and can show pseudo-folds. The palisade veins of the distal esophagus are now easy to see. Would you have called this stomach?

USMSTF follow-up after colonoscopy, average-risk adults. Normal: 10 years. 1-2 tubular adenomas under 10 mm: 7-10 years. 3-4 under 10 mm: 3-5 years. Adenoma 10 mm or larger: 3 years. Piecemeal resection of 20 mm or larger: 6 months. Assumes a high-quality exam. Not for hereditary syndromes, IBD or CRC history. Adapted from Gupta et al. 2020, US Multi-Society Task Force.

Management of Portal Vein Thrombosis in Cirrhosis