Advanced Endoscopy & Treatment Center

22/04/2026

The classic "watermelon stripes" of the gastric antrum. You know the diagnosis immediately: GAVE.

But management is more nuanced than it appears:
• Argon plasma coagulation remains first-line
• Radiofrequency ablation is emerging as an alternative
• Endoscopic band ligation works for some patients
• GAVE in cirrhosis vs. non-cirrhotic GAVE may behave differently

The biggest challenge: GAVE is frequently misdiagnosed as portal hypertensive gastropathy. The distinction matters because treatment is entirely different.

Occult GI bleeding + characteristic antral stripes = treatable condition. But only if you diagnose it

22/04/2026

C. difficile kills more patients annually than any other healthcare-associated infection. Yet management keeps evolving — and many clinicians are still using outdated algorithms.

What's changed:
• Fidaxomicin has displaced metronidazole for initial episodes
• Bezlotoxumab adds passive immunity for recurrence prevention
• FMT has proven efficacy for multiply recurrent CDI
• Severity classification drives therapy — mild, moderate, severe, and fulminant each require different approaches.

22/04/2026

22/04/2026

Edema. Rings. Exudates. Furrows. Strictures.

Five features. One scoring system. The standardized language of eosinophilic esophagitis.

The EREFS score quantifies what you see during EGD in EoE patients — turning subjective impressions into reproducible, graded assessments.

Why it matters:
• Tracks disease activity over time
• Standardizes communication between endoscopists
• Guides treatment decisions — are we achieving histologic AND endoscopic remission?
• Each feature is graded independently

If you're managing EoE patients, EREFS should be in every report.

22/04/2026

Plummer Vinson (Patterson Kelly) Syndrome

Dysphagia, esophageal web, iron deficiency anemia (leading to „spoon“ shaped nails)

22/04/2026

Endoscopic Band Ligation for Watermelon 🍉 Stomach (GAVE)