324
the red section
nature publishing group
Images of the Month Am J Gastroenterol 2014;109:324; doi:10.1038/ajg.2013.429
Roe impaction after a carp meal in a woman with gastric banding. Hours after consuming a large meal of fish, a 35-year-old woman presented to the emergency room with retrosternal pain and inability to eat or drink. She had had no prior episodes of dysphagia but had undergone gastric banding four years previously. The band was released, but the pain and dysphagia persisted. A foreign body was seen on computed tomography (left). Endoscopy revealed a large sphere of fish roe impacted at the gastroesophageal junction (right). This was gently advanced into the stomach, with immediate relief of symptoms. The esophagus and stomach appeared otherwise normal. (Submitted by Menachem Schechter, Shaare Zedek Medical Center, Jerusalem, Israel.)
Mysterious universe. A cluster of rainbow-colored pixels (left) within an endoscope boot (center) was caused by water drops remaining on the light-guide connector (right) after reprocessing. Proper rinsing, drying, and storage of the endoscope are critical for function during the procedure as well as for infection control. Thorough drying of the endoscope after rinsing minimizes the risk associated with the presence of microorganisms in the rinse water. (Submitted by Bo Shen, Cleveland Clinic, Cleveland, Ohio.)
The American Journal of Gastroenterology
Volume 109 | MARCH 2014 www.amjgastro.com
the red section
nature publishing group
Images of the Month Am J Gastroenterol 2014;109:324; doi:10.1038/ajg.2013.429
Roe impaction after a carp meal in a woman with gastric banding. Hours after consuming a large meal of fish, a 35-year-old woman presented to the emergency room with retrosternal pain and inability to eat or drink. She had had no prior episodes of dysphagia but had undergone gastric banding four years previously. The band was released, but the pain and dysphagia persisted. A foreign body was seen on computed tomography (left). Endoscopy revealed a large sphere of fish roe impacted at the gastroesophageal junction (right). This was gently advanced into the stomach, with immediate relief of symptoms. The esophagus and stomach appeared otherwise normal. (Submitted by Menachem Schechter, Shaare Zedek Medical Center, Jerusalem, Israel.)
Mysterious universe. A cluster of rainbow-colored pixels (left) within an endoscope boot (center) was caused by water drops remaining on the light-guide connector (right) after reprocessing. Proper rinsing, drying, and storage of the endoscope are critical for function during the procedure as well as for infection control. Thorough drying of the endoscope after rinsing minimizes the risk associated with the presence of microorganisms in the rinse water. (Submitted by Bo Shen, Cleveland Clinic, Cleveland, Ohio.)
The American Journal of Gastroenterology
Volume 109 | MARCH 2014 www.amjgastro.com
