ACG MAGAZINE | Vol. 2, No. 3 | Fall 2018

Page 37

A FRESH LOOK at the INSIDES THE CONTINUING JOURNEY OF A TRAINEE Bhavana Bhagya Rao, MD Cleveland Clinic Foundation, Cleveland, OH

IT HAS BEEN AN EXCITING 16 MONTHS AS A GASTROENTEROLOGY FELLOW. While at first training seemed daunting I have since

slowly familiarized myself with and befriended all the cool gadgets and techniques that embellish the armamentarium of an endoscopist. Now, more than a year in as of the time of this writing, I dared to claim that I had a fair idea of what I was doing and felt under control during a procedure. But did I really know the inside scoop of performing a scope? Recently, I had a unique opportunity to gain additional perspective on the actual impact of an endoscopic procedure on a human body. A middle-aged female patient with a new diagnosis of Peutz-Jegher’s syndrome was evaluated at our hereditary colon cancer clinic with the complaint of recurrent small bowel obstructions. Her history included a single abdominal surgery, performed when she was two years old, but she was unaware of further details. Abdominal computerized tomographic enterography was notable for multiple dilated small bowel polyps with scattered foci of intussusception,

ACG Perspectives | 35


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