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Artwork for Behind the Case: An ACG Case Reports Journal Podcast

Behind the Case: An ACG Case Reports Journal Podcast

American College of Gastroenterology
Gastroenterology
Crohn's Disease
Endoscopic Ultrasound
Hepatitis E Virus
Decompensated Cirrhosis
Chronic Hepatitis
Endoscopic Pyloric Exclusion
Inflammatory Bowel Disease
Achalasia
Cholangioscopy
Electrohydraulic Lithotripsy
Interventional Endoscopy
Chronic Radiation Proctitis
Heart Transplantation
Endoscopic Retrograde Appendicitis Therapy
St-Elevation Myocardial Infarction
Advanced Therapeutic Endoscopy
Biliary Stones Management
Percutaneous Coronary Intervention
Liver Enzymes

Discussions with authors of key gastroenterology and hepatology case reports published in the ACG Case Reports Journal.

PublishesTwice monthlyEpisodes66Founded7 years ago
Number of ListenersCategories
MedicineHealth & FitnessScience

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Artwork for Behind the Case: An ACG Case Reports Journal Podcast

Latest Episodes

Associate Editor Dr. Maya Mahmoud and subject expert Dr. Jill Elwing discuss "Use of Janus Kinase Inhibitor Upadacitinib in Microscopic Colitis," published in our February 2026 issue. (23:53)

Co-Editor-in-Chief Dr. Arjun Chatterjee and Associate Editor Dr. Yash Shah are joined by case author Dr. Loren G. Rabinowitz to discuss "Upadacitinib as Rescue Therapy in a Pregnant Patient With IBD." (21:55)

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Co-Editor-in-Chief Dr. Daniyal Abbas is joined by authors Dr. Keri-Ann Buchanan-Peart and Dr. Sean Bhalla to discuss "Downhill Esophageal Variceal Hemorrhage Secondary to Superior Vena Cava Obstruction in a Patient With End-Stage Renal Disease: A Rar... more

Associate Editor Dr. Rahul Karna is joined by case author Dr. Olanrewaju Adeniran and subject expert Dr. Shailendra Singh to discuss "Successful Endoscopic Ultrasound-Guided Radiofrequency Ablation for Symptomatic Insulinoma in a High-Risk Elderly Pa... more

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Recent Guests

Dr. Lauren Rabinowitz
Assistant Professor of Medicine, Harvard Medical School; Attending, Inflammatory Bowel Disease Center, Beth Israel Deaconess Medical Center; Founder/Director, P2P IBD Clinic
Harvard Medical School / Beth Israel Deaconess Medical Center
Episode: Upadacitinib as Rescue Therapy in a Pregnant Patient With IBD
Kerry Ann Bucanet-Peer
Gastroenterology fellow at the University of Miami, Jackson Health System; transplant hepatology fellow in training
University of Miami / Jackson Health System
Episode: Downhill Esophageal Variceal Hemorrhage Secondary to Superior Vena Cava Obstruction in a Patient With End-Stage Renal Disease: A Rare and Under-Recognized Complication
Sean Balla
Director of Therapeutic Endoscopic Ultrasound; Assistant Professor of Medicine
University of Colorado
Episode: Downhill Esophageal Variceal Hemorrhage Secondary to Superior Vena Cava Obstruction in a Patient With End-Stage Renal Disease: A Rare and Under-Recognized Complication
Lanrey Adeniran
Lead author of the case report
West Virginia University
Episode: Successful Endoscopic Ultrasound-Guided Radiofrequency Ablation for Symptomatic Insulinoma in a High-Risk Elderly Patient
Shailendra Singh
Director of Advanced Therapeutic Endoscopy; expert in endoscopic ablative therapies
West Virginia University
Episode: Successful Endoscopic Ultrasound-Guided Radiofrequency Ablation for Symptomatic Insulinoma in a High-Risk Elderly Patient
Urjit Chatterjee
Second-year gastroenterology fellow at the Cleveland Clinic; associate editor for the ACG Case Reports Journal
Cleveland Clinic
Episode: Triple Endoscopic Hemostatic Therapy for Life Threatening Duodenal Variceal Bleed
Hassan Siddiqui
Intervention endoscopist at the Cleveland Clinic; educator in video-based cases
Cleveland Clinic
Episode: Triple Endoscopic Hemostatic Therapy for Life Threatening Duodenal Variceal Bleed
David Rubin
Author of the case report and gastroenterologist specializing in IBD
University of Chicago
Episode: Intestinal Ultrasound–Assisted Endoscopic Management of Acute Bowel Obstruction in a Patient With Crohn's Disease
Joe Gottlieb
Guest expert in gastroenterology with focus on intestinal ultrasound
Mount Sinai
Episode: Intestinal Ultrasound–Assisted Endoscopic Management of Acute Bowel Obstruction in a Patient With Crohn's Disease

Reviews

4.4 out of 5 stars from 13 ratings
  • Excellent

    Very informative and much needed. I enjoyed all the episodes so far. Great effort.

    Apple Podcasts
    5
    Mo_Saleh
    United States7 years ago

Listeners Say

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Excellent, Very informative and much needed. I enjoyed all the episodes so far. Great effort.

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Talking Points

Recent interactions between the hosts and their guests.

Upadacitinib as Rescue Therapy in a Pregnant Patient With IBD
Q: Has our real-world evidence base changed enough since this case was managed to alter your framework?
While data remain limited, a growing body of post-market cases and recent studies suggest cautious use of JAK inhibitors in later pregnancy, with continued emphasis on timing, fetal exposure risk, and shared decision making across specialties.
Upadacitinib as Rescue Therapy in a Pregnant Patient With IBD
Q: What do you do?
The discussion emphasizes a multidisciplinary, individualized approach to a pregnancy complicated by severe ulcerative colitis, considering a rescue therapy like Upadacitinib when standard treatments fail, with careful counseling about risks and benefits given limited data.
Triple Endoscopic Hemostatic Therapy for Life Threatening Duodenal Variceal Bleed
Q: What is your approach as far as the initial decision tree endoscopy versus IR versus EUS guided evaluation?
The hosts explain that while advanced imaging like endoscopic ultrasound can precisely map feeders and pressures, real-world urgency and hemodynamic instability often require rapid, bedside decisions using the endoscopy suite and interventional tools. They emphasize a collaborative plan with radiology and hematology early on, but in critical moments improvise using the available toolbox—glue, topical agents, and mechanical methods—while planning for escalation to IR or EUS when feasible.
Intestinal Ultrasound–Assisted Endoscopic Management of Acute Bowel Obstruction in a Patient With Crohn's Disease
Q: How did Intestinal Ultrasound change management compared to the standard approach?
It provided real-time visualization that confirmed the obstruction was due to a mechanical issue, allowed immediate dilation without the need for ER admission or prepped colonoscopy, and enabled targeted treatment decisions that shortened the patient's journey.
Atypical Presentations of Levator Ani Syndrome With Perianal Hyperhidrosis: A Case Series
Q: How would management differ in a resource-limited setting where interventional radiology is not available?
Open surgery with evacuation of hematoma and ligation of the aneurysm would be considered as a substitute when IR is unavailable, though multidisciplinary collaboration remains essential.

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

Clinicians and researchers discuss high-stakes gastroenterology and hepatology case reports with a practical, procedure-focused lens. Episodes emphasize real-world decision-making, multidisciplinary collaboration, and innovative techniques in endoscopy, imaging, and interventional therapies. A recurring strength is the breadth of expert guests—from interventional endoscopists and radiologists to pediatric GI and IBD specialists—offering actionable takeaways for clinicians, fellows, and healthcare teams. Noteworthy is the show's ability to translate case reports into broader clinical lessons, while highlighting evolving technologies and the value of multidisciplinary care in complex GI cases.

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this podcast launched 7 years ago and published 66 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on this podcast?

Recent guests on this podcast include:

1. Dr. Lauren Rabinowitz
2. Kerry Ann Bucanet-Peer
3. Sean Balla
4. Lanrey Adeniran
5. Shailendra Singh
6. Urjit Chatterjee
7. Hassan Siddiqui
8. David Rubin

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