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

Achalasia

Cholangioscopy

Electrohydraulic Lithotripsy

Interventional Endoscopy

Heart Transplantation

Chronic Radiation Proctitis

Endoscopic Retrograde Appendicitis Therapy

St-Elevation Myocardial Infarction

Advanced Therapeutic Endoscopy

Biliary Stones Management

Percutaneous Coronary Intervention

Liver Enzymes

Intestinal Ultrasound

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

13 ratings

Publishes	Twice monthly	Episodes	63	Founded	7 years ago
Number of Listeners		Categories	ScienceHealth & FitnessMedicine

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Latest Episodes

Successful Endoscopic Ultrasound-Guided Radiofrequency Ablation for Symptomatic Insulinoma in a High-Risk Elderly Patient

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

26 May 2026 • 13 min • Most popular

YouTube

Triple Endoscopic Hemostatic Therapy for Life Threatening Duodenal Variceal Bleed

Co-Editor-in-Chief Dr. Daniyal Abbas is joined by Associate Editor Dr. Arjun Chatterjee and author Dr. Hassan Siddiki to discuss "Triple Endoscopic Hemostatic Therapy for Life Threatening Duodenal Variceal Bleed," recently published in the March 2026... more

18 May 2026 • 22 min • Popular

YouTube

Intestinal Ultrasound–Assisted Endoscopic Management of Acute Bowel Obstruction in a Patient With Crohn's Disease

Associate Editor Dr. Aastha Bharwad is joined by senior author Dr. David T. Rubin and intestinal ultrasound expert Dr. Zoe Gottlieb to discuss "Intestinal Ultrasound–Assisted Endoscopic Management of Acute Bowel Obstruction in a Patient With Crohn's ... more

29 Apr 2026 • 29 min

YouTube

Is There a Role for Intestinal Ultrasound in Polyp Detection?

Co-Editor-in-Chief Dr. Daniyal Abbas is joined by authors Dr. Amelia Kellar and Dr. Sriya Muralidharan to discuss their case "Is There a Role for Intestinal Ultrasound in Polyp Detection?" published in the March 2026 issue. (9:19)

20 Apr 2026 • 9 min

YouTube

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Recent Guests

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

Amelia Keller

Recognized leader in pediatric intestinal ultrasound

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Episode: Is There a Role for Intestinal Ultrasound in Polyp Detection?

Jonathan Gial

Author of the case report

University of Michigan, Ann Arbor

Episode: Diagnosis of Von Hippel-Lindau Syndrome Via Pancreatic Cyst Fluid Next-Generation Sequencing

Nirav Thosani

Guest expert, gastroenterologist

UT Health Houston

Episode: Diagnosis of Von Hippel-Lindau Syndrome Via Pancreatic Cyst Fluid Next-Generation Sequencing

Hosts

Dr. Arjun Chatterjee

Host of related case discussion series; extensive involvement in advanced GI endoscopy conversations.

Arjun Chatterjee

Contributor and host with emphasis on GI endoscopy and case discussions.

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

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Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Audience notes high value on real-world takeaways and multidisciplinary perspectives.

Listeners consistently praise the practical, case-driven approach and depth of expertise.

Fans appreciate clarity in discussing complex procedures and imaging guidance.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Apple Podcasts	#66	Italy/Health & Fitness/Medicine
Apple Podcasts	#110	United Arab Emirates/Health & Fitness/Medicine
Apple Podcasts	#247	Norway/Health & Fitness/Medicine

Talking Points

Recent interactions between the hosts and their guests.

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.

Atypical Presentations of Levator Ani Syndrome With Perianal Hyperhidrosis: A Case Series

Q: What are the imaging hallmarks that help distinguish pseudoaneurysm from abscess or biloma after ERCP?

Contrast-enhanced CT showing a focal arterial blush with high attenuation (60-90 HU) that lights up in the arterial phase, versus abscess or biloma which show non-enhancing or irregular walls and lower attenuation.

Atypical Presentations of Levator Ani Syndrome With Perianal Hyperhidrosis: A Case Series

Q: What was the thought process for the initial presentation of acute cholecystitis leading to the diagnosis of cystic artery pseudoaneurysm?

The team started with typical management for acute cholestasis with suspected cholangitis, performed EOS and ERCP, and only later, after recurrent symptoms and new imaging findings, identified a vascular source (pseudoaneurysm) as the cause of the ongoing problems.

Audience Metrics

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Frequently Asked Questions About This Podcast

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

This show focuses on in-depth discussions with authors of gastroenterology and hepatology case reports, highlighting real-world clinical decision making, innovative endoscopic techniques, and advances in imaging and molecular testing. Episodes often feature expert guests who walk through unique cases, offering practical takeaways on diagnostics, procedural approaches, multidisciplinary care, and patient outcomes. The format tends to blend case storytelling with technical commentary, making it valuable for clinicians seeking actionable insights, training cues, or ideas to apply in complex or emerging GI scenarios.

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Which podcasts are similar to this podcast?

These podcasts share a similar audience with this podcast:

1. Evidence-Based GI: An ACG Publication and Podcast
2. American Journal of Gastroenterology Author Podcasts
3. The Curbsiders Internal Medicine Podcast
4. The Clinical Problem Solvers
5. Core IM | Internal Medicine Podcast

How many episodes of this podcast are there?

this podcast launched 7 years ago and published 63 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. Lanrey Adeniran
2. Shailendra Singh
3. Urjit Chatterjee
4. Hassan Siddiqui
5. David Rubin
6. Joe Gottlieb
7. Amelia Keller
8. Jonathan Gial

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