Surgical Management of Duodenal Perforations After Ercp: the Crucial Role of a Retroperitoneal Approach.
Sergio Alfieri, MD, Fausto Rosa, MD, Caterina Cina, MD, Antonio P Tortorelli, MD, Vincenzo Perri, MD, Guido Costamagna, MD, Giovanni B Doglietto, MD. Department of Digestive Surgery, Catholic University, "A. Gemelli” Hospital ABSTRACT IntroductionEndoscopic retrograde cholangio-pancreatography (ERCP) combined with endoscopic sphincterotomy (ES) has become a common procedure worldwide in the era of minimally invasive… Continue Reading
Reconstruction of the Esophagojejunostomy Using the Transorally Inserted Anvil (Orvil [tm]) After Laparoscopic Total Gastrectomy
Shinya Mikami, Tetsu Fukunaga, Hiroaki Itoh, Keizou Hataji, Ryuichi Oshima, Takeharu Enomoto, Jo Sakurai, Nobuyoshi Miyajima, Takehito Otsubo. St. Marianna University School of Medicine, Department of Gastroenterological and General Surgery, INTRODUCTION - Laparoscopic total gastrectomy (LTG) has not become as popular as laparoscopic distal gastrectomy because of the more difficult reconstruction technique. Although various reconstruction… Continue Reading
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Reaching the Unreachable: A Novel Over the Scope Deployment Method for Enteral Stents
Eric M Pauli, MD, Steve J Schomisch, PhD, Jeffrey A Blatnik, MD, David M Krpata, MD, Juan S Sanabria, MD, Jeffrey M Marks, MD. University Hospitals Case Medical Center, Cleveland, OH Video Abstract Summary:Over the last 2 decades, self-expanding enteral stents have gained popularity and shown therapeutic potential for strictures, obstructions, fistulae and perforations… Continue Reading
Percutaneous Endoscopic Gastrostomy With T-fasteners Obviates the Need for Emergent Exploration After Early Tube Dislodgement
Poochong Timratana, MD, Kevin M El-hayek, MD, Hideharu Shimizu, MD, Matthew Kroh, MD, Bipan Chand, MD FACS. Cleveland Clinic INTRODUCTION: Despite technical refinements of percutaneous endoscopic gastrostomy (PEG), complications remain static. These complications include bleeding, tube site infection, and tube dislodgement. Tube dislodgement occurs more frequently in high risk patients such as those with… Continue Reading
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Peg Failures: Should Another Specialty Attempt Placement?
K A Zuberi, MD, B R Zagol, MD, V K Narula, MD, V C Memark, MD, J B Anderson, MD, W Scott Melvin, MD, J W Hazey, MD. The Ohio State University Medical Center: Center for Minimally Invasive Surgery, Columbus, OH, USA Introduction: Percutaneous Endoscopic Gastrostomy (PEG) tube placement is the preferred enteral access… Continue Reading
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Pattern of Oesophageal Stricture Post Endoscopic Injection Sclerotherapy
K O Ba Hakem, MD, M A Ibn Ouf, Professor of surgery, M O Gadour, Professor of Medicine. Ibn Siena Hospital , GI bleeding Centre ,Sudan Background: Post endoscopic sclerotherapy oesophageal stricture is usually not fatal but may requires several sessions of oesophageal dilation as an effective palliative treatment yet has its own complications.… Continue Reading
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Partially Covered Esophageal Stents Cause Bowel Injury When Used to Treat Complications of Bariatric Surgery
Wei Wei, MD, Archana Ramaswamy, MD, Roger De La Torre, MD, Brent W Miedema, MD. Division of General Surgery, University of Missouri-Columbia INTRODUCTION The hypothesis was that a stent that is mainly silicone covered but has a portion uncovered may allow tissue ingrowth and decrease the migration rate seen with fully covered stents and… Continue Reading
Laparoscopic Splenectomy and Azygoportal Disconnection With Intraoperative Splenic Blood Salvage
Yuedong Wang, MD PhD, Yun Ji, MD, Yangwen Zhu, MD, Zhijie Xie, MD, Xiaoli Zhan, MD. Department of General Surgery, Zhejiang Provincial People’s Hospital, Zhejiang China Background: Intraoperative blood salvage can reduce or avoid perioperative allogeneic blood transfusion. To salvage the blood in the portal hypertension-induced enlarged spleen becomes an issue of concern during… Continue Reading
Intraoperative Assessment of Esophagogastric Junction Distensibility During Per Oral Endoscopic Myotomy
Erwin Rieder, MD, Silvana Perretta, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Gastrointestinal and Minimally Invasive Surgery, The Orgeon Clinic, Portland, Oregon; Institute de Recherche contra les Cancers de l'Appareil Digestif (IRCAD), Strasbourg Cedex, France Introduction: Per oral endoscopic myotomy (POEM) is a new treatment for esophageal motility disorders. Using endoscopic techniques… Continue Reading
Innovative Technique for Trans-nasal Anchorage of Esophageal Stent to Prevent Migration
Jai Bikhchandani, MD, A J Davidson, Medical Student, Tommy Lee, MD, S K Mittal, MD. Creighton University Medical Center IntroductionMigration is a common problem of esophageal stenting. We present here an indigenous technique for transnasal anchorage of esophageal stent using silk sutures. This study compares the outcomes of esophageal stents placed with and without… Continue Reading
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Incisionless Gastric Cancer Resection Using Endoscopic Suturing With Pulley Retraction
Neil H Bhayani, MD MHS, Ashwin A Kurian, MBBS, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. The Oregon Clinic This video demonstrates the resection of an early, T1a, gastric adenocarcinoma using endoscopic submucosal dissection. To facilitate dissection, we used endoscopic suturing to create a pulley system for retraction. Session… Continue Reading
Endoscopic Treatment of Gastric Leak Following Sleeve Gastrectomy Using an Endoscopic Clipping System
Alisa M Coker, MD, Marcos Michelotti, MD, Takayuki Dotai, MD, Luciano Antozzi, MD, Geylor Acosta, MD, Anibal Rondan, MD, Nikolai Bildzukewicz, MD, Mark A Talamini, MD, Bryan Sandler, MD, Garth R Jacobsen, MD, Thomas Savides, MD, Santiago Horgan, MD. Center for the Future of Surgery, Department of Surgery, University of California San Diego We… Continue Reading
Endoscopic Submucosal Dissection Using a Newly Developed Endoscopic Hood for Gastric Tumors
Takeuchi Hirohisa, Abe Nobutsugu, Ohki Atsuko, Yanagida Osamu, Masaki Tadahiko, Mori Toshiyuki, Sugiyama Masanori, Atomi Yutaka. Department of Surgery, Kyorin University School of Medicine Background and Aims: Endoscopic submucosal dissection (ESD) of gastric tumors has improved the success rate of en bloc resection but is still technically difficult for large, ulcerated, or intramuscle lesions.… Continue Reading
Endoscopic Submucosal Dissection for Colorectal Tumors
Eun-jung Lee, MD, Jae Bum Lee, MD, Suk Hee Lee, MD PhD, Do Sun Kim, MD PhD, Doo Han Lee, MD PhD, Du Seok Lee, MD PhD, Eui Gon Youk, MD PhD. Daehang Hospital Purpose: Endoscopic Submucosal Dissection (ESD) is a very useful endoscopic technique, making it possible to perform an en bloc resection… Continue Reading
Endoscopic Stenting Versus Emergency Surgery in Patients With Metastatic Colorectal Cancers Presenting With Acute Intestinal Obstruction.
Ker-kan Tan, FRCS Edin, Tian-zhi Lim, MBBS, Charles B Tsang, FRCS Edin FRCS Glasg, Dean C Koh, FRCS Edin FRCS Glasg. National University Health System BackgroundOperating in patients with obstructed colorectal cancers is associated with numerous morbidities. Self expanding metallic stents provide a promising alternative. The aim of this study was to compare the… Continue Reading
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