Endoscopy assisted laparoscopic intragastric surgery for stromal tumor
Hussein Wissanji, MD, Jean-Pierre Gagne, MD. University Laval. Introduction: Mesenchymal tumors constitute 1 % of primary GI cancer. Surgical treatment of gastric gastrointestinal stromal tumor (GIST) is the only known curative therapy. Traditionally, management involves a wedge resection. A problematic exists for tumor located at gastric cardia due to the proximity of the lower […]
Endoscopic Resection for Esophageal Carcinoma: Experience in a Large Academic Medical Center
Justin T Huntington, MD, Jon P Walker, MD, Michael P Meara, MD, Jeffrey W Hazey, MD, Scott Melvin, MD, Kyle A Perry, MD. The Ohio State University Wexner Medical Center. BACKGROUND: Endoscopic management represents a less invasive approach with decreased morbidity compared to esophagectomy for the treatment of early esophageal cancers. Endoscopic mucosal resection (EMR) […]
Sleeve Esophageal Endoscopic Mucosectomy “SEEM”
Ahmed Sharata, MD, Christy M Dunst, MD, Radu Pescarus, MD, Eran Shlomovitz, MD, Ashwin Kurian, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. The incidence of esophageal adenocarcinoma is increasing rapidly in the western world. The treatment of the early esophageal cancer (high grade dysplasia & intra […]
Two-stage optical system for colorectal polyp assessement.
Miroslaw Szura, PhD, Krzysztof Bucki, PhD, Artur Pasternak, PhD, Andrzej Matyja, PhD, Jan Kulig, PhD. Jagiellonian University. Macroscopic evaluation of the degree of invasion of colorectal polyps allows to choose the most adequate method of endoscopic treatment. Narrow Band Imaging is a new image enhancement system employing optic digital methods to enhance images of blood […]
Percutaneous Endoscopic Gastrostomy for Prolonged Ileus and Non-malignant Obstruction
Christopher R Daigle, MD, Eric Marcotte, MD, Ricard Corcelles, MD, Kevin El-Hayek, MD, Matthew Kroh, MD, Stacy Brethauer, MD. Cleveland Clinic Main Campus, Cleveland, Ohio. INTRODUCTION – The utility of percutaneous endoscopic gastrostomy (PEG) decompression for inoperable malignant bowel obstruction is well documented. However, there is limited data on the use of decompressive PEG in […]
The nightmare of the GI surgeon
Radu Pescarus, MD, Ahmed Sharata, MD, Eran Shlomovitz, MD, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Oregon Clinic and Providence Portland Medical Center; Portland, Oregon. Perforations of the gastro-intestinal (GI) tract represent a major challenge for all surgeons. Various endoscopic tools are increasingly part of the armamentarium of the GI […]
Complications of Laparoscopic Transgastric ERCP in Patients with Roux-en-Y Gastric Bypass
Kevin L Grimes, MD, Kirpal Singh, MD, Maurice E Arregui, MD. St. Vincent Hospital. Introduction As more patients undergo Roux-en-Y gastric bypass, the population with altered anatomy continues to increase. This presents a challenge when duodenal access is required for ERCP. One technique, first described by Peters & Gagne in 2002, is laparoscopic transgastric ERCP. […]
Six Month Outcomes in Patients Experiencing Weight Gain After Gastric Bypass Who Underwent Gastrojejunal Revision Using an Endoluminal Suturing Device
M Gitelis, M Ujiki, L Farwell, J Linn, K Miller, C Burnett, J Carbray, S Haggerty, W Denham. NorthShore University HealthSystem. Background and Objective: Weight gain after Roux-en-Y gastric bypass (RYGB) occurs in approximately 25% of cases and this may lead to redevelopment of comorbid conditions. Currently, adequate treatment strategies for this group of patients […]
Bariatric Postoperative Fistula: A Life-saving Endoscopic Procedure
Giorgio Baretta, PhD, Joao Henrique Lima, PhD, Josemberg Campos, PhD, Manoel Galvao Neto, MSc. Vita Batel Hospital – Department of Bariatric Advanced Endoscopy. Background: Fistula after batiatric surgery occurs in 0,8% to 7% with high incidence of mortality, reoperations and long hospital stay. Some reasons are well-described such as distal obstruction: stenosis of the anastomosis, […]
Endoscopic ultrasonography guided-gallbladder stenting and interventions
Anthony Y Teoh, FRCSEd, Gen, Philip W Chiu, FRCS, Ed, Enders K Ng, FRCS, Ed. Prince of Wales Hospita, Chinese University of Hong Kong. Objective The use of endoscopic methods to treat acute cholecystitis or gallbladder stones has been described in the past but did not gain widespread popularity. A new lumen apposing stent (AXIOS, […]
