An Inflatable Device for Esophageal ESD Using Cell Sheet Engineering
Introduction: Large endoscopic submucosal dissection (ESD) of superficial esophageal cancers often requires subsequent of balloon dilation operations to prevent post-operative esophageal constriction. We therefore have previously developed a novel method to transplant oral mucosal epithelial cell sheets using cell sheet engineering to promote wound healing after ESD (Gut, 1704-1720, 2006). Although we have demonstrated the… Continue Reading
Colonoscopic colorectal cancer screening in average-risk population in a Community Hospital of Argentina.
Introduction: The role of colonoscopy in screening for colorectal (CR) neoplasia in average-risk population, remains to be determined. The aim of this study was to evaluate the utility of colonoscopy for screening in asymptomatic adults, with average-risk of CR neoplasia.Methods and Procedures: A retrospective study was conducted to evaluate the patients that underwent colonoscopy for… Continue Reading
- Type:
- Posters
Endoscopic Management of Silastic Band Erosion after Banded Roux-en-Y Gastric Bypass
Introduction:Erosion of silastic bands following vertical banded gastroplasty is a well-known but rare complication. Silastic bands have also been placed above the gastrojejunal anastomosis of banded Roux-en-Y gastric bypasses to limit gastric pouch dilatation and subsequent weight gain. Traditional approaches for managing this complication include expectant management, open removal, or laparoscopic removal. We describe an… Continue Reading
- Type:
- Posters
Endoscopic Sclerotherapy Induces Additional Weight Loss Initial Roux-en-Y Gastric Bypass
Background: Weight gain (WG) following initial weight loss (WL) success or inadequate initial WL (IWL) from Roux-en-Y gastric bypass (RNYGB) is a problem for many patients. Often, this may due to dilation of the gastrojejunostomy (GJ). Effective endoscopic management would avoid the morbidity of surgical revision. We hypothesized that endoscopic sclerotherapy (ES) of the GJ… Continue Reading
Endoscopic therapy for esophageal perforation or anastomotic leakage with a self expandable metallic stent
IntroductionLeakage of the esophagus is associated with a high mortality rate and needs to be treated as soon as possible. Therapeutic options are either surgical or conservative. We evaluated the treatment of esophageal leaks with self expandable metallic stents (SEMS).MethodsBetween 2002 and 2005, we included 24 consecutive patients for iatrogenic esophageal perforation (n=11), intrathoracic anastomotic… Continue Reading
Endoscopic ultrasound-guided celiac plexus neurolysis in patients with unresectable pancreatic cancer.
Background & Aim: The treatment of pain in patients with pancreatic cancer is a difficult topic for the patients and their physicians. There are different treatment modalities with variable results. Celiac plexus neurolysis (CPN) is a technique with good previous results using fluoroscopy, CT guidance and recently, guided by endoscopic ultrasound (EUS). The aim of… Continue Reading
- Type:
- Posters
Enteroscopic Diagnosis of a Jejunal Ulceration
Introduction: Since its introduction by Yamamoto et al. in 2001, double balloon enteroscopy (DBE) has been demonstrated to have important advantages when compared to push enteroscopy. DBE has the potential to access the entire length of small bowel if performed by both routes, and the equipment used during the procedure allows for therapeutic interventions along… Continue Reading
- Type:
- Posters
Management of Endoscopic Retrograde Cholangiopancreatograhy – Related Duodenal Perforations
Introduction: As the performance of upper GI endoscopy and especially endoscopic retrograde cholangiopancreatography (ERCP) has increased since 1968, so has the incidence of duodenal perforation. The frequency of use of ERCP varies among hospitals and depends on availability of trained endocopists, equipment, and facilities. Methods: A retrospective review was carried out of ERCP-related perforations of… Continue Reading
- Type:
- Posters
Percutaneous Roux Limb Jejunostomy: An Alternative Approach to Enteral Access in Gastric Bypass Patients
INTRODUCTIONSevere nausea and vomiting, recurrent dehydration, and malnutrition occur infrequently after gastric bypass. A small number of patients, though, will present with refractory symptoms requiring multiple hospitalizations and intravenous or enteral nutrition. Enteral access routes have previously included either a nasojejunal feeding tube or gastrostomy tube placement in the gastric remnant. We present our experience… Continue Reading
- Type:
- Posters
Performance Measures of Surgeon-endoscopists in a Veterans Affairs Medical Center: Appropriateness of Surgical Resident Colonoscopy Training
Objective: Colonoscopy training is recognized to be important for surgical resident training. This study aimed to determine if surgeon-endoscopists meet quality indicators in the performance of colonoscopy in a Veteran's Medical Center.Methods: Retrospective review of prospective standardized computer endoscopic reporting database (ProVationMDR). All colonoscopies performed by two attending surgeons (one general and one colorectal) between… Continue Reading
Preoperative self-Expandable Metalic Stent insertion for colon and rectum
Purpose: In the treatment of obstructive colorectal cancer, we should relieve ileus in the same time that we pursue improvement of operative curability and safety. To avoid emergency operation and to perform elective surgery without stoma creation after improvement of patientsf general condition, we use self-Expandable Metallic Stent (EMS) placement. We report the result of… Continue Reading
- Type:
- Posters
Severe Complications after Double Balloon Enteroscopy
Introduction:Double balloon enteroscopy (DBE) is a relatively new endoscopic technique to diagnose and treat small bowel disease. While it is becoming widely used, there are relatively few data regarding potential complications. Methods: We reviewed all DBE cases at an academic medical center from 2006-2007. 39 DBEs were identified and three patients had severe complications (7.7%)… Continue Reading
The Benefit of Esophageal Acid Control Before and After Radiofrequency Ablation of Barrett\’s Mucosa
Background:BAARX is one of several techniques used to ablate Barrett’s mucosa. Twenty four pH monitoring was used to assess the effect of acid control on the ablation technique in patients who had medical or surgical therapy for GERD.Methods:Seventeen consecutive patients with Barrett’s esophagus who underwent BAARX ablation between 2005 and 2007 were entered into a… Continue Reading
- Type:
- Posters
The role of narrow band imaging (NBI) during follow-up after endoscopic polypectomy
Narrow-band imaging is one of the latest technological achievements of the digital endoscopy. The technique is using interference filter to light surfaces in narrow bands of red, green, and blue colour that visualizes the differences in mucosa colouring and enhances contrast between the mucosa surface and submucosa vascular network. The NBI makes easier differentiating between… Continue Reading
Treatment of Gastrogastric Fistula After Laparoscopic Roux En Y Gastric Bypass with Endoscopic Stenting: A Novel Approach.
INTRODUCTION: The formation of a gastrogastric fistula after laparoscopic roux en y gastric bypass is an infrequent but well documented complication, with an occurrence of 5-15%. These are reported to exist with marginal ulcers 53-100% of the time. Many treatments have been documented that focus on acid suppression with proton pump inhibitors (PPIs) and local… Continue Reading
- Type:
- Posters