The Predictive Value of Pet/ct Findings Suspicious for Colorectal Cancer in Patients with Non-gastrointestinal Malignancies
Introduction:Positron Emission Tomography/Computed Tomography (PET/CT) performed in the staging and follow-up of patients with non-GI malignancies will occasionally detect a second primary tumor in the GI tract. The purpose of this study was to determine the ability of PET/CT to predict the presence of occult colorectal malignancy in patients already diagnosed with a non-GI cancer.… Continue Reading
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Endoscopic Findings in Patients with Upper Gi Symptoms After Roux-en-Y Gastric Bypass
INTRODUCTION: Upper endoscopy (UE) is essential in the diagnosis and treatment of complications after Roux-en-Y gastric bypass (RYGB). Patients who have undergone RYGB present with a variety of functional (nausea, pain, and reflux) as well as obstructive (vomiting and dysphagia) symptoms. The primary aim of this study was to correlate symptoms and endoscopic findings with… Continue Reading
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Use of Endoscopic Stents in the Treatment of Upper Gastrointestinal Leaks Following Bariatric Surgery
Introduction: Upper gastrointestinal (GI) leaks are one of the most important postoperative complications following bariatric surgery. Standard treatment has been a combination of surgical or percutaneous drainage, parenteral nutrition and antibiotics. The endoscopic approach using flexible stents has been recently proposed as an alternative of treatment. Methods and procedures: Restrospective analysis of all patients who… Continue Reading
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Use of a Novel Bedside Endoscopy Cart to Teach Surgery Residents
INTRODUCTION: Bronchscopy and laryngoscopy have become common bedside procedures in the ICU. Frequently, however, these modalities utilize non-video platforms which make it difficult for novices to perform the procedures independently. This study evaluated a novel ICU bedside procedure cart for performing video laryngoscopy and bronchoscopy to see if junior level residents could be mentored through… Continue Reading
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Transgastric Endoscopic Retrograde Cholangiopancreatography a Case Series and Description of Technique.
Transgastric Endoscopic Cholangiopancreatography: a Case Series and Description of Technique. Peter M. Bertin DO, Kirpal Singh MD, Maurice E. Arregui MD FACS. St Vincent Indianapolis, IN Purpose: Roux-en-Y gastric bypass excludes the biliary and pancreatic tree from traditional endoscopic evaluation and treatment. As the number of former bypass patients accrues, the need to assess and… Continue Reading
Preoperative Endoscopy in the Evaluation of Patients Before Bariatric Surgery
BACKGROUND: This study evaluates the diagnostic yield of esophago-gastroduodenoscopy (EGD) before bariatric surgery and its influence on the planned surgery. METHODS: Endoscopy reports of all patients having undergone an EGD at our endosurgical unit were reviewed. We identified a non-consecutive series of morbidly obese patients that had an endoscopic evaluation before their primary bariatric procedure… Continue Reading
Contribution of Flexible Endoscopy in Trauma Reimbursement
IntroductionThe ability of a trauma surgeon to perform flexible endoscopy helps in early and accurate diagnosis of various acute injuries and adds to the bottom line in a predominantly trauma practice. With decrease in operative trauma cases, flexible endoscopy may help to generate enough revenue to sustain trauma practice. Methods: The following data was collected-1)… Continue Reading
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Feasibility of Diagnostic Peritoneoscopy Using a Flexible Endoscope Under Low Pressure Pneumoperitoneum
Objectives: Standard laparoscopy requires general anesthesia for muscle paralysis to allow for adequate pneumoperitoneum. Our goal is to determine the effectiveness of diagnostic peritoneoscopy using a flexible endoscope under low pressure pneumoperitoneum. Methods: Three 25-kg female swine were subjected to general anesthesia. Pneumoperitoneum to 8mm Hg was achieved with a veress needle. Using a laparoscopic… Continue Reading
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Feasibility of Transabdominal Diagnostic Peritoneoscopy Using a Flexible Endoscope
Objectives: Diagnostic laparoscopy is an established tool in oncologic evaluation. Standard rigid laparoscopy presents certain limitations in terms of access to various areas of the peritoneal cavity. Other authors have explored the utility of diagnostic laparoscopy with a flexible endoscope via a transgastric or transvaginal approach (NOTES). Our goal is to determine the effectiveness of… Continue Reading
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Efficacy and Safety in Pediatric ERCP By a Surgical Endoscopist
Introduction: Pediatric endoscopic rertograde cholagiopancreatography (ERCP) is not routinely performed by most therapeutic endoscopists. The challenges of a pediatric anatomy, pediatric physiology, rare indications, and the need for side viewing endoscope preclude this procedure from becoming popular by pediatric gastroenterologist or laparoendoscopic surgeons. This investigation studied the hypothesis that pediatric ERCP can be performed by… Continue Reading
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Does Preoperative Endoscopy in Bariatric Surgery Alter the Medical or Surgical Strategy?
Introduction: Controversy exists as to the need for preoperative esophago-gastro-duodenoscopy (EGD) for patients undergoing bariatric surgery. Specifically, do findings alter the medical and surgical management. The purpose of this study is to evaluate the role of preoperative EGD in the therapeutic strategy of bariatric surgery. Methods: We conducted a retrospective analysis of consecutive patients undergoing… Continue Reading
Splenic Injury After Therapeutic ERCP
INTRODUCTION: Endoscopic Retrograde Cholagiopancreatography (ERCP) is an invasive, but sensitive means of diagnosing and treating biliary disease. Complications range from 5-10%. The most common complications of ERCP are acute pancreatitis and duodenal perforation; but esophageal, splenic and hepatic injury have been reported. Here we report such a splenic injury after ERCP. CASE REPORT: A 29… Continue Reading
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Duodenoscope Choice in Pediatric ERCP
Introduction: Although rare, some pediatric diseases may require diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). The choice of duodenoscope for pediatric ERCP is not well studied. This study investigated the hypothesis that a therapeutic adult duoenoscope can be utilized safely for pediatric ERCP. Methods: All patients under the age of 18 were included in this… Continue Reading
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Inpatient Mortality and Length of Stay Comparison of Percutaneous Endoscopic Gastrostomy and Percutaneous Endoscopic Gastrojejunostomy
Introduction: Percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic gastrojejunostomy (PEGJ) are endoscopic procedures often performed by surgeons. No recent population based study has compared inpatient mortality or length of stay between patients who undergo PEG or PEGJ placement during their hospitalization. Methods: Patients undergoing inpatient PEG or PEGJ placement >=18 year old were identified from… Continue Reading
Esophageal Ulcers At a Large Urban Emergency Hospital: A Seventeen Year Experience
OBJECTIVE: In this study, we report the incidence, common etiologies, endoscopic and pathologic findings and clinical outcomes of patients with esophageal ulcers (EU) in our urban population over a seventeen year period. METHODS: This is a retrospective chart review of all upper endoscopies (EGD) performed by a single surgical endoscopist at an urban emergency hospital… Continue Reading
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