Treatment of Ultra-long Segment Barretts Using Focal and Balloon-based Radiofrequency Ablation
INTRODUCTION: Endoscopic radiofrequency ablation (ERFA) is being evaluated as definitive treatment for patients with Barrett’s esophagus (BE). Guidelines have yet to be developed for the application of this technology to patients with ultra-long segment BE (ULBE, > or = to 8cm). This study reports a single institution’s experience with ERFA of ULBE with various degrees… Continue Reading
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
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
Prospective Monitoring of Surgical Trainee Endoscopy Volumes
Introduction: Despite a recent increase in endoscopic surgery requirements for graduate surgical trainees by the Residency Review Committee for Surgery (RRC-S), there is still a question of competence: is the endoscopic volume achieved by surgical trainees sufficient for the procedural competence needed by practicing surgeons in academic centers and community hospitals? Prospective monitoring of trainee… Continue Reading
Endoscopic and Manometric Characteristics of the Gastroesophageal Valve in Lateral Decubitus and Upright Positions in Clinically Normal Patients
Background: The relationship between body position and the gastroesophageal junction (GEJ) has been subject to intense interest in its role in gastroesophageal reflux disease (GERD). Few studies have looked at the position related changes of the gastroesophageal valve (GEV) in asymptomatic individuals.Purpose: To define the normal physiology of the GEJ in left lateral decubitus (LLD)… Continue Reading
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
Single Site Series Utilizing the Endosurgical Operating System (eos) for Revision of Post Roux-en-Y Gastric Bypass Stomal and Pouch Dilitation
SINGLE SITE SERIES UTILIZING THE ENDOSURGICAL OPERATING SYSTEM (EOS) FOR REVISION OF POST ROUX-EN-Y GASTRIC BYPASS STOMAL AND POUCH DILITATION. Michael Chaump, M.D., Roy M. Dressner, D.O., Steven A. Gorcey, M.D., Frank J. Borao, M.D., Monmouth Medical Center, Long Branch NJIntroduction: Interventional therapy for weight regain after Roux-en-Y gastric bypass surgery (RYGB) has been tempered… Continue Reading
Single Incision Laparoscopic Cholecystectomy
Introduction: Single incision laparoscopic surgery (SILS) has been proposed as a minimally invasive technique with proposed advantages of smaller external scars and reduced pain. Furthermore, usage of the flexible endoscope for SILS in lieu of the standard laparoscope provides distinct visualization advantages. This video illustrates a single incision cholecystectomy performed through a single incision placed… Continue Reading
Laparoscopic Common Bile Duct Exploration and Laser Lithotripsy: A Novel Approach to Management of Common Bile Duct Stones
Introduction: Common bile duct stones (CBDS) are found in approximately 10% of patients who undergo cholecystectomy. Symptomatic common bile duct stones are a source of significant morbidity as they may cause obstructive jaundice, cholangitis, biliary cirrhosis and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) has been a mainstay of treatment for common bile duct stones. Laparoscopic common… Continue Reading
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
- Type:
- Posters
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
- Type:
- Posters
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
- Type:
- Posters
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
- Type:
- Posters
Inflammatory Myoglandular Polyp of the Right Colon in a Patient with Hematochezia and Intermittent Rectal Pain.
INTRODUCTION: Inflammatory Myoglandular Polyps (IMP's) are poorly characterized and extremely rare. They present most frequently in the left colon, and may produce symptoms related to this location. We present a case of IMP located in the right colon, associated with rectal symptoms, and offer a review of the available medical literature. CASE REPORT: A 35… Continue Reading
- Type:
- Posters
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
- Type:
- Posters