Outcome Complications of Percutaneous Endoscopic Gastrostomy Tube Placement in Severly Malnourished Patients
Introduction: In June of 1979, Dr. Michael Gauderer introduced the novel concept of a procedure in which a sutureless approximation of a hollow viscus to the abdominal wall could provide a means of creating long-term enteral access for patients who are unable to swallow without undergoing formal laparotomy. This simple yet safe procedure was initially… Continue Reading
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- Posters
Barrett\’s Esophagitis in Patients Undergoing Preoperative Screening Endoscopy for Bariatric Surgery
Introduction: Some surgeons perform routine preoperative screening endoscopy in all patients undergoing bariatric surgery. Various pathologies have been noted and reported during preoperative endoscopy. This investigation explores the incidence of Barrett’s esophagitis in patients undergoing preoperative screening endoscopy for bariatric surgery. The hypothesis that was tested was that Barrett’s esophagitis would be common in patients… Continue Reading
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- Posters
The Value of ERCP in the Management of Complex Liver Injuries
Introduction: Our objective is to evaluate the use of ERCP in the management of complex, traumatic biliary injuries in a case series. Grades I and II liver injuries are often amenable to expectant management and usually resolve without further intervention. More severe injuries may continue to hemorrhage, or develop further complications including bile leaks, biliary… Continue Reading
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- Posters
Endoscopic Treatment of Large Chronic Gastrocutaneous Fistula After Bariatric Surgery Using a Partially Covered Metallic Esophageal Stent
Introduction: With the rising number of bariatric surgeries performed in the United States the surgical and Gastroenterological teams are face with an increased number of complications. Reoperations for complications after bariatric surgery are associated with high morbidity and mortality. Laparoscopic sleeve gastrectomy (LSG) postoperative complications are mainly represented by gastric fistula with an occurrence rate… Continue Reading
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- Posters
Are Colonoscopies By Colorectal Surgeons Adequate?
Background- Colorectal surgeons (CRSs) generally undergo more training in colonoscopy than do general surgeons. In practice, most CRSs do a lower volume than gastroenterologists. Competency has been cited as >90% cecal intubation. Expert endoscopist may reach 95%. Are colonoscopies by CRSs as good as high volumes gastroenterologists in terms of cecal intubation and polyp detection… Continue Reading
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- Posters
Concurrnet Use of Self-expandable Biliary and Enteric Metal Stents for Obstructing Inoperable Duodenal Cancer
Introduction: The use of self-expandable metal stents (SEMSs) is effective in the palliative treatment of malignant biliary or duodenal strictures. However, few reports document the concurrent use of biliary and enteric SEMSs, mostly likely secondary to its technical difficulty. Methods and Procedures: We report a case of concurrent use of biliary and enteric SEMSs in… Continue Reading
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- Posters
Pneumatosis Coli From Endoscopy: A Case Report
Recent advances in technology have expanded the use of endoscopy in the diagnosis and treatment of gastrointestinal conditions. The majority of endoscopic procedures are performed on the principle of air insufflating hollow organs. While perforation from increased intraluminal pressure is a known complication of endoscopy, pneumatosis from endoscopy is uncommon and has not been well… Continue Reading
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- Posters
One Step Management of Common Bile Duct Stones
Introduction: Our objective was to demonstrate the feasibility of definitive management of choledocholithiasis by surgeons in a single operation combining laparoscopic cholecystectomy, intraoperative cholangiogram, and intraoperative ERCP. Until recently, gallstones with associated common bile duct stones were managed in a two step procedure:1. Preoperative ERCP with duct clearance of stones usually performed by a gastroenterologist… Continue Reading
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- Posters
Efficacy of a Prototype Endoscope with Two Deflecting Working Channels for Endoscopic Submucosal Dissection (esd): a Prospective Comparative Ex-vivo Study
Introduction: The aim of this study is to evaluate a prototype endoscope with two deflecting working channels (the R-scope, Olympus Japan, Inc) compared to a conventional double-channel endoscope in time required for ESD of submucosal lesions in distinct anatomical locations of the stomach. It is our hypothesis that ESD of submucosal lesions with the R-scope… Continue Reading
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Flexible Endoloop \” Hand Made\”
This is the abstract template. Seleem, M.Y Professor of surgeory – Cairo University Introduction: Laparoscopic surgery has many advantages but the increased cost may cause some limitations to its aplication especially in development countries.The increse in cost may oblige surgeon to modify technique eg. Adobting assisted colectomy instead of completely laparoscopic if no staplers are… Continue Reading
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- Posters
The Relationship Between Post-operative Anatomy and Endoscopic Stent Migration
IntroductionEndoscopic stents have been demonstrated to be safe and effective in treating complication of upper gastrointestinal surgery. However, stents placed tend to be unstable and have a significant rate of migration. It is unclear what factors influence stent stability and the ideal clinical application of this technology. We hypothesize that the shape of the post-surgical… Continue Reading
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A Case Series of Transmural Pressure Necrosis From Prolonged Use of Peg Tubes
Percutaneous Endoscopic Gastric (PEG) tubes are essential tools in providing enteral feeds to patients with either contraindications to oral feeds or malnutrition. Hollow viscous injuries are the most common complications arising shortly after insertion. There are very few life-threatening complications from prolonged use of the PEG tubes. We report two cases of a gastric and… Continue Reading
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- Posters
Esophageal Stenting for Immediate Palliation of Symptomatic Thoracic Malignancies
Introduction: Malignant esophageal stricture or compression (ES/C) and malignant tracheoesophageal fistula (TEF) significantly interfere with quality of life. Immediate symptom relief is paramount. We reviewed our experience with esophageal stenting for the management of symptomatic thoracic malignancies.Methods: We performed an institutional review-board approved, retrospective review of our esophageal stent database. We collected data on patients… Continue Reading
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- Posters
Endoscopic Stent Management of Leaks and Anastomotic Strictures After Foregut Surgery
BACKGROUND: Anastamotic complications or leaks after esophageal or gastric surgery present an ongoing therapeutic challenge. Avoiding repeat surgery is desirable and may be possible with the use of endoscopically placed stents. We reviewed our single institution experience with the use of various endoscopic stents for the management of leaks and anastomotic complications after gastric surgery.METHODS:… Continue Reading
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- Posters
Implementation of Colonoscopic Process Measures: Does It Improve Quality?
Purpose: Although screening colonoscopy has significantly reduced the incidence of colorectal cancer due to removal of clinically significant adenomatous polyps, the clinical benefit of removing micro adenomas is of unclear benefit. As a result basing the value of increasing withdrawal time on adenoma detection rate may not be a good surrogate quality indicator for colonoscopic… Continue Reading