140 Cases Experience of 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 patients’ general condition, we use self-Expandable Metallic Stent (EMS) placement. We report the result of… Continue Reading
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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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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Are rural general surgeons performing valid colonoscopies?
Introduction: A recent Canadian study reviewed the effectiveness of colonoscopy. Colonoscopy reduced the death rate for left colon cancers, but not the right. Were right colon missed? Since the majority of colonoscopies were performed by non-gastroenterologists (69%), questions were raised as to who is qualified to perform colonoscopies. Method: A standard colonoscopy recording form was… Continue Reading
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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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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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Early Us Experience with Endoscopic Removal of the Orbera System® Intragastric Balloon.
Introduction: The Orbera System® intragastric balloon is an endoscopically placedshort termdevice that facilitates weight loss. The device, which was formerly known as the Bioenteric Intragastric Balloon® (BIB), is extensively used in numerous foreign countries, but is presently not FDA approved for placement in the US. There have been a number of reported cases of Orberaremovals… Continue Reading
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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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Endoscopic Management of a Rare Right Colon Perforation From a Migrated Biliary Stent
Objective: We describe the case of an ascending colon perforation from a migrated flexible biliary stent which was treated by colonoscopic removal without the need for surgical intervention. Procedure/Case Report: A 77-year-old female, with Alzheimer’s disease and multiple medical problems, presented with nausea, vomiting, and RLQ abdominal pain without evidence of peritonitis. Eight months earlier,… Continue Reading
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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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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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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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First Report of Spray Cryosurgery Depth of Injury to the Human Esophagus
Introduction: This study provides histologic documentation of spray cryosurgery (SCS) affect on human tissue at varying dose. SCS is a non-contact method of destroying unwanted tissue using low-pressure liquid nitrogen. The rapid freezing and thawing associated with SCS evokes significant cellular damage through a variety of pathways leaving the stroma essentially unaffected, avoiding the potential… 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
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