A Case of Laparoscopic Duodenal Diverticulectomy
Manish Singh, title, Sricharan Chalikonda, title, Roberto Ramirez, title, Matthew D Kroh, Bipan Chand. Bariatric and Metabolic Institute, Cleveland Clinic , Cleveland This a case of 36 year old male with longstanding history of epigastric discomfort and pain was diagnosed with 3rd portion duodenal diveticulum . Workup included endoscopy which showed wide mouthed diverticulum distal… Continue Reading
A Complication of Biologic Mesh Following Nissen Fundoplication
Edward L Felix, MD, Daniel E Swartz, MD. Advanced Bariatric Centers of California The role of synthetic or biologic mesh to reinforce or close the hiatus during Nissen fundoplication has become controversial. A randomized study has shown it to be beneficial for para-esophageal hernia repair, but at what risk. Some have suggested that the potential… Continue Reading
- Topic:
- Foregut
A Flexible Endoscopic Surgical-Platform Enables Pure Transrectal Colon Cancer Surgery
Erwin Rieder, MD, Mark H Whiteford, MD, Lee L Swanstrom, MD. MIS Program, Legacy Health, Portland, OR Natural orifice transrectal endoscopic surgery (NOTES) approach makes immense sense for incisionless colorectal surgery, as access colotomy can be incorporated into subsequent anastomosis and thereby provides a clear-cut patient benefit compared to standard laparoscopy. However, adequate oncologic transrectal… Continue Reading
- Topic:
- Endolumenal / NOTES
Adjustable Gastric Band Converted to Sleeve Gastrectomy
Kibwe A Weaver, MD, Philip Schauer, MD. Cleveland Clinic This is a video representing a 63 year old patient. He had an adjustable gastric band placed with rather poor weight loss. After 3 years he began to suffer from dysphagia and nausea. Upon examination he was seen to have prolapsed. Despite having the fluid removed… Continue Reading
- Topic:
- Metabolic / Obesity
An Innovative Technique for Circular Stapler Insertion and Wound Protection During Gastrojejunostomy
Alian Garay, MD, Danny V Martinec, BS, Valerie J Halpin, MD. Legacy Good Samaritan Hospital, Portland, OR Our innovative method for inserting the circular stapler to create the gastrojejunal (GJ) anastamosis in laparoscopic roux-en-Y gastric bypass saves time and prevents wound infections. This technique requires the use of a specially designed tapered prosthetic at the… Continue Reading
- Topic:
- Metabolic / Obesity
Case Report of Revisional Bariatric Surgery: Sleeve Gasrectomy to Gastric Bypass
Adrian Marius Nedelcu, Jean Michel Fabre, Professor, David Nocca, Professor. CHU Montpellier We present a case of revisional bariatric surgery. It is a conversion of sleeve gastrectomy into a gastric bypass. The patient is a 53 y.o. male with a BMI of 59. As past medical history we mention an episode of pulmonary embolism after… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion of a Previously Reversed Roux En Y Gastric Bypass to a Sleeve Gastrectomy for Morbid Obesity and Pseudotumor Cerebri
Soto Flavia, Elias Chousleb, Omar Bellorin, Ismael Court, Abraham Abdemur, Samuel Szomstein. Cleveland Clinic Florida IntroductionReversing weight loss operations, usually leads to recurrence of obesity and associated co-morbidities. Reoperative choices for recurring obesity are few and complex to be performed via laparoscopy. Case presentation and methods: We present the case of a 43 y/o female… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion of Failed Laparoscopic Nissen Fundoplication to Gastric Bypass for the Management of Recurrent Gastroesophageal Reflux Disease
Sean R Sheff, MD, Julio J Bird, MD, Shanu N Kothari, MD FACS. Gundersen Lutheran Medical Foundation, Gundersen Lutheran Health System Introduction: Gastroesophageal reflux disease (GERD) is prevalent in approximately 20% of the population. However, in the morbidly obese population, 55-62% of patients presenting for gastric bypass (GB) complain of GERD symptoms. Standard surgical treatment… Continue Reading
- Topic:
- Metabolic / Obesity
Drainoscopy
Sam Atallah, MD, Teresa DeBeche-Adams, MD, Matthew Albert, MD, Sergio Larach, MD. Florida Hospital To determine the feasibility of using a standard post-operative drain as an access point for the new technique of drainoscopy. Methods and Procedures: Drainoscopy is demonstrated in the operating room on a patient who has undergone a laparoscopic, hand-assisted APR. A… Continue Reading
Endoscopic Ampullectomy
Myron C Stokes, MD, Kirpal Singh, MD FACS. St. Vincent/Indiana University Fellowship of Advanced Laparoscopy, Endoscopy & Ultrasound Ampullary neoplasms account for approximately five percent of all gastrointestinal neoplasms. Local resection of the Ampulla of Vater was first described in 1899 by Halsted. It was not until the 1980's that the first endoscopic ampullectomy was… Continue Reading
- Topic:
- Endolumenal / NOTES
Endoscopic Treatment for Bouveret Syndrome
Jin-cheng Zhao, MD, Ermilo Barrera, MD, Reza Salabat, MD, Woody Denham, MD, Dennis Leung, MS, Michael Ujiki, MD. NorthShore University HealthSystem, Chicago, IL. Introduction: Gallstone ileus is an uncommon cause for small bowel obstruction. Less than 3% of cases are due to a gallstone impacted in the duodenum or pylorus resulting in a gastric outlet… Continue Reading
- Topic:
- Endolumenal / NOTES
ERCP in a Patient with Previous Esophagectomy and Billroth II Gastrojejunostomy
Melissa S Phillips, MD, Jeffrey M Marks, MD, Amitabh Chak, MD. University Hospitals, Case Medical Center, Cleveland, OH, USA Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) can be quite challenging in patients without native anatomy. Being able to apply this "standard of care" treatment to a surgically altered patient group offers advantages of decreased morbidity and quicker… Continue Reading
- Topic:
- Endolumenal / NOTES
Flexible Laparoscopy in Adjustable Gastric Band Placement
James A Dickerson, MD FACS, Aurora D Pryor, MD FACS. Duke University Medical Center BACKGROUND: Single-access laparoscopic surgery is rapidly gaining popularity but is accompanied by a unique set of challenges. Limitations in this technique are characterized by a loss of surgical triangulation and counterintuitive hand movements. Flexible laparoscopy has evolved as a method to… Continue Reading
- Topic:
- Metabolic / Obesity
Foramen of Morgagni Hernia: Laparoscopic Patch Repair
Thomas Ng, MD, Beth Ryder, MD, Shair Ahmed, MD. Brown University, Rhode Island Hospital Introduction:Foramen of Morgagni hernias are extremely rare. Most are asymptomatic and found incidentally, however may present with vague non-specific abdominal complaints. Upon diagnosis, operative intervention should be undertaken for the risk of incarceration and strangulation. Repair should include complete sac excision… Continue Reading
- Topic:
- Abdominal Wall Hernias
Gastric Bypass in a Patient with Unsuspected Malrotation of the Colon
Rahima Nenshi, MD MSc, John Hagen, MD. Humber River Regional Hospital, University of Toronto Congenital rotational GI tract abnormalities result from non-rotation or incomplete rotation around the superior mesenteric artery. The incidence is approximately 1 in 500 live births and up to 25% of patients will present in adulthood. If a patient with an unknown… Continue Reading
- Topic:
- Metabolic / Obesity