A New Procedure of Esophagostomy for Endoscopic Surgeons
Hideto Oishi, MD PhD, Mina Miyashita, MD PhD, Takayuki Iino, MD, Takao Yamane, MD, Eiichi Hirai, MD PhD, Shingo Kameoka, MD PhD. Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University Introduction and objective;This is the first case report of a new remodeling procedure of percutaneous trans-esophageal gastro-tubing (PTEG) for endoscopic surgeons… Continue Reading
Intraoperative Assessment of Esophagogastric Junction Distensibility During Per Oral Endoscopic Myotomy
Erwin Rieder, MD, Silvana Perretta, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Gastrointestinal and Minimally Invasive Surgery, The Orgeon Clinic, Portland, Oregon; Institute de Recherche contra les Cancers de l'Appareil Digestif (IRCAD), Strasbourg Cedex, France Introduction: Per oral endoscopic myotomy (POEM) is a new treatment for esophageal motility disorders. Using endoscopic techniques… Continue Reading
Endoscopic Submucosal Dissection Using a Newly Developed Endoscopic Hood for Gastric Tumors
Takeuchi Hirohisa, Abe Nobutsugu, Ohki Atsuko, Yanagida Osamu, Masaki Tadahiko, Mori Toshiyuki, Sugiyama Masanori, Atomi Yutaka. Department of Surgery, Kyorin University School of Medicine Background and Aims: Endoscopic submucosal dissection (ESD) of gastric tumors has improved the success rate of en bloc resection but is still technically difficult for large, ulcerated, or intramuscle lesions.… Continue Reading
Endoscopic Submucosal Dissection for Colorectal Tumors
Eun-jung Lee, MD, Jae Bum Lee, MD, Suk Hee Lee, MD PhD, Do Sun Kim, MD PhD, Doo Han Lee, MD PhD, Du Seok Lee, MD PhD, Eui Gon Youk, MD PhD. Daehang Hospital Purpose: Endoscopic Submucosal Dissection (ESD) is a very useful endoscopic technique, making it possible to perform an en bloc resection… Continue Reading
Surgical Management of Duodenal Perforations After Ercp: the Crucial Role of a Retroperitoneal Approach.
Sergio Alfieri, MD, Fausto Rosa, MD, Caterina Cina, MD, Antonio P Tortorelli, MD, Vincenzo Perri, MD, Guido Costamagna, MD, Giovanni B Doglietto, MD. Department of Digestive Surgery, Catholic University, "A. Gemelli” Hospital ABSTRACT IntroductionEndoscopic retrograde cholangio-pancreatography (ERCP) combined with endoscopic sphincterotomy (ES) has become a common procedure worldwide in the era of minimally invasive… Continue Reading
Biodegradable Esophageal Stent Placement Does Not Prevent Stricture Formation Following Circumferential Mucosectomy in a Porcine Model.
Eric M Pauli, MD, Steve J Schomisch, PhD, Joseph P Furlan, BS, Amitabh Chak, MD, Jeffrey L Ponsky, MD, Jeffrey M Marks, MD. University Hospitals Case Medical Center, Cleveland, OH Introduction: Advanced esophageal dysplasia and early cancers have traditionally been treated with esophagectomy. Recently developed tissue ablation techniques are less invasive, but may undertreat… Continue Reading
Laparoscopic Splenectomy and Azygoportal Disconnection With Intraoperative Splenic Blood Salvage
Yuedong Wang, MD PhD, Yun Ji, MD, Yangwen Zhu, MD, Zhijie Xie, MD, Xiaoli Zhan, MD. Department of General Surgery, Zhejiang Provincial People’s Hospital, Zhejiang China Background: Intraoperative blood salvage can reduce or avoid perioperative allogeneic blood transfusion. To salvage the blood in the portal hypertension-induced enlarged spleen becomes an issue of concern during… Continue Reading
Partially Covered Esophageal Stents Cause Bowel Injury When Used to Treat Complications of Bariatric Surgery
Wei Wei, MD, Archana Ramaswamy, MD, Roger De La Torre, MD, Brent W Miedema, MD. Division of General Surgery, University of Missouri-Columbia INTRODUCTION The hypothesis was that a stent that is mainly silicone covered but has a portion uncovered may allow tissue ingrowth and decrease the migration rate seen with fully covered stents and… Continue Reading
Endoscopic Treatment of Gastric Leak Following Sleeve Gastrectomy Using an Endoscopic Clipping System
Alisa M Coker, MD, Marcos Michelotti, MD, Takayuki Dotai, MD, Luciano Antozzi, MD, Geylor Acosta, MD, Anibal Rondan, MD, Nikolai Bildzukewicz, MD, Mark A Talamini, MD, Bryan Sandler, MD, Garth R Jacobsen, MD, Thomas Savides, MD, Santiago Horgan, MD. Center for the Future of Surgery, Department of Surgery, University of California San Diego We… Continue Reading
Reaching the Unreachable: A Novel Over the Scope Deployment Method for Enteral Stents
Eric M Pauli, MD, Steve J Schomisch, PhD, Jeffrey A Blatnik, MD, David M Krpata, MD, Juan S Sanabria, MD, Jeffrey M Marks, MD. University Hospitals Case Medical Center, Cleveland, OH Video Abstract Summary:Over the last 2 decades, self-expanding enteral stents have gained popularity and shown therapeutic potential for strictures, obstructions, fistulae and perforations… Continue Reading
Diagnostic Gastro-duodenoscopy via a Gastro-gastric Fistula Prior to Overstitch Closure
Eric M Pauli, MD, Jeffrey M Marks, MD. University Hospitals Case Medical Center, Cleveland, OH Video Abstract Summary:Most surgeons are aware of the challenge posed by Roux-en-Y Gastric Bypass (RYGB) anatomy on the endoscopic evaluation and treatment of foregut pathology. In this video, we describe the successful endoscopic and fluoroscopic evaluation of the bypassed… Continue Reading
Incisionless Gastric Cancer Resection Using Endoscopic Suturing With Pulley Retraction
Neil H Bhayani, MD MHS, Ashwin A Kurian, MBBS, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. The Oregon Clinic This video demonstrates the resection of an early, T1a, gastric adenocarcinoma using endoscopic submucosal dissection. To facilitate dissection, we used endoscopic suturing to create a pulley system for retraction. Session… Continue Reading
Complete Endoscopic/transgastric Retrieval of Eroded Gastric Band: A Novel Approach to a Common Complication
Kevin M El-hayek, MD, Poochong Timratana, MD, Stacy Brethauer, MD, Bipan Chand, MD FACS. Cleveland Clinic Complications of laparoscopic adjustable gastric banding (LAGB) include band slippage, material infection, and band erosion. Band erosion can lead to chronic infection, obstruction, and delayed perforation; therefore, removal is indicated. We present a novel approach to band retrieval… Continue Reading
Innovative Technique for Trans-nasal Anchorage of Esophageal Stent to Prevent Migration
Jai Bikhchandani, MD, A J Davidson, Medical Student, Tommy Lee, MD, S K Mittal, MD. Creighton University Medical Center IntroductionMigration is a common problem of esophageal stenting. We present here an indigenous technique for transnasal anchorage of esophageal stent using silk sutures. This study compares the outcomes of esophageal stents placed with and without… Continue Reading
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A Novel Use of Flexible Wallstent in J Pouch Anastomotic Stricture
Amalia Stefanou, MD, John Park, MD, Slawomir Marecik, MD, Leela Prasad, MD. Advocate Lutheran General Hospital, University of Illinois Chicago Hospital, Cook County Hospital Objective We present a novel use of flexible stent for the treatment of small bowel stricture in a patient with inflammatory bowel disease. While the use of stents has been… Continue Reading
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