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
- Type:
- Posters
Percutaneous Endoscopic Gastrostomy With T-fasteners Obviates the Need for Emergent Exploration After Early Tube Dislodgement
Poochong Timratana, MD, Kevin M El-hayek, MD, Hideharu Shimizu, MD, Matthew Kroh, MD, Bipan Chand, MD FACS. Cleveland Clinic INTRODUCTION: Despite technical refinements of percutaneous endoscopic gastrostomy (PEG), complications remain static. These complications include bleeding, tube site infection, and tube dislodgement. Tube dislodgement occurs more frequently in high risk patients such as those with… Continue Reading
- Type:
- Posters
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 Stenting Versus Emergency Surgery in Patients With Metastatic Colorectal Cancers Presenting With Acute Intestinal Obstruction.
Ker-kan Tan, FRCS Edin, Tian-zhi Lim, MBBS, Charles B Tsang, FRCS Edin FRCS Glasg, Dean C Koh, FRCS Edin FRCS Glasg. National University Health System BackgroundOperating in patients with obstructed colorectal cancers is associated with numerous morbidities. Self expanding metallic stents provide a promising alternative. The aim of this study was to compare the… Continue Reading
- Type:
- Posters
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
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
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
- Type:
- Posters
Pattern of Oesophageal Stricture Post Endoscopic Injection Sclerotherapy
K O Ba Hakem, MD, M A Ibn Ouf, Professor of surgery, M O Gadour, Professor of Medicine. Ibn Siena Hospital , GI bleeding Centre ,Sudan Background: Post endoscopic sclerotherapy oesophageal stricture is usually not fatal but may requires several sessions of oesophageal dilation as an effective palliative treatment yet has its own complications.… Continue Reading
- Type:
- Posters
Peg Failures: Should Another Specialty Attempt Placement?
K A Zuberi, MD, B R Zagol, MD, V K Narula, MD, V C Memark, MD, J B Anderson, MD, W Scott Melvin, MD, J W Hazey, MD. The Ohio State University Medical Center: Center for Minimally Invasive Surgery, Columbus, OH, USA Introduction: Percutaneous Endoscopic Gastrostomy (PEG) tube placement is the preferred enteral access… Continue Reading
- Type:
- Posters
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
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
A Case of Huge Esophageal Hamartoma Treated By Endoscopic Resection
Toshiyuki Sasaki, MD, Nobuo Omura, MD, Yuuichirou Tanishima, MD, Katsunori Nishikawa, MD, Norio Mitsumori, MD, Hideyuki Kashiwagi, MDPhD, Katsuhiko Yanaga, MDPhD. Departments of Surgery, Jikei University School of Medicine In general, hamartoma frequently occurs in the lung, heart, or hypothalamus, and its occurrence in the gastrointestinal tract is very rare. We report a patient… Continue Reading
- Type:
- Posters
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
Detecting Abnormalities in Endoscopic Examinations By Combining Information From Multiple Images
Qian Zhao, Gerard E Mullin, MD, Max Q-h Meng, PhD, Themistocles Dassopoulos, MD, Rajesh Kumar, PhD. Johns Hopkins University, Chinese University of Hong Kong, Washington University School of Medicine INTRODUCTION: Endoscopic, and more recently wireless capsule endoscopic (CE) examinations produce large number of images (e.g. over 50,000 images for CE), not all of which… Continue Reading
- Type:
- Posters
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