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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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
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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
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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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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
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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
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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
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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
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Reconstruction of the Esophagojejunostomy Using the Transorally Inserted Anvil (Orvil [tm]) After Laparoscopic Total Gastrectomy
Shinya Mikami, Tetsu Fukunaga, Hiroaki Itoh, Keizou Hataji, Ryuichi Oshima, Takeharu Enomoto, Jo Sakurai, Nobuyoshi Miyajima, Takehito Otsubo. St. Marianna University School of Medicine, Department of Gastroenterological and General Surgery, INTRODUCTION - Laparoscopic total gastrectomy (LTG) has not become as popular as laparoscopic distal gastrectomy because of the more difficult reconstruction technique. Although various reconstruction… Continue Reading
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Endoscopic Management of Colorectal Anastomotic Stricture With Temporary Stent
Y Saida, MD, T Enomoto, MD, K Takabayashi, MD, A Otsuji, MD, Y Nakamura, MD, M Katagiri, MD, S Nagao, MD, M Watanabe, MD, K Asai, MD, Y Okamoto, MD, J Nagao, MD, S Kusachi, MD. Toho University Ohashi Medical Center PURPOSE: Stenting of benign colorectal conditions has been described, but its role has… Continue Reading
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Endolumenal Management of Tubular Esophageal Duplications
Danielle S Walsh, MD FACS, Adam S Harris, MD, Maryanne L Dokler, MD FACS, Donald E George, MD. East Carolina University, Nemours Children's Clinic, Mayo Clinic Jacksonville Introduction: Tubular esophageal duplications are a challenging anomaly traditionally treated with resection via thoracotomy or thoracoscopy. An endoscopic approach to the esophagus with division of the common… Continue Reading
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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
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
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