A Novel Combined Endoscopic and Surgical Approach to Retrieve a Retained Foreign Body Causing a Rectovaginal Fistula
Faris M Murad, MD, Steven R Hunt, MD. Washington University in St. Louis A 45 year old obese female with menorrhagia undergoes robotic hysterectomy. The patient has a previous history of cellulitis after a C-section. During the operation, a piece of the bowel grasper was noted to be missing. The surgeons spent 2 hours searching… Continue Reading
- Topic:
- Endolumenal / NOTES
An Unusual Cecal Mass
Amy Neville, MD, Marilou Vaillancourt, MD, Etienne Auger-dufour, MD, Liane S Feldman, MD, Gerald M Fried, MD. McGill University Health Center This is a case presentation of a patient is found to have a calcified mass at the base of the cecum and presumed to have an appendiceal mucocele. At the time of surgery,… Continue Reading
- Topic:
- Colorectal
Biliary Endoscopy and Lithotripsy of Biliary Stones
Jordan A Siegel, MD, David Imagawa, MD, Laura Findeiss, MD, Jaime Landman, MD. University of California, Irvine This is a case presentation of a patient with a history of Oriental cholangiohepatitis status post choledochojejunostomy with a large biliary stone requiring management. Our treatment approach was biliary endoscopy via an established transhepatic tract with holmium… Continue Reading
- Topic:
- HPB
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
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
Endoluminal Stomach-sparing Resection of Gastric Gists
Stephanie Downs-canner, MD, Kenneth Fasanella, MD, Kevin Mcgrath, MD, Kenneth K Lee, MD. University of Pittsburgh School of Medicine Gastrointestinal stromal tumors, or GISTs, are common mesenchymal tumors of the gastrointestinal tract. Malignant behavior among these tumors may occur, and therefore complete surgical resection is the primary treatment for GISTs. Wide margins are not… Continue Reading
- Topic:
- Endolumenal / NOTES
Endoscopic-guided Transgastric Laparoscopic Retrieval of a Duodenal Stent
Maureen M Tedesco, MD, Tonya Kaltenbach, MD MS, Roy Soetikno, MD, Dan Eisenberg, MD MS. Stanford University Medical Center and Palo Alto VA HCS Introduction: Endoscopic placement of expandable Nitinol stents have been used in the upper and lower gastrointestinal tract to palliate areas of malignant stricture or obstruction. They are designed to allow… Continue Reading
- Topic:
- Minimally Invasive Other
Endoscopic Suture Repair of Full Thickness Esophagotomy During Per Oral Esophageal Myotomy (POEM) for Achalasia
Ashwin A Kurian, MBBS, Neil H Bhayani, MD, Christy M Dunst, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Oregon Clinic and Foundation for Surgical Inovation and Education A Per Oral Esophageal Myotomy (POEM) procedure was undertaken for the diagnosis of Achalasia on a female patient. A full thickness esophagotomy was inadvertently created… Continue Reading
- Topic:
- Endolumenal / NOTES
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
Esophageal Balloon-Assisted Laparoscopic Heller Myotomy for Achalasia
David L Webb, MD, Nathaniel Stoikes, MD, Ben Powell, MD, Guy R Voeller, MD. University of Tennessee Health Science Center Department of Surgery Esophageal perforation is a well-known and feared complication of laparoscopic Heller myotomy. Most series report an esophageal perforation rate ranging from 1-7% during this procedure. Our video depicts a hybrid technique… Continue Reading
- Topic:
- Foregut
Etamis: Endoscopic Visualization for Transanal Minimally Invasive Surgery
Alisa M Coker, MD, Cristina Metildi, MD, Takayuki Dotai, MD, Geylor Acosta, MD, Luciano Antozzi, MD, Marcos Michelotti, MD, Nikolai Bildzukewicz, MD, Juan S Barajas-gamboa, MD, Bryan Sandler, MD, Garth R Jacobsen, MD, Mark A Talamini, MD, Sonia Ramamoorthy, MD, Santiago Horgan, MD, Elisabeth C Mclemore, MD. Center for the Future of Surgery, Department of… Continue Reading
- Topic:
- Colorectal
Extrahepatic Glissonean Access in Laparoscopic Anatomical Liver Resection
Akihiro Cho, MD, Hiroshi Yamamoto, MD, Osamu Kainuma, MD, Atsushi Ikeda, MD, Hiroaki Souda, MD, Yoshihiro Nabeya, MD, Nobuhiro Takiguchi, MD. Chiba Cancer Center Hospital, Japan Background: Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic liver resection, laparoscopic anatomical liver resection has not yet become widely accepted… Continue Reading
- Topic:
- HPB
Gastrectomy and Roux-en-Y Esophagojejunostomy for Gastric Necrosis After Gastric Band Slippage
Jason F Richardson, MD, Ninh T Nguyen, MD. University of California Irvine Medical Center A video demonstration of a gastrectomy and Roux-en-Y esophagojejunostomy performed in a patient who developed gastric necrosis after gastric band slippage. Radiologic review, endoscopic evaluation, gastric band removal, gastric resection, and reconstruction are featured in this video. Session Number: SS08… Continue Reading
- Topic:
- Metabolic / Obesity
Hybrid Resection for Gastric Submucosal Tumor in Combination With Single Port Laparoscopy and Peroral Endoscopy
Noriyuki Inaki, MD PhD, Hisashi Doyama, MD PhD, Yasuhiro Ishiyama, MD, Michihiro Yamamoto, MD, Hiroyuki Bando, MD PhD, Tetsuji Yamada, MD PhD. Ishikawa Prefectural Central Hospital Background: We developed a hybrid technique for the partial resection of stomach for gastric submucosal tumor (SMT) in combination with the Single Port Surgery (SPS) and peroral endoscopic… Continue Reading
- Topic:
- Foregut
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