A Novel Endoscopic Approach to Managing High Output Entero-atmospheric Fistulae
Sean B Orenstein, MD, Yuhsin V Wu, MD, Eric M Pauli, MD, Tung T Tran, MD, Randy S Haluck, MD, Yuri W Novitsky, MD, Jeffrey M Hardacre, MD, John B Ammori, MD, Edmond Sanchez, MD, Jeffrey L Ponsky, MD, Jeffrey M Marks, MD. Department of Surgery, University Hospitals Case Medical Center, Cleveland OH; Department of… Continue Reading
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Antegrade Wire, Rendezvous Cannulation of the Biliary Tree May Reduce the Incidence of Post-ERCP Pancreatitis
Ryan M Juza, MD, Randy S Haluck, MD, Ann M Rogers, MD, Jerome R LynSue, MD, Eric M Pauli, MD. Penn State Milton S. Hershey Medical Center. Introduction: Post-procedural pancreatitis (PPP) is a common serious complication of therapeutic and diagnostic endoscopic retrograde cholangiopancreatography (ERCP) with a reported incidence of up to 10%. Multiple cannulation attempts,… Continue Reading
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Bariatric Postoperative Fistula: A Life-saving Endoscopic Procedure
Giorgio Baretta, PhD, Joao Henrique Lima, PhD, Josemberg Campos, PhD, Manoel Galvao Neto, MSc. Vita Batel Hospital - Department of Bariatric Advanced Endoscopy. Background: Fistula after batiatric surgery occurs in 0,8% to 7% with high incidence of mortality, reoperations and long hospital stay. Some reasons are well-described such as distal obstruction: stenosis of the anastomosis,… Continue Reading
Case Report: Use of a Stent to Treat a Colonic Anastomotic Leak
Sarah J Lippert, MD, Philip L Leggett, MD, Howard B Hamat, MD, Javier Nieto, MD. The University of Texas Medical School at Houston. Anastomotic leaks are a serious complication in colorectal surgery that often require operative intervention and fecal diversion. Use of uncovered self-expanding metal stents in the colon has gained wide acceptance, especially in… Continue Reading
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Complications of Laparoscopic Transgastric ERCP in Patients with Roux-en-Y Gastric Bypass
Kevin L Grimes, MD, Kirpal Singh, MD, Maurice E Arregui, MD. St. Vincent Hospital. Introduction As more patients undergo Roux-en-Y gastric bypass, the population with altered anatomy continues to increase. This presents a challenge when duodenal access is required for ERCP. One technique, first described by Peters & Gagne in 2002, is laparoscopic transgastric ERCP.… Continue Reading
Early human experience with Per-Oral Endoscopic Pyloromyotomy (POP).
Eran Shlomovitz, MD, Radu Pescarus, MD, Ahmed Sharata, MD, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic.. Introduction: Gastroparesis, a condition characterized by delayed gastric emptying, and a constellation of symptoms including nausea, vomiting, early satiety and bloating, is a debilitating condition. A variety… Continue Reading
Economic Impact of Per Oral Endoscopic Myotomy Versus Laparoscopic Heller Myotomy and Endoscopic Pneumatic Dilation
Michael P Meara, MD, MBA, Kyle A Perry, MD, Jeffery W Hazey, MD. The Ohio State University Wexner Medical Center. BACKGROUND: Per Oral Endoscopic Myotomy (POEM) has proven to be a viable therapeutic modality for the treatment of idiopathic achalasia. Cost data has not been reported which evaluates the cost of POEM. The purpose of… Continue Reading
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Endoscopic Argon Plasma Coagulation Can Alleviate Dyspagia from Malignant Esophageal Masses
Reinier F Narvaez, MS, III, Matthew Y Lin, MD, John P Cello, MD, Stanley J Rogers, MD. University of California, San Francisco. Background: Dysphagia is a common symptom for advanced esophageal cancer. Both chemoradiation and/or stent placement may not fully alleviate dysphagia and are not without its morbidities. Argon plasma coagulation (APC) is characterized by… Continue Reading
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Endoscopic Fundoplication for the Management of Gastroesophageal Reflux: A Community Hospital Experience
Mario R Salazar, MD, Todd Worley, MD. Texas Tech Health Sciences Center-Permian Basin. Objective: Transoral Incisionless Fundoplication (TIF) continues to be evaluated as a potential alternative to both conventional surgical and medical options for certain patients with gastroesophageal reflux disease (GERD). Most studies and case series that have been published, however, have been conducted in… Continue Reading
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Endoscopic Management of Postoperative Esophageal Strictures
Edip Akpinar, MD, Sheila C. Marmalojes, MD, Mohamed S. Alshal, MD, Jc Jimenez, MD, D Horkan, MD, Ja Astudillo, MD, Jose M. Martinez, MD, FACS. Department of LaparoEndoscopic Surgery, University of Miami, Miami, FL. Background: Postoperative esophageal strictures may happen in 30% of patients at the anastomotic site following reconstruction for esophagectomy using gastric or… Continue Reading
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Endoscopic Management of Silastic Ring Gastric Erosion
Juan P Toro, MD, Nathaniel W Lytle, MD, Ankit D Patel, MD, S. Scott Davis Jr., MD, Edward Lin, DO, MBA. Department of Surgery, Emory University. Atlanta, GA. Silastic rings have been used to control the outlet of the gastric pouch avoiding dilation and subsequent weight regain. However, this may result in different complications like… Continue Reading
Endoscopic Per-Oral Pyloromyotomy (POP)
Eran Shlomovitz, MD, Christy M Dunst, MD, Radu Pescarus, MD, Ahmed Sharata, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. This video demonstrates a novel technique of Endoscopic Per-Oral Pyloromyotomy (POP) for the treatment of gastroparesis. In this procedure the endoscopic submucosal myotomy technique is applied to… Continue Reading
Endoscopic proximal gastroplasty for obesity using a novel full-thickness suturing device
Lee L Swanstrom, MD, Andras Legner, MD, Peter Halvax, MD, Aron Altorjay, MD. Intitute Hopitaux Universitaires - Strasbourg, France; St George Hospital, Szekesfehervar, Hungary. Introduction: An outpatient transoral endoscopic procedure for morbid obesity would be appealing: if safe, effective and durable. Previous endoluminal gastroplasties have had only transient effectiveness due to mucosa to mucosa gastric… Continue Reading
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Endoscopic Resection for Esophageal Carcinoma: Experience in a Large Academic Medical Center
Justin T Huntington, MD, Jon P Walker, MD, Michael P Meara, MD, Jeffrey W Hazey, MD, Scott Melvin, MD, Kyle A Perry, MD. The Ohio State University Wexner Medical Center. BACKGROUND: Endoscopic management represents a less invasive approach with decreased morbidity compared to esophagectomy for the treatment of early esophageal cancers. Endoscopic mucosal resection (EMR)… Continue Reading
Endoscopic suture fixation of gastroesophageal stents with and without submucosal injection in a porcine model
Victor T Wilcox, MD, Brian J Dunkin, MD, FACS, Nabil Tariq, MD, FACS, Albert Y Huang, MD, Patrick R Reardon, MD, FACS. Methodist Institute for Technology, Innovation & Education (MITIE). BACKGROUND: Self expanding metal stents (SEMS) are useful for treating leaks after bariatric or upper gastrointestinal (GI) surgery. Stent migration is common, however, occurring in… Continue Reading