Over the Scope Clip (OTSC) Placement for Perforation, Fistula and Anastomotic Leak Closure
P Umamaheswaran, MD, D Davila-Bradley, MD, A Bastawrous, MD, D Schembre, MD, R Kratz, MD, J A Cervera-Servin, MD, R W Aye, MD, B E Louie, MD. Swedish Medical Center. Introduction: Gastrointestinal fistulas and perforations can be challenging problems for surgeons and endoscopists. Traditional management was surgical if the patient was systemically unwell or nil… Continue Reading
To Stent Or Not to Stent: Outcomes of Self-expanding Intraluminal Stents in Foregut Surgery
Hrishikesh Nerkar, MD, Anna Ibele, MD, Jon Gabrielsen, MD, William Strodel, MD, Anthony T Petrick, MD. Geisinger Medical Center, Dept of MIS and Bariatric Surgery. Background: Self-expanding stents (SES) have been used with increasing frequency to treat the complications of foregut surgery. The safety and effectiveness of SES for these indications has been difficult to… Continue Reading
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
Six Month Outcomes in Patients Experiencing Weight Gain After Gastric Bypass Who Underwent Gastrojejunal Revision Using an Endoluminal Suturing Device
M Gitelis, M Ujiki, L Farwell, J Linn, K Miller, C Burnett, J Carbray, S Haggerty, W Denham. NorthShore University HealthSystem. Background and Objective: Weight gain after Roux-en-Y gastric bypass (RYGB) occurs in approximately 25% of cases and this may lead to redevelopment of comorbid conditions. Currently, adequate treatment strategies for this group of patients… Continue Reading
Peroral Endoscopic Myotomy (POEM) Leads to Similar Results in Patients with and Without Prior Endoscopic Or Surgical Therapy
Sean B Orenstein, MD, Siavash Raigani, BA, Yuhsin V Wu, MD, Eric M Pauli, MD, Melissa S Phillips, MD, Jeffrey L Ponsky, MD, Jeffrey M Marks, MD. Department of Surgery, University Hospitals Case Medical Center, Cleveland OH; Department of Surgery, Penn State Hershey Medical Center, Hershey PA; Department of Surgery, University of Tennessee, Knoxville, TN.… Continue Reading
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
Radiofrequency Ablation for Barrett’s associated intramucosal carcinoma: A multi-center follow-up study
Adam C Strauss, MD, Agoston Agoston, MD, PhD, Parambir S Dulai, MD, Thadeus L Trus, MD, Amitabh Srivastava, MD, Richard I Rothstein, MD. Dartmouth Hitchcock Medical Center; Brigham and Women's Hospital. Purpose: Radiofrequency ablation (RFA), with or without endoscopic mucosal resection (EMR), has been validated as a safe, effective and durable treatment option for dysplastic… Continue Reading
Symptomatic and Physiologic Outcomes At One-year After Peroral Esophageal Myotomy (POEM)
Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Byron F Santos, MD, Fahd O Arafat, MD, John E Pandolfino, MD, Peter J Kahrilas, MD, Ikuo Hirano, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. INTRODUCTION: Peroral endoscopic myotomy (POEM) is a novel surgical operation for the treatment of achalasia. Here we analyze… 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
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
Sleeve Esophageal Endoscopic Mucosectomy “SEEM”
Ahmed Sharata, MD, Christy M Dunst, MD, Radu Pescarus, MD, Eran Shlomovitz, MD, Ashwin Kurian, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. The incidence of esophageal adenocarcinoma is increasing rapidly in the western world. The treatment of the early esophageal cancer (high grade dysplasia & intra… Continue Reading
The nightmare of the GI surgeon
Radu Pescarus, MD, Ahmed Sharata, MD, Eran Shlomovitz, MD, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Oregon Clinic and Providence Portland Medical Center; Portland, Oregon. Perforations of the gastro-intestinal (GI) tract represent a major challenge for all surgeons. Various endoscopic tools are increasingly part of the armamentarium of the GI… 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
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
- Type:
- Posters
Percutaneous Endoscopic Gastrostomy for Prolonged Ileus and Non-malignant Obstruction
Christopher R Daigle, MD, Eric Marcotte, MD, Ricard Corcelles, MD, Kevin El-Hayek, MD, Matthew Kroh, MD, Stacy Brethauer, MD. Cleveland Clinic Main Campus, Cleveland, Ohio. INTRODUCTION - The utility of percutaneous endoscopic gastrostomy (PEG) decompression for inoperable malignant bowel obstruction is well documented. However, there is limited data on the use of decompressive PEG in… Continue Reading
- Type:
- Posters