Fast access to the Common Bile Duct during Endoscopic Retrograde Cholangio-Pancreatography, our experience with a double wire technique.
J Andres Astudillo, MD, Jean Carlos Jimenez, MD, Jose M Martinez, MD. University of Miami, Department of Laparoendoscopic Surgery, Miami, FL.. INTRODUCTION Repeated cannulation of the pancreatic duct (PD) while attempting to cannulate the common bile duct (CBD) is often encountered during Endoscopic retrograde cholangiopancreatograpy (ERCP). This often leads to unsuccessful cannulation or post procedure… Continue Reading
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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
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 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
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
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
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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
Transgastrostomic Endoscopy-Assisted Foreign Body Removal
John Henry Y Pang, MD, Zachary A Kanouse, MD, Irving L Bernardo, MD, Farah Karipineni, MD, Kevin Nguyen, MD, Alfred C Trang, MD, FACS, Ramsey M Dallal, MD, FACS, Ian S Soriano, MD, FACS. Albert Einstein Medical Center. Introduction Transgastrostomic access in patients with an established gastrostomy tract has only been described recently in the… Continue Reading
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Risk Factors of Fecal Diversion for Colonoscopic Perforation: A Review of 35,361 Endoscopic Procedures
Kampol Toemakharathaworn, Voraboot Taweeruchana, Jirawat Swangsri, Thawatchai Akaraviputh, Asada Methasate, Vitoon Chinswangwatanakul, Thanyadej Nimmanwudipong, Atthaphorn Trakarnsanga. Minimally Invasive Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.. Introduction: Colonic perforation is considered as one of severe complications for endoscopic procedure of colon, including colonoscopy and sigmoidoscopy. This complication is unusual but… Continue Reading
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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
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 Treatment of Anastmotic Leakage After Gastric Bypass Surgery and a Later Occurring Cardial Stricture
Maria Bergstrom, MD, PhD, Bo Erlandsson, MD, Per-Ola Park, Professor. Dept of Surgery, South Alvsborg Hospital, Boras, Sweden & Gothenburg University, Gothenburg, Sweden. Background Endoscopic treatment of surgical complications offers less traumatic procedures for patients who many times are in a bad condition. Sten treatment of anastomotic leaks after laparoscopic gastric bypass (LGBP) has recently… 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
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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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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