A Flexible Endoscopic Revision for Anastomotic Stenosis Complicating Esophagectomy (Video)
Ahmed Sharata, MD1, Christy Dunst, MD1, Ezra Teitelbaum, MD2, Marc Ward, MD2, Kevin Reavis, MD1, Steven DeMeester, MD1, Lee Swanstrom, MD1. 1Oregon Clinic/GMIS, 2Portland Providence Cancer CenterIntroduction: A gastro-esophageal anastomosis stricture post esophagectomy are a common complication and often refractory to treatment. It is frequently presented with dysphagia, regurgitation, aspiration, weight loss, and halitosis, which… Continue Reading
A Prospective Randomized Study of Intraperitoneal Instillation of Ropivacaine versus Bupivacaine in Reduction of Post Operative Pain after Laparoscopic Cholecystectomy
Ashwani Kumar, Bimaljot Singh, Ashish Sharma, Janmeet Tosy. GMC PATIALAIntroduction: The study was conducted to compare the efficacy of intraperitoneal instillation of Ropivacaine versus Bupivacaine for post operative pain relief after laparoscopic cholecystectomy and to compare the analgesic requirement and overall morbidity in patients with either of two interventions. Material and Method: This prospective study… Continue Reading
Bolus Somatostatin for the Prevention of ERCP Induced Pancreatitis – Systematic Review/ Meta-Analysis
Aryan Modasi, MD, BHSc. Memorial UniversityBackground: Following diagnostic/therapeutic ERCP, pancreatitis can occur in up to 9.7% of cases. For the last two decades research has been done looking at potentially effective pharmacologic prophylaxis, with several meta-analysis looking at somatostatin administration peri-procedurally. While no conclusive answer has been found, sub-group analysis has pointed towards a potential… Continue Reading
Cholangiogram filling defects in biliary pancreatitis: Not always secondary to stone disease
Jeffrey D Hawel, MD, James C Ellsmere, FRCSC, FACS. Dalhousie UniversityWe reviewed our experience with biliary pancreatitis from July 2015 – September 2016. A total of 132 cases of biliary pancreatitis were managed on the therapeutic endoscopy service. All were confirmed to be secondary to stone or sludge in the biliary tree at the time… Continue Reading
Clinical Management Of Endoscopically Unresectable Colorectal Polyps
Orhan Agcaoglu, MD1, Onur Bayram, MD1, Burak Ilhan, MD2, Derya S Uymaz, MD1, Cagri Bilgic, MD1, Metin Keskin, MD2, Emre Balik, MD1, Sumer Yamaner, MD3. 1Koc University, School of Medicine, Department of General Surgery, 2Istanbul University, Istanbul School of Medicine, Department of General Surgery, 3Istanbul Florance Nightingale HospitalBackground: Resection of some polyps can present technical… Continue Reading
Colonic ESD: Improved Outcomes Using a Double Balloon Device Compared to Conventional Cap Technique
Sam Sharma, MD, Hisashi Hara, MD, Miro Peev, MD, Jeffrey Milsom, MD, FACS. Weill Cornell Medical CollegeIntroduction: The established endoscopic submucosal dissection (ESD) technique for removal of large colonic polyps requires pushing of the scope tip, equipped with a plastic cap, under and around the polyp. The cap provides traction and “stand-off” between tissue and… Continue Reading
Combined Laparoscopic and Endoscopic Removal of a Foreign Body after Roux-en-Y Gastric Bypass
Michael P Meara, MD, MBA, David B Renton, MD, Andrei V Manilchuk, MD, Jennifer S Schwartz, MD. The Ohio State University Wexner Medical CenterBACKGROUND: Foreign bodies after Roux-en-Y gastric bypass are a relatively uncommon problem. Food can be impacted at the gastrojejunal or jejunojenual anastomosis related to anastomotic stricture. Secondary to psychiatric disorders, ingested foreign… Continue Reading
Combined per oral endoscopic myotomy and septotomy for type 2 achalasia with mid-esophageal diverticulum
P Riva, MD1, L Swanstrom, MD1, D Mutter, MD2, J Marescaux, MD2, S Perretta, MD2. 1Institute of Image Guided Surgery, Strasbourg, France, 2IRCAD-Department of Digestive and Endocrine Surgery, Strasbourg, FranceIntroduction: Esophageal diverticula are often associated with a concomitant esophageal motor disorder, which is thought to be the cause of the diverticulum and some of the… Continue Reading
Cost Analysis of Laparoscopic Heller Myotomy to Peroral Endoscopic Myotomy (POEM)
Peter Lundberg, MD, Alexander Thomas, BS, Christopher DuCoin, MD. Tulane UniversityBackground: In this cost analysis it is hypothesized that peroral endoscopic myotomy (POEM) has a decreased total cost secondary to shorter operative time and reduced hospital stay when compared to laparoscopic Heller myotomy (LHM). These two surgical interventions are treatment options for achalasia, an esophageal… Continue Reading
Does Endoscopic Ultrasound Scope Design Influence Duodenal Perforation Rate?
Wimer Mata, MD, Gabriel Arevalo, MD, Victor Maciel, MD, Ibrahim Kayali, MD, Abraham Sayon, MD, Marius Calin, Kirpal Singh, MD, FACS, Maurice Arregui, MD, FACS. St. Vincent Hospital Indianapolis, INBACKGROUND: The indications for Endoscopic Ultrasound (EUS) for both diagnostic and therapeutic purposes have greatly increased and it is more widely available. Little has been published… Continue Reading
Double Balloon Underwater ESD
Hisashi Hara, MD, Sam Sharma, MD, Jeffrey Milsom, MD, FACS. Weill Cornell Medical CollegeIntroduction: Underwater ESD was developed to improve visualization whilst performing the procedure and minimize burn artifact using water as a heat sink. It’s utility in the colon is limited due to lack of fluid containment within the intestine. A double balloon system… Continue Reading
Endoscopic anastomosis resizing after RYGB : can/should we do it again ?
P Riva, MD1, M Galvao Neto, MD2, L Swanstrom, MD, FACS, FRCS1, D Mutter, MD, PhD, FACS3, J Marescaux, MD, FACS, Hon, FRCS, Hon, FJSES, Hon, APSA4, S Perretta, MD, PhD3. 1Institute of Image Guided Surgery, Strasbourg, France, 2Gastro Obeso Center, Sao Paulo, Brazil, 3Department of Digestive and Endocrine Surgery, University of Strasbourg, France, 4IRCAD,… Continue Reading
Endoscopic Management of Complications after Foregut surgery
Komdej Thanavachirasin, MD, Eric Marcotte, Assistant, Professor, Pornthep Prathanvanich, MD, Bipan Chand, Associate, Professor. Loyola Hospital Medical CenterMinimally invasive department, Loyola University Medical Center. Illinois,USA Background: The management of obstruction and leaks has been revolutionized by standard and newer endoscopic modalities. We retrospectively reviewed our prospective database of patients requiring complex endoscopic therapies Technical success… Continue Reading
Endoscopic Management of Post-laparoscopic Sleeve Gastrectomy Stenosis
Eliana Al Haddad, Salman Al Sabah. Al Amiri HospitalIntroduction: Laparoscopic Sleeve Gastrectomy’s (LSG) is becoming an increasingly popular form of bariatric surgery, accounting for more than 50% of these procedures performed in the USA. Given this popularity, more is being understood about the complications associated with LSG, which, though uncommon, include the formation of strictures… Continue Reading
Endoscopic management of post laparoscopic sleeve gastrectomy stenosis
Valerie Deslauriers, MD, Amélie Beauchamp, Fabio Garofalo, MD, Henri Atlas, MD, Pierre Garneau, MD, Ronald Denis, MD, Radu Pescarus, MD. Hôpital Sacre-CoeurINTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is a bariatric surgery aiming at reducing the stomach to 60-80% of its initial volume. A stricture or axis deviation post LSG occur in 0.7-3.5% of cases. Endoscopic and… Continue Reading