Anti-Reflux Mucosectomy using a Band Endoscopic Mucosal Resection System
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemAnti-reflux mucosectomy (ARMS) is a relatively new surgical procedure that was discovered after the observation that individuals who had a gastroesophageal junction mucosectomy for Barrett’s Esophagus also had improvement in symptoms of gastroesophageal (GE) reflux. The procedure is an endoscopically… Continue Reading
Combined Endoscopic Duodenal Full Thickness Resection and Laparoscopic Reconstruction Optimizes Operative Efficacy, Efficiency and Safety
Ahmed Zihni, MD, MPH, Walaa F Abdelmoaty, MD, MBA, Filippo Filicori, MD, Andreas Schneider, MD, Ronald Wolf, MD, Kevin Reavis, MD. The Oregon ClinicMasses in the distal duodenum pose a challenging clinical problem. Endoscopy is an attractive option for benign or indeterminate lesions, as it spares patients a large, potentially morbid resection. Distal lesions, however,… Continue Reading
COMBINED LAPAROSCOPIC AND ENDOSCOPIC TRANSGASTRIC APPROACH FOR THE MANAGEMENT OF NECROTIZING PANCREATITIS AND DUODENAL PERFORATION
Monica M Dua, MD, Shai Friedland, MD, Patrick J Worth, MD, Brendan C Visser, MD. Stanford UniversityThe objectives of this video are to describe a minimally invasive solution to a complex duodenal injury and pancreatic necrosis. We will demonstrate a collaborative management plan using both endoscopic and laparoscopic transgastric approaches. Each technique has a specific… Continue Reading
Dissection-enabled SCaffold Assisted Resection – DeSCAR – A Novel Technique for Resection of Residual or Non-Lifting Gastrointestinal Neoplasia of the Colon
Matthew W Stier, Christopher G Chapman, MD, John Hart, MD, Shu-Yuan Xiao, Uzma D Siddiqui, MD, Irving Waxman, MD. University of ChicagoIntroduction: Due to previous manipulation or submucosal invasion, colonic lesions referred for endoscopic mucosal resection (EMR) frequently have flat areas of visible tissue that cannot be snared. Current methods for treating residual tissue may… Continue Reading
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DUODENAL STENTING IS CLINICALLY EFFECTIVE FOR THE MANAGEMENT OF FISTULOUS OUTPUT AFTER COMPLEX PANCREATICODUODENAL TRAUMA: A MATCHED CASE-CONTROL STUDY
Hassan Mashbari, MD, Kevin L Chow, MD, Mohannad Hemdi, MD, Kirstie K Danielson, PhD, Eduardo Smith-Singares, MD. University of Illinois at ChicagoIntroduction: Complex pancreatic and duodenal injuries due to trauma continue to present a formidable challenge to the trauma surgeon with a described mortality of 5-30% and morbidity of 22-27%. Duodenal fistula formation subsequent to… Continue Reading
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Endoscopic Guided Gastrojejunostomy Formation (EGG)
Lawrence E Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD, William Hsueh, MD, Kelly David, MD, David Borgstrom, MD, John Nasr, MD. West Virginia UniversityWe present a procedural video of what we believe is the first ever endoscopic guided gastrojejunostomy formation (EGG) in a patient that had previous Roux-en-Y gastric bypass surgery. The patient presented… Continue Reading
ENDOSCOPIC LUMINAL STENTS FOR TREATMENT OF COMPLICATIONS FOLLOWING BARIATRIC SURGERY
Aimal Khan, MD, Jason Howard, MD, Alfred Trang, MD, Renee Tholey, MD, Ramsey M Dallal, MD. Einstein Healthcare NetworkINTRODUCTION: Endoscopic stents have been used to treat bariatric surgery complications; however, data is lacking in the indications and efficacy. METHODS: A single institutional retrospective observational trial spanning 10 years of all bariatric surgery complications managed with… Continue Reading
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ENDOSCOPIC MANAGEMENT OF A COMPLEX GASTROJEJUNAL AND PANCREATIC LEAK FOLLOWING PANCREATICODUODENECTOMY
Patrick J Sweigert, MD, Kamthorn Yollsuriyanwong, MD, Gerard Abood, MD, FACS, Bipan Chand, MD, FACS, FASMBS, FASGE. Loyola University Medical CenterBackground: Pancreaticoduodenectomy (PD) remains the mainstay of surgical treatment of malignant periampullary disorders. Despite technological advances, the procedure continues to be associated with relatively high complication rates, including leakage from the pancreaticojejunostomy (PJ) and resultant… Continue Reading
Endoscopic Removal of Eroded Adjustable Gastric Band
Matthew T Allemang, MD, Andrew Strong, MD, Jeffrey L Ponsky, MD, Matthew Kroh, MD, Philip Schauer, MD, John Rodriguez, MD. Cleveland Clinic FoundationThe following is a presentation of 2 cases of eroded adjustable gastric bands for bariatric surgery. These were removed using a novel endoscopic only technique that is described and shown in the following… Continue Reading
Endoscopic Resection of an Esophageal Submucosal Leiomyoma
Patrick B Schwartz, MD, Jacob A Greenberg, MD, EdM, Amber L Shada, MD. University of Wisconsin Hospitals and ClinicsThis is a case of a 62-year-old female with dysphagia and regurgitation for 3 years, referred from gastroenterology with endoscopic and radiographic imaging findings concerning for a submucosal esophageal leiomyoma versus gastrointestinal stromal tumor. Endoscopic ultrasound with… Continue Reading
ENDOSCOPIC RETROFLEXED BALLOON DILATION OF THE GE JUNCTION
Andrew W White, MD, Carl Westcott, MD. Wake Forest Baptist Medical CenterINTRODUCTION: Endoscopic balloon dilation of the gastroesophageal junction (GEJ) is generally limited to 20mm in diameter. In many stenotic or spastic disorders of the GEJ 20mm is just not big enough. Larger balloon sizes are available (30 and 40mm), although these are deployed under… Continue Reading
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Endoscopic Sleeve Gastroplasty
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemEndoscopic sleeve gastrectomy (ESG) utilizes an endoscopic suturing device to plicate the greater curve of the stomach. This results in a residual tube-like stomach that resembles the anatomy of a laparoscopic sleeve gastrectomy. The procedure begins by marking lines on… Continue Reading
Endoscopically Managing Complications Following Gastro-gastric Fistula Takedown
Ryan M Juza, MD, Vamsi Alli, Ann M Rogers, Eric M Pauli, MD. Penn State Hershey Medical CenterAdvanced endoscopic therapies and intraoperative fluoroscopy can be used in a multimodal fashion to effectively manage complications in revisional bariatric surgery. Our video demonstrates the use of a number of such therapies to manage the complex case of… Continue Reading
Endosuture Revision of Gastrojejunostomy for Weight Regain and Late Dumping Syndrome Following Roux-en-Y Gastric Bypass Surgery
Keith J King, MD, Ragui Sadek, MD, FACS, Andrew M Wassef, BS, Adam Rizkalla, BS. Rutgers Robert Wood Johnson Medical SchoolAlthough Roux-en-Y gastric bypass (RYGB) surgery results in an excess weight loss reported between 65% and 85%, many studies have noted weight regain outside of 18-24 months postoperatively. One possible explanation is dilation of the… Continue Reading
ESOPHAGEAL SALVAGE USING STENTS AFTER FAILURE OF PRIMARY SURGICAL REPAIR OF PENETRATING TRAUMA
Kevin L Chow, MD, Hassan Mashbari, MD, Mohannad Hemdi, MD, Eduardo Smith-Singares, MD. University of Illinois at ChicagoIntroduction: Esophageal trauma represents an uncommon but potentially catastrophic injury with a reported overall mortality of up to 20%. The management of iatrogenic and spontaneous perforations have been previously described with well-established guidelines which have been mirrored in… Continue Reading
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