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
Outcome of endoscopic naso-jejunal tube stenting in early postoperative jejunal limb obstruction after gastrectomy
Chadin Tharavej, Worawit Kattipatanapong, Supaut Pungpapong, Suthep Udomdaweangsup, Krit Kittisin, Patpong Navicharern. Chulalongkorn UniversityIntroduction: Early postoperative afferent/efferent limb obstruction is a rare complication following reconstruction of total or partial gastrectomy. The condition is mainly attributed to kinking of the jejunal limbs or gastro-jejunal or jejunojeunal anastomosis. Less was known regarding the treatment outcome of endoscopic… Continue Reading
Impact of Full-spectrum endoscopy on pathological lesion detection in different regions of the colon: randomised controlled trial.
Artur Pasternak, MD, PHD, Miroslaw Szura, MD, PhD, Solecki Rafal, MD, PhD, Pawel Bogacki, MD. Jagiellonian University Medical CollegeColonoscopy is crucial to detect and localize pathological lesions within the colon. Its quality is defined by a number of parameters such as cecal intubation rate (CIR), withdrawal time, adenoma detection rate (ADR) and polyp detection rate… Continue Reading
Multicenter collaborative retrospective review of peroral endoscopic myotomy for esophageal achalasia; examination of more than 1,300 cases at 8 facilities in Japan
Hironari Shiwaku1, Haruhiro Inoue2, Manabu Onimaru2, Hitomi Minami3, Hiroki Sato4, Chiaki Sato5, Shinwa Tanaka6, Ryo Ogawa7, Norihiko Okushima8. 1Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, 2Digestive Diseases Center, Showa University Koto-Toyosu Hospital, 3Department of Gastroenterology and Hepatology, Nagasaki University Hospital, 4Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, 5Division of… Continue Reading
Intraluminal Zenker’s Diverticulectomy
Jessica Ardila-Gatas, MD, Matthew Allemang, MD, James Villamere, MD, Matthew Kroh, John Rodriguez, Jeffrey Ponsky. Cleveland ClinicIntroduction: Zenker's diverticulum is a false diverticulum in the upper esophagus. Symptoms include dysphagia, regurgitation of food and foul breath. Diagnosis is made with a barium swallowing exam and treatment is surgical. Open and endoscopic techniques have been described.… Continue Reading
Per Oral Pyloromyotomy: Technical Pearls
Marita Bauman, MD, Jeffrey Ponsky, MD, Matthew Kroh, MD, James Villamere, MD, Kevin El-Hayek, MD, John H Rodriquez, MD. Cleveland Clinic FoundationPer-oral pyloromyotomy, also known as POP, is an innovative treatment for mecially refractory gastroparesis. This video describes the technical pearls learned during the initial 100 cases of per-oral pyloromyotomy at a single center.Presented at the… Continue Reading
Per Oral Endoscopic Pyloromyotomy after Esophagectomy
S. Julie-Ann Lloyd, MD, PhD, Matthew T Allemang, MD, Kevin M El-Hayek, MD, Jeffrey L Ponsky, MD, Matthew D Kroh, MD, John H Rodriguez, MD. Section on Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OhioIntroduction: Endoluminal surgery is an innovative and rapidly evolving field, gaining wider acceptance in the treatment of multiple gastrointestinal… Continue Reading
Put a Stent in it: Alternative Techniques in Endoscopic Stenting
Yael Marks, MD, Julio Teixeira, MD. Lenox Hill HospitalIntroduction: Although endoscopic stenting for leaks after sleeve gastrectomy can often be easily accomplished by fluoroscopic guidance, anatomoy, strictures, adhesions and other factors can significantly impact the ease and efficiency of stent placement. This video demonstrates alternative techniques of endoscopic stent placenement in complex situations including fluoroscopic… Continue Reading
OVER-THE-SCOPE CLIP-ASSISTED ENDOSCOPIC FULL-THICKNESS RESECTION OF DUODENAL BULB NEUROENDOCRINE TUMOR
Cheyenne C Sonntag, MD, Ryan M Juza, MD, Eric M Pauli, MD. Penn State Milton S Hershey Medical CenterEndoscopic full-thickness resection (EFTR) of GI tract lesions permits accurate diagnosis and definitive management while avoiding more complex surgical procedures. Traditionally the full-thickness resection is performed first, followed by closure of the defect with clips or endoscopic suture. More recently over-the-scope… Continue Reading
Laparoscopic Transgastric ERCP: Double Wire Technique to Ease Biliary Cannulation
Gabriel Arevalo, MD, Jeffrey Marks, MDFACSFAGS. UH Cleveland Medical CenterOne of the known reasons for difficult biliary cannulation during ERCP is altered anatomy such as in RYGBP. One of the approaches to access the papilla in this group of patients is laparoscopic transgastric ERCP. Although a reliable and highly successful technique, there are several factors… Continue Reading
Transluminal Endoscopic Drain Repositioning for Postoperative Gastrointestinal Leaks: A Practical NOTES Application
Ryan M Juza, MD, Karima Fitzgerald, MD, Eric M Pauli, MD. Penn State Hershey Medical CenterBackground: Gastrointestinal leak is a serious complication following abdominal surgery. Consequences of persistent leak may necessitate formal surgical intervention in a hostile abdomen. In select situations, we have utilized natural orifice transluminal endoscopic surgery (NOTES) methods to enter the abdominal… Continue Reading
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
Submucosal tunneling endoscopic resection of an esophageal leiomyoma
Julietta H Chang, MD, David Berger, MD, Ozanan Meirelez, MD. Massachusetts General HospitalSubmucosal tunneling endoscopic resection (STER) is modeled on the same principals as per-oral endoscopic myotomy. It uses the principles of creating a submucosal tunnel to reach a muscular target in order to maintain integrity of the esophageal lumen and prevent mediastinitis. STER has… Continue Reading
Long Term Outcomes following POEM for Non-Achalasia Motility Disorders of the Esophagus.
Filippo Filicori, MD, Christy M Dunst, MD, Ahmed Sharata, MD, Walaa F Abdelmoaty, MD, MBA, Ahmed M Zihni, MD, MPH, Steven R Demeester, MD, Lee L Swanstrom, MD. Portland Providence Medical CenterINTRODUCTION: Per-Oral Endoscopic Myotomy (POEM) is now a well accepted treatment for esophageal achalasia. Optimal treatment for symptomatic patients with non-achalasia motility disorders (NAD)… Continue Reading
NAUSEA & VOMITING AFTER RNYGB. THINKING OUTSIDE THE BOX: IDENTIFYING AND TREATING ACHALASIA
Gabriel Arevalo, MD, Joslyn Jose, MD, Leena Khaitan, MD, Jeffrey Marks, MDFACSFAGS. UH Cleveland Medical CenterNausea and vomiting are common sequelae following bariatric procedures and RNYGB is no exception. Differential diagnoses of postoperative complications that can elicit these symptoms include obstruction, hematoma, postoperative edema, internal hernia, intussusception, anastomotic strictures, gallstone formations and marginal ulcers. If… Continue Reading