Wide-angle colonoscopy for colorectal cancer prevention: randomised controlled trial
Miroslaw Szura, MD, PhD1, Artur Pasternak, MD, PhD1, Rafal Solecki, MD1, Tomasz Gach, MD2. 1Jagiellonian University Medical College, 2St John Grande Hospital, Krakow, PolandBackground: Colonoscopy is the most commonly performed endoscopic examination worldwide and is considered the gold standard for colorectal cancer screening. The quality of examination and endoscopic treatment is affected by a number… Continue Reading
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TRANSRECTAL STENT PLACEMENT FOR THE DEBRIDEMENT OF A PRESACRAL PHLEGMON
Michelle Ganyo, MD, Robert Lawson, MD. Naval Medical Center San DiegoINTRODUCTION: A presacral phlegmon is a contained collection of infected fluid and inflammation within the bony pelvis, posterior to the rectum and anterior to the sacrum, that usually arises as a complication of surgery, malignancy, inflammatory bowel disease, ischemic colitis or perforated viscous. Symptoms include… Continue Reading
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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
Transluminal Endoscopic Drain Repositioning for Postoperative Gastrointestinal Leaks: A Case Series
Ryan M Juza, MD, Karima Fitzgerald, Niraj Gusani, MD, Ann M Rogers, MD, Eric M Pauli, MD. Penn State Hershey Medical CenterIntroduction: Leak is an uncommon but serious complication of gastrointestinal surgery. When identified post-operatively, percutaneous drains are used to manage abscesses and prevent further peritoneal contamination. If drain position is suboptimal, however, the consequences… Continue Reading
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TRANSGASTRIC ENDOSCOPIC DRAINAGE OF A PERIPANCREATIC ABSCESS FROM A BBQ BRUSH BRISTLE GASTRIC PERFORATION
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryIntroduction: Oropharyngeal and Gastrointestinal (GI) perforations from BBQ brush bristles are being reported in the literature with increasing frequency. Media attention to this problem has increased awareness by the public. Most commonly, BBQ bristles lodged in the GI tract… Continue Reading
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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
Simultaneous Endoscopic Gastrostomy closure and PEG Replacement after Early Accidental Removal
Matthew Mayuiers, MD, Charles E Lucas, MD, Choichi Sugawa, MD. Wayne State University, Department of SurgeryIntroduction: Since 1980, the preferred method of enteral access has been the percutaneous endoscopic gastrostomy tube (PEG). Accidental removal is a common complication associated with excessive cost and possible significant morbidity. Removal prior to 14 days is considered "early removal."… Continue Reading
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Results of the Ovesco-Over-Overstitch Technique for Managing Bariatric Surgical Complications
Vamsi V Alli1, Andrew T Strong, MD2, Matthew T Allemang, MD2, Matthew Kroh, MD2, Eric M Pauli, MD1. 1Penn State - Milton S. Hershey Medical Center, 2Cleveland Clinic FoundationIntroduction: Endoscopic management of bariatric surgical complications is commonplace, including the management of leaks and fistulae. Large or complex full-thickness gastrointestinal (GI) tract defects often require multisession… Continue Reading
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Regression of Anal and Scrotal Squamous Cell Carcinoma (HPV Related) with Imiquimod
F Andrew Morfesis, MD. Highsmith HospitalIndex patient is a 48 year old HIV positive homosexual man with anal-scrotal condylomas (AIN) initially resected in 2012, then treated with radiation in 2014 for recurrence. Recurred in 2016 with changes severe enough to "...consider diagnosis of invasive squamous cell carcinoma...". Patient elected trial of Imiquimod 5% cream three… Continue Reading
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Real-time Diagnosis of Barrett’s Esophagus: A Prospective, Multicenter Trial Comparing Confocal Laser Endomicroscopy with Conventional Histology for the Identification of Intestinal Metaplasia in Novice Users
Cory Richardson, MD1, Paul Colavita, MD2, Christy Dunst, MD3, John Bagnato, MD4, Peter Billing, MD5, Kurt Birkenhagen, MD6, Francis Buckley, MD7, William Buitrago, MD8, Joseph Burnette, MD4, Phil Leggett, MD8, Howard McCollister, MD9, Kurt Stewart, MD5, Thomas Wang, MD8, Alvin Zfass, MD10, Paul Severson, MD9. 1Northwest Institute for Digestive Surgery, 2Carolinas Medical Center, 3The Oregon… 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
Posterior Approach to POEM for Esophageal Diverticula
William D Gerull, BS, Jeffrey Blatnik, MD, Michael M Awad, MD, PhD. Washington University School of MedicineThe patient is a fifty-five year old female with a four year history of retrosternal pain while eating and dysphagia to solid foods at every meal. She denies any regurgitation or weight loss, and has an Eckardt score of… Continue Reading
POEM Procedure : Presence of Anatomical Landmarks
Michelle Savu, MD1, Ashish Sharma, MD2, Haruo Ikeda, MD2, Joshua Tuason, MD2, H Ominami2, K Kono, MD2, Haru Inoue, MD, PhD2. 1BJU, 2Showa University, Toyosu , Tokyo JapanIntroduction: Since its inception in 2008, POEM has become a viable procedure for the treatment of achalasia and esophageal dysmotility disorders. However many institutions are in the beginning… Continue Reading
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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 Pyloromyotomy (POP) for Delayed Gastric Emptying after Sleeve Gastrectomy
Matthew J Davis, MD, Camila B Ortega, MD, Alfredo D Guerron, MD. Duke University Health CenterWe present a patient status post sleeve gastrectomy who developed delayed gastric emptying. Per oral pyloromyotomy was performed with resolution of her symptoms. The video presents the case and describes our technique.Presented at the SAGES 2017 Annual Meeting in Houston,… Continue Reading