Totally laparoscopic management in complicated case of choledochal cyst
Hariruk Yodying, MD1, Sermsri Pongratanakul, MD1, Vichit Viriyaroj, MD1, Thammanij Rookkachart, MD1, Thanatorn Sricharoen, MD2. 1Department of surgery ,Sirindhorn medical center Hospital , Srinakharinwirot University, 2Department of radiology ,Sirindhorn medical center Hospital , Srinakharinwirot UniversityBackground: Choledochal cysts typically are a surgical problem of childhood, but some of the patients can have delay presentation in adult. The… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC PARAESOPHAGEAL HIATAL HERNIA REPAIR IN A 13 MONTH OLD INFANT
Amanda B Sosulski, MD1, Sathyaprasad Burjonrappa, MD, FACS2, Charles V Coren, MD, FACS1, Collin Brathwaite, MD, FACS2. 1NYU Winthrop, Stony Brook Medicine, 2NYU WinthropINTRODUCTION: Paraesophageal hiatal hernia (PHH), is an uncommon entity in infants with variable clinical presentation and symptomatology. Patients can be completely asymptomatic or more commonly have feeding difficulties or respiratory issues, rarely… Continue Reading
Laparoscopic Heller Myotomy with Dor Fundoplication and Type III Hiatal Hernia Repair Can Be Performed Successfully in the Same Day Surgery Setting
Margaret Jackson, MD1, Farzaneh Banki2. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2McGovern Medical School at the University of Texas Health Science Center at Houston (UT Health). Memorial Hermann Southeast Esophageal Disease Center.Introduction: The reported length of stay after Heller myotomy is 1-4 days. The aim was to… 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 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
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
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
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
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 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
Laparoscopic Conversion of a Vertical Banded Gastroplasty to Sleeve Gastrectomy in a Morbidly Obese Patient with a Complicated Medical History
Cigdem Benlice, MD, Heath J Antoine, MD, Philip R Schauer, MD. Cleveland Clinic FoundationOur patient is a 58-year-old female with morbid obesity and a BMI of 41. Her past medical history was significant for hypertension, diabetes, and obstructive sleep apnea. She had initially undergone an open vertical banded gastroplasty and cholecystectomy in 2002 followed by… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller myotomy for achalasia in a patient with cirrhosis and intra-abdominal varices as well as prior bowel resections for Crohn’s, what it is like to be in a mine-field.
Adrian Dobrowolsky, MD, Nikolai Bildzukewicz, MD. USC KeckWe Present to you a 55y M with h/o Crohn's disease who has undergone multiple bowel resections and Hepatitis C for 25 years and cirrhosis for 6 years and now esophageal varices who complains of worsening dysphagia over the last 6 months. Upper GI and manometry confirmed achalasia… Continue Reading
- Topic:
- Foregut
PARAESOPHAGEAL HERNIA ASSOCIATED WITH POSTERIOR SLIPPAGE OF GASTRIC BAND
William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon ClinicThis video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller Myotomy for Pseudoachalasia after Failed Paraesophageal Hernia Repair
Julietta Chang, MD1, Ivy N Haskins, MD2, Arielle J Perez, MD3, Ajita S Prabhu, MD4, David M Krpata, MD4, Michael J Rosen, MD4. 1Massachusetts General Hospital, 2George Washington University, 3University of North Carolina, 4Cleveland Clinic FoundationAchalasia is a rare disease characterized by aperistalsis of the esophagus and incomplete relaxation of the lower esophageal sphincter due… Continue Reading
- Topic:
- Foregut