ALTERNATIVE METHOD OF MESENTERIC DEFECT CLOSURE AFTER ROUX-EN-Y GASTRIC BYPASS
Eugene Wang, MD, Timothy Shope, MD. Medstar Washington Hospital CenterThis video demonstrates our method of closing the mesenteric defects after a Roux-en-Y gastric bypass. In common schematics representing mesenteric defects after Roux en Y gastric bypasses, the alimentary limb is on the patient’s right side, and the biliopancreatic limb is on the left side, with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Approaching A Large Cystic Pheochromocytoma Laparoscopically
Amy L Rosenbluth, MD, Jonathon Price, MD, William Inabnet, MD, Aida Taye, MD. Mount Sinai St. Luke's/WestThis is the case presentation of a seventy-four year old female who presented in diabetic ketoacidosis. During her hospitalization, she was found to have a large cystic pheochomocytoma which was removed laparoscopically.Presented at the SAGES 2017 Annual Meeting in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
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
Combined Laparoscopic Proctectomy / TaTME and J Pouch with Divertive Ileostomy
Alberto Gonzalez-Quezada, MD1, Matthew Albert, MD2, Arman Erkam, MD2, Grace Hwang, MD2, Marc Dakermandji, MD2, Teresa drBache-Adams, MD2, Alvaro Mendez-Pastor2. 1Hospital Universitario Dr Jose Eleuterio Gonzalez Universidad Autonoma de Nuevo Leon, 2Florida Hospital33 yo female, with a medical past history of ulerative colitis. previous laparoscopic total colectomy due to toxic mega colon, with persistent rectal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Conversion of Sleeve to Bypass: Two Different Methods
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Marcos Michelotti, MD, FACS, Keith R Scharf, DO, FACS, FASMBS. Loma Linda University HealthSleeve gastrectomy (SG) is currently the most commonly performed restrictive bariatric procedure. The number of SG cases has increased sharply and overtaken Roux-en-Y… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Diagnostic and Therapeutic Laparoscopy in Trauma.
Emanuela S Alvarenga, MD, Shlermine Aupont, MD, Wade Douglas, MD, FACS, Alexander Ramirez, MDFACS. Florida State UniversityThis video presents a diagnostic and therapeutic approach utilizing laparoscopy for blunt abdominal trauma as a safe and effective management in hemodynamically stable patients. Depicted is a 45 year old female who was brought the Emergency Department after a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Emergency laparoscopic surgery in adult patients with massive organ herniation into thoracic cavity
Eun Young Kim, MD. Division of Gastrointestinal Surgery, Department of Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of KoreaWe herein report two cases of emergency laparoscopic surgery in adult patients with massive organ herniation into thoracic cavity. Case 1. A 43 years old female with one day history of epigastric pain admitted in the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
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
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
Enteroscopic Polypectomy: An Innovative Approach
Raj Gajbhiye, MS1, Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS2, Jasmine Agarwal2, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS2, Prashant Rahate, MS, FMAS, FALS1, Chintan Patel, MS, FMAS, FBMS2, Eham Arora, MS2, Shubham Gupta, MS2, Gagandeep Talwar2. 1Government Medical College, Nagpur, India, 2Grant Government Medical College & Sir J.J. Group of Hospitals,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Flexible Endoscopic Zenker’s Diverticulostomy
Stephanie M Novak, MS, Mason Hedberg, MD, Michael Ujiki, MD. NorthShore University Health SystemINTRODUCTION: We present a video of a patient who underwent the flexible endoscopic method for treatment of a Zenker’s diverticulum METHODS: The patient is an 87-year-old female who presented with dysphagia, regurgitation and cough. There was no history of Barrett’s and no… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
FLUORESCENCE CHOLANGIOGRAPHY BY DIRECT GALLBLADDER INJECTION OF INDOCYANINE GREEN DURING LAPAROSCOPIC CHOLECYSTECTOMY
Sora Ely, MD1, Claire Graves, MD2, Olajire Idowu, MD3, Sunghoon Kim, MD3. 1UCSF East Bay, 2UCSF, 3UCSF Benioff Children's Hospital of OaklandOver the last several years, fluorescence cholangiogragraphy has been developed as an alternative method of intraoperative cholangiography (IOC), which was traditionally performed with radiocontrast fluid under fluoroscopy. This new method has utilized timed preoperative… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Gastric Band Erosion: Endoscopic Approach for Treatment
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Marcos Michelotti, MD, FACS, Keith R Scharf, DO, FACS, FASMBS. Loma Linda University HealthThe Fobi pouch gastric bypass technique was first performed in 1998 and includes a silastic banded gastric pouch. One complication of these prosthetic… Continue Reading