Technique of esophagojejunostomy using OrVil after laparoscopy assisted total gastrectomy(LATG) for gastric cancer
S Sakuramoto, PhD, H Sugita, PhD, K Watanabe, MD, S Ishii, PhD, S Itou, MD, N Fujiwara, PhD, Y Miyawaki, PhD, H Sato, PhD, S Yamaguchi, PhD, I Koyama, PhD. Saitama Medical University, International Medical CenterINTRODUCTION: During esophagojejunostomy using a circular stapler after LATG, placement of the anvil head via the transabdominal approach proved difficult.… Continue Reading
NOVEL ROBOTIC TRANSANAL APPROACH TO EARLY RECTAL NEOPLASIA: A SINGLE SURGEON’S EXPERIENCE WITH THE MEDROBOTICS FLEX*TM COLORECTAL DRIVE
Ada E Graham, MD, Natalie Pudalov, Vincent Obias, MD. George Washington University HospitalIntroduction: Treatment for early rectal cancer has evolved from the total mesorectal excision with data to support local excision. The nonlinear anatomy of the rectum and distal colon make surgical access and visualization of these regions challenging given the linear nature of most instrumentation… Continue Reading
Yerlan Abdirashev, MD, Nurken Abdiyev, Sholpan Izmagambetova, MD, Amir Uzhakhov, MD. JSC “National Scientific center of surgery named after A.N. Syzganov’s”Aims: The severe and complicated malignant stenosis of UGI show up a difficult problem. The purpose is retrospective analysis of SEMS inserting to UGI cancer obstruction. Methods: From 2014 to 2018 we analyzed of… Continue Reading
Chiaki Sato, MD, PhD, Yusuke Taniyama, MD, PhD, Tadashi Sakurai, MD, PhD, Makoto Hikage, MD, PhD, Kai Takaya, MD, PhD, Takuro Konno, MD, PhD, Ken Koseki, MD, Ryohei Ando, MD, Takeshi Naitoh, MD, PhD, Michiaki Unno, MD, PhD, Takashi Kamei, MD, PhD. Dept of surgery, Tohoku Univ HospitalIntroduction: Chest pain is a common symptom of… Continue Reading
IS IT TIME FOR GENERAL SURGEONS TO PLACE WIRELESS pH PROBE AT THE TIME OF INITIAL ENDOSCOPY FOR PATIENTS WITH GASTROESOPHAGEAL REFLUX SYMPTOMS?
Medhat Fanous, MD, FACS, Anja Jaehne, MD, Amanda Lambert, RN, David Lorenson, RN. Aspirus Iron River HospitalIntroduction: Patients with symptoms of Gastroesophageal reflux disease (GERD) are often given a trial of proton pump inhibitors (PPIs). Despite low diagnostic yield, esophagogastroduodoscopy (EGD) is usually offered when empiric treatment fails. When a pH study is warranted to confirm… Continue Reading
Omer Wagner, PhD1, Asaf Shahmoon, PhD1, Zeev Zalevsky, Prof2. 1Z square, 2Bar Ilan UniversityObjective of the technology: The recent development of micro-endoscopic imaging tools opened a new door of medical modalities and opportunities of capturing images in a minimally invasive way. The main still remaining problem is that although the micro-endoscope can reach close to the… Continue Reading
Marc Ong, MBBS, MRCS, FRCS1, Wei-Wen Ang, MBBS, MRCS1, Vishal G Shelat, MBBS, MRCS, FRCS2. 1Khoo Teck Puat Hospital, 2Tan Tock Seng HospitalA 55-year-old man presented with acute onset of dysphagia following a meal which consisted of rice and octopus. He reported vomiting immediately after congestion of food/liquid thereafter. No other symptoms or signs were… Continue Reading
Seyed A Arshad, MD, Andrew Christensen, MD, Edward Auyang, MD, MS, FACS, Jason Mckee, MD, FACS. University of New MexcioVentriculoperitoneal (VP) shunt placement is a common procedure performed for the management of hydrocephalus. Of the complications associated with this procedure, bowel perforation constitutes around 0.1%.  Colonic and gastric perforation is the most common, with… Continue Reading
Megan Sippey, MD, Jeffrey Hardacre, MD, FACS, Jeffrey Marks, MD, FACS, FASGE. Case Western Reserve UniversityAbdominal drains are frequently used as a surgeon’s surveillance tool, with the benefit of serving a potential therapeutic role, for high risk anastomoses. Although rare, surgical drains can erode into nearby intraabdominal organs. We report two cases of abdominal surgical… Continue Reading
ROLE OF WEERDA DIVERTICULOSCOPE FOR REMOVAL OF FOREIGN BODIES IMPACTED IN UPPER ESOPHAGUS: BACK TO RIGID?
Carlo Galdino Riva, Stefano Siboni, Davide Ferrari, Marco Sozzi, Alberto Aiolfi, Luigi Bonavina. IRCCS Policlinico San DonatoIntroduction: Foreign body removal is a common emergency procedure. The main location of impaction is the upper esophagus. In non-complicated cases, flexible endoscopy is the treatment of choice. Rigid endoscopy is not mentioned in most guidelines, but it provides… Continue Reading
The impact of bowel diameter, injection method (sclerotherapy needle vs punctureless high pressure injection) and endoscope type (upper vs low, and different diameter) on endoscopic bowel wall injections for tattoo or mucosal lift.
Neil Mitra, MD1, Dasuni Niyagama Gamage, MD1, Xiaohong Yan, PhD1, Jaspreet Sandhu, MD2, Carl Winkler, MD1, Vesna Cekic, RN1, Hmc Shantha Kumara, PhD1, Richard L Whelan, MD1. 1Mount Sinai West Hospital, 2Brookdale University Hospital Medical CenterEndoscopic bowel wall injections are most commonly performed in order to tattoo the location of a lesion or to generate… Continue Reading
Use of EUS-directed gastro-gastric lumen-apposing metal stents as a viable alternative for gastric remnant and biliary tree access in Roux-en-Y anatomy: A tertiary referral center experience.
Alvaro F Galvez, MD1, Alexa Pesce2, Dane Scantling, DO, MPH1, Lynsey Daniels, MD1, Elizabeth Renza, MD1, Anand Kumar, MD, MPH1, Neal Patel, MD1, Erkanda Ikonomi1. 1Hahnemann University Hospital, 2Drexel University College of MedicineObjectives: The anatomic challenges presented by Roux-en-Y gastric bypass (RYGB) are formidable. Access to the excluded gastric remnant or biliary tree is a common… Continue Reading
SIMETHICONE DECREASES BLOATING AND IMPROVES BOWEL PREPARATION EFFECTIVENESS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Muhammad Moolla, BSc, Jerry Dang, MD, Ashley Shaw, MD, Thuc Nhi T Dang, MD, Chunhong Tian, PhD, Shahzeer Karmali, MD, MPH, Richard Sultanian, MD, MSc. University of AlbertaIntroduction: We performed a systematic review and meta-analysis to determine if the addition of simethicone to bowel preparations prior to colonoscopy had an impact on bowel cleanliness and patient… Continue Reading
Lucia Collar Yagas, MD, Joaquin J Estrada, MD, FACS, FACRS, Jan P Kaminski, MD, MBA. Advocate Illinois Masonic Medical CenterCase: A 63-year-old male presented for his first screening colonoscopy. On the day of the procedure, he was asymptomatic and physical examination was unremarkable. He underwent an uncomplicated colonoscopy. A 6 mm pink-tan, sessile, polypoid lesion… Continue Reading
Development of a Proficiency-Based Skills Program for FES™ Competency: Determining Expert Performance Criteria on the Simbionix GI Endoscopy-Fundamental Skills Modules
Cheyenne C Sonntag, MD1, Katelin A Mirkin, MD1, John M Levenick, MD1, Jennifer L Maranki, MD1, Emmannuelle D Williams, MD1, Abraham Mathew, MD1, David B Stewart, MD2, Vamsi V Alli, MD1, Randy S Haluck, MD1, Eric M Pauli, MD1. 1Penn State Hershey Medical Center, 2University of ArizonaIntroduction:Passing the Fundamentals of Endoscopic Surgery (FES™) is a… Continue Reading