Laparoscopic-assisted Percutaneous Endoscopic Gastrostomy (PEG) tube placement in patient with unsuccessful attempt of PEG
Usah Khrucharoen, Greg Sacks, Yijun Chen, Erik P Dutson. UCLAIn this video, we demonstrated a technique of laparoscopic-assisted PEG tube placement in patient with unsuccessful attempt of PEG due to air-filled loops of colon positioned between the stomach and anterior abdominal wall. In this case, patient had a history of recurrent embolic strokes and swallowing disorder… Continue Reading
Endoscopic Vacuum Assisted Closure for Management of Leak Post Collis-Nissen
Stephanie Kerlakian, MD, Amy Murphy, DO, Katherine Meister, MD, Kevin Tymitz. TrihealthThis is a case report discussing Endscopic Vacuum Assisted Closure (E-VAC) management of a patient who developed a leak after laparoscopic hiatal hernia repair with collis gastroplasty and nissen fundoplication. This case discusses the events leading up to her surgery, her postoperative course and… Continue Reading
Endoscopic placement of a GJ feeding tube as a one step procedure, a novel approach
Jason E Kuhn, DO, Robert Cunningham, MD, Jon Gabrielsen, MD, Anthony Petrick, MD, David Parker, MD. Geisinger Medical CenterGeisinger Medical Center is presenting a video submission for a novel endoscopic placement of a GJ feeding tube. Traditionally this tube is placed either in a two step endoscopic procedure, first with a PEG then removal after… Continue Reading
Percutaneous Endoscopic Gastrojejunostomy Tube Placement: A Technique Using a Tapered Dilator within a Peel-away Sheath
Jaclyn Clark, MD, Lindsay O'Meara, CRNP, Jose J Diaz, MD. University of MarylandIn patients with gastric dysfunction who require nutritional support, jejunal feeding is a safe method for providing enteral nutrition. There are several approaches to place gastrojejunostomy (GJ) tubes, including percutaneous, open, radiologically-guided, endoscopic and various combinations of the above. It can often be… Continue Reading
Management of various rectal lesions by using TAMIS.
Pramod Nepal, MD, Shinichiro Mori, MD, PhD, Yoshiaki Kita, MD, PhD, Kan Tanabe, MD, PhD, Kenji Baba, MD, PhD, Yasuto Uchikado, MD, PhD, Hiroshi Kurahara, MD, PhD, Takaaki Arigami, MD, PhD, Masahiko Sakoda, MD, PhD, Kosei Maemura, MD, PhD, Shoji Natsugoe, MD, PhD. Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine,… Continue Reading
Control of a Bleeding Dieulafoy Ulcer at the Gastroesophageal Junction with a Full Thickness Over the Scope Suturing Device
Stephanie M Novak, MS, Zachary Callahan, MD, Rod Avitia, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of an endoscopic repair of a Dieulafoy Ulcer. The patient is a 73-year-old Hispanic female who presented multiple times with GI bleeding. She has a history of end-stage renal disease and is on hemodialysis. Her… Continue Reading
Giant Rectal ESD With Tissue Retraction: A Unique Approach
Sam K Sharma, James E East, Adam A Bailey. Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, U.K.INTRODUCTION: Hypothesis: The use of a novel endoscopic tissue retraction device was 1) feasible and 2) facilitated effective and efficient dissection of giant colonic polyps. Giant colonic polyps (>4cm diameter) are often treated by surgical resection. Endoscopic treatment options… 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
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ENDOSCOPIC MANAGEMENT OF COMPLETE BOWEL OBSTRUCTION SECONDARY TO INGESTION OF WATER ABSORBING BEADS
Seyed A Arshad, MD, Andrew Christensen, MD, Edward Auyang, MD, MS, FACS, Jason Mckee, MD, FACS. University of New MexicoPediatric foreign body ingestion is a common issue with a reported 100,000 ingestions per year [1]. Most of these are accidental with a high majority being coins. A reported 50-90% of foreign bodies pass spontaneously, with… Continue Reading
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DOES ROUTINE EGD PRIOR TO EUS REVEAL FINDINGS OF SIGNIFICANCE
Yuan Y Stevenson, MD, Nan Walsh, CRNP, Robert D Fanelli, MD, MHA, FACS, FASGE. Guthrie Robert Packer HospitalIntroduction: Side-viewing endoscopes used for endoscopic ultrasound (EUS) provide almost no view of the esophagus during insertion. Esophagogastroduodenoscopy (EGD) routinely is performed immediately prior to EUS to rule out obstructive lesions, stenoses, or to identify the location of… Continue Reading
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Intraoperative Endoscopy; A Safe and Valuable Tool for the Diagnosis and Treatment of Midgut Pathology
Amanda Fazzalari, MD1, Shruthi Srinivas, BS1, Natalie Pozzi, MD2, Christopher Schlieve, MD1, Jonathan Green, MD1, Demetrius Litwin, MD, MBA, FACS1, David Cave, MD, PhD1, Mitchell Cahan, MD, MBA, FACS1. 1University of Massachusetts, 2Saint Mary's HospitalObjective: Intraoperative endoscopy (IOE) was first described in the late 1960s and is regarded as the gold standard for complete evaluation of… Continue Reading
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PERIAMPULLARY DUODENAL DIVERTICULUM ERCP INCIDENTAL FINDING AND ASSOCIATION WITH DIFFICULT BILIARY CANNULATION. A CASE SERIES.
Carlos M Zavaleta, MD, Fernando A Quesada, MD. IntergastroIntroduction: A classification for Periampullary Duodenal Diverticulum (PAD) was proposed by Boix et al in three types based on location. These anatomical variants may require more expertise from endoscopist in charge to achieve a successful procedure as it has been reported as a factor associated with difficult biliary… Continue Reading
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PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN AMYOTROPHIC LATERAL SCLEROSIS PATIENTS: OUTCOMES OF A DEDICATED SURGERY AND ANESTHESIA PROTOCOL
David J Morrell, MD1, Marvin H Chau, BS2, Vamsi V Alli, MD1, Elizabeth H Sinz, MD1, Sprague W Hazard, MD1, Zachary Simmons, MD1, Eric M Pauli, MD1. 1Penn State Health Milton S. Hershey Medical Center, 2The Pennsylvania State University College of MedicineIntroduction: Patients requiring percutaneous endoscopic gastrostomy (PEG) for amyotrophic lateral sclerosis (ALS) related dysphagia… Continue Reading
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SODIUM PHOSPHATE IS SUPERIOR TO POLYETHYLENE GLYCOL IN CONSTIPATED PATIENTS UNDERGOING COLONOSCOPY: A SYSTEMATIC REVIEW AND META-ANALYSIS
Jerry T Dang, MD, Muhammad Moolla, BSc, Thuc Nhi T Dang, MD, Ashley Shaw, 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 the optimal bowel preparation in constipated patients undergoing colonoscopy. Constipation is an important and highly prevalent predictor of… Continue Reading
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Safety of Novel Submucosal Injection Agent to Perform Per-Oral Pyloromyotomy: Single Center Pilot Study
Andrew T Strong, MD, Joshua P Landreneau, MD, MSc, Kevin El-Hayek, MD, FACS. Section of Surgical Endoscopy, Department of General Surgery Cleveland ClinicIntroduction: Endoscopic submucosal tunneling techniques such as per-oral esophago-myotomy or per-oral pyloromytomy (POP) rely on gaining access to a submucosal plane in the gastrointestinal tract. A fluid lift technique is typically used to facilitate… Continue Reading
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