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
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Thoracoscopic Visualization of a Long Endoscopic Esophageal Myotomy for Spastic Achalasia
Kelly Haisley, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case showing the thoracoscopic visualization of a long esophageal myotomy done through a per-oral endoscopic approach (POEM). Background: The patient is a 55 year old woman with chronic pain and debilitating diffuse… Continue Reading
THE RESULT OF PER-ORAL ENDOSCOPIC MYOTOMY(POEM) FOR A SIGMOID TYPE OF ACHALASIA
Shota Maruyama1, Yusuke Taniyama2, Tadashi Sakurai2, Makoto Hikage2, Chiaki Sato2, Kai Takaya2, Takuro Konno2, Takeshi Naitoh2, Michiaki Unno2, Takashi Kamei2. 1Hachinohe City Hospital, 2Tohoku University Graduate School of MedicineIntroduction: Achalasia is a rare esophageal motility disorder and the treatment of this disease is directed at lowering the lower esophageal sphincter (LES) pressure, with the aim… 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
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The Endoscopic Management of a Chronic Gastric Leak: Surprising Fluoroscopic Findings
Samantha R Witte, MD, Amanda Lee, MD, Matthew Dixon, MD, Eric M Pauli, MD. Penn State HealthThis is a case presentation of the complex endoscopic management of a chronic gastric fistula. The real-time interpretation of fluoroscopic images directly impacted intraoperative decision making in this case, highlighting the importance of liberal use of fluoroscopy during these… Continue Reading
The endoluminal treatment of tumor obstruction of UGI.
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
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The Combined Bronchoscopic and Endoscopic Management of a Recurrent Tracheo-Esophageal Fistula
Samantha R Witte, MD1, Ryan M Juza, MD2, Mary C Santos, MD1, Peter W Dillon, MD1, Eric M Pauli, MD1. 1Penn State Health, 2Case WesternThis is a case presentation of the complex endoscopic and bronchoscopic management of a recurrent tracheoesophageal fistula in a pediatric patient. This case highlights the benefit of a multidisciplinary approach utilizing… Continue Reading
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
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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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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
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Salvage therapy for postoperative residual chest pain due to esophageal achalasia
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
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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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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
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Post-POEM Reflux: Who’s at Risk?
Gabriel Arevalo, MD, Megan Sippey, MD, Jack He, MD, Ahmed Ali, MD, Luis Martin Del Campo, MD, Jeffrey Marks, MD, FACS, FASGE. Case Western Reserve UniversityIntroduction: Per Oral Endoscopic Myotomy (POEM) is a less invasive alternative to laparoscopic Heller myotomy for patients with achalasia. While a partial fundoplication is often performed concurrently with a laparoscopic… Continue Reading
POEM complications with delayed Laparoscopic Heller Myotomy
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Christopher A Marshall, MD, John J Kelly, MD. University of MassachusettsTwo major treatment modalities are available for patients with achalasia: a Heller Myotomy or a Per Oral Endoscopic Myotomy (POEM). The POEM was first discussed in the literature in 2009 and the steps for performing it were… Continue Reading