Closed Loop Bowel Obstruction: Laparoscopic Resection with Fully Stapled Intra-Corporeal Anastomosis
Michael E Dolberg, MD, Jeffrey P Snow, MD. Memorial Healthcare SystemPurpose: This video describes a case of a 79 year old female with a history of a prior hysterectomy who presented to the hospital with abdominal pain. A CT scan of the abdomen and pelvis was suspicious for a closed loop small bowel obstruction. She… Continue Reading
- Topic:
- Acute Care Surgery
CMV Cholangitis Mimicking as Periampullary Carcinoma
Prashanth Krishna, Parimuthukumar Rajappa, Vishwanath Pai, MS, FRCS, Jayanth Leo, MS. Sri Ramachandra University, Chennai, IndiaIntroduction: CMV Cholangitis is caused by Cytomegalovirus. It is commonly prevalent in immunocompromised group of people such as Retropositive, Organ Recipients and patients on immunosuppressant therapy. We are presenting a case of CMV Cholangitis mimicking as Periampullary carcinoma. Case Details:… Continue Reading
- Topic:
- Case Presentations
Coaching for Surgical Skill Development: Stressful but Effective
Ibrahim I Jabbour1, Dimitrios Stefanidis2, Aimee K Gardner3. 1Florida Atlantic University College of Medicine, 2Indiana University School of Medicine, 3University of Texas Southwestern Medical CenterBackground: Coaching has been identified as an effective technique to improve the technical proficiency of surgeons in training and in practice. However, previous work has shown that high levels of feedback… Continue Reading
- Topic:
- Education / Simulation
Colon-Sparing Advanced Endoscopic Techniques for Complex Colorectal Lesions
Emre Gorgun1, Cigdem Benlice2, Maher A Abbas1. 1Department of Colorectal Surgery, Cleveland Clinic, 2Department of General Surgery, Cleveland ClinicObjective of the study: Need for colon-sparing intervention for premalignant lesion not amenable to conventional endoscopic excision has stimulated interest in advanced endoscopic techniques. The aim of this study was to report a single institution’s experience with… Continue Reading
- Topic:
- Colorectal
Colonic ESD: Improved Outcomes Using a Double Balloon Device Compared to Conventional Cap Technique
Sam Sharma, MD, Hisashi Hara, MD, Miro Peev, MD, Jeffrey Milsom, MD, FACS. Weill Cornell Medical CollegeIntroduction: The established endoscopic submucosal dissection (ESD) technique for removal of large colonic polyps requires pushing of the scope tip, equipped with a plastic cap, under and around the polyp. The cap provides traction and “stand-off” between tissue and… Continue Reading
Colonic Fistulas Following Ct Guided Drainage of Sigmoid Diverticular Abscesses: What Is the Role of Minimally Invasive Approach?
Krystle Lange, DO, Nicholas Rettenmaier, DO, Shankar Raman, MD. Mercy Medical CenterIntroduction: Colonic fistula resulting from diverticular disease of the sigmoid colon is a technical challenge to be managed via minimally invasive approach. While laparoscopic surgery is considered to be the standard approach for sigmoid colectomy, its role in patients with complicated diverticular disease especially… Continue Reading
- Topic:
- Colorectal
Colonic Web And Tubular Duplication: A Rare Combined Anomaly And Review Of The Literature
Onur Bayram, MD1, Orhan Agcaoglu, MD1, Derya S Uymaz, MD1, Cagri Bilgic, MD1, Irem Bayram, MD2, Gulcin Yegen, MD3, Emre Balik, MD1, Dursun Bugra, MD1. 1Koc University, School of Medicine, Department of General Surgery, 2Liv Hospital, Department of Radiology, 3Istanbul University, Istanbul School of Medicine, Department of PathologyGastrointestinal tract duplications are infrequent congenital abnormalities that… Continue Reading
- Topic:
- Colorectal
Colonoscopy Skills Improvement (CSI) Program Decreases Sedation Usage During Colonoscopy
Bradley W Evans, MD, Matthew Goldring, BEng, Mark R Borgaonkar, MD, FRCPC, David Pace, MD, FRCSC. Memorial University of NewfoundlandIntroduction: The Canadian Association of Gastroenterology (CAG) developed the Colonoscopy Skills Improvement (CSI) program to improve colonoscopy quality across Canada. Purpose: To show that educational interventions for endoscopists can result in improved colonoscopy quality outcomes. Methods:… Continue Reading
- Topic:
- Outcomes and Quality
Colorectal Cancer Screening from a Large Single Center of Thailand
Nuttapoom Sermsri, MD, Siripong Sirikurnpiboon, MD. Rajavithi HospitalBackground: Increasing morbidity and mortality from colorectal cancer is evident in recent year in the developing Asian nations. Result of screening colonoscopy from Western countries reported adenoma detection rate (ADRs) of 30-40% while those from Asia has ADR as low as 10%. There have been limited data regarding… Continue Reading
- Topic:
- Colorectal
Colorectal neoplasms in a Sub-Saharan Africa population: A multicentre colonoscopy study.
E Ray-Offor, FWACS, FMAS, DMASInd1, G B Gbaanador, FACS2, C C Obiorah, FMCS3, N J Jebbin, FWACS4. 1Oak Endoscopy Centre Port Harcourt, 2Shawsand Medical Centre Port Harcourt Rivers State nigeria, 3Department of Anatomical Pathology University of Port harcourt Teaching Hospital Port Harcourt Rivers State Nigeria, 4Department of Surgery University of Port Harcourt Teaching Hospital Port… Continue Reading
- Topic:
- Colorectal
Colovac, an intracolonic bypass device for the protection of colorectal anastomosis: pre-clinical experience report
Charam Khosrovani, MD1, Anne Osdoit2, Gerard Hascouet, CEO3. 1Clinique Fontvert, Sorgues 84700, France, 2SAFEHEAL and MD START, Paris, France, 3MD START, Paris FranceIntroduction: Anastomotic leak is one of the most challenging complications of colorectal surgery with a 30% post-operative death, reduced quality of life and negative outcome in cancer patients. Temporary diverting ostomy is recommended… Continue Reading
Combination of medial and cranial approaches ensure patients safety during laparoscopic complete mesocolic excision for transverse colon cancer.
Kan Tanabe, MD, Shinichiro Mori, MD, PhD, Yoshiaki Kita, MD, PD, Kenji Baba, MD, PhD, Masayuki Yanagi, MD, Yasuto Uchikado, MD, PhD, Hiroshi Kurahara, MD, PhD, Takaaki Arigami, MD, PhD, Yoshikazu Uenosono, MD, PhD, Yuko Mataki, MD, PhD, Masahiko Sakoda, MD, PhD, Akihiro Nakajo, MD, PhD, Kosei Maemura, MD, PhD, Shoji Natsugoe, MD, PhD. Department… Continue Reading
- Topic:
- Colorectal
Combined Laparoscopic and Endoscopic Removal of a Foreign Body after Roux-en-Y Gastric Bypass
Michael P Meara, MD, MBA, David B Renton, MD, Andrei V Manilchuk, MD, Jennifer S Schwartz, MD. The Ohio State University Wexner Medical CenterBACKGROUND: Foreign bodies after Roux-en-Y gastric bypass are a relatively uncommon problem. Food can be impacted at the gastrojejunal or jejunojenual anastomosis related to anastomotic stricture. Secondary to psychiatric disorders, ingested foreign… Continue Reading
Combined per oral endoscopic myotomy and septotomy for type 2 achalasia with mid-esophageal diverticulum
P Riva, MD1, L Swanstrom, MD1, D Mutter, MD2, J Marescaux, MD2, S Perretta, MD2. 1Institute of Image Guided Surgery, Strasbourg, France, 2IRCAD-Department of Digestive and Endocrine Surgery, Strasbourg, FranceIntroduction: Esophageal diverticula are often associated with a concomitant esophageal motor disorder, which is thought to be the cause of the diverticulum and some of the… Continue Reading
Combined Robotic Thoracoscopic and Laparoscopic Resection of Large Epiphrenic Diverticulum
Jonathan R Sarik, MD, Jennifer A Kincaid, MD, Nathaniel R Evans, MD, FACS, FCCP, Francesco Palazzo, MD, FACS, Michael J Pucci, MD, FACS. Thomas Jefferson University HospitalEsophageal epiphrenic diverticulum can at times pose a difficult surgical challange. Large size, positioning within the right chest and other specific conditions can make a solely abdominal approach infeasible.… Continue Reading
- Topic:
- Foregut