Efficacy and Safety in Pediatric ERCP By a Surgical Endoscopist
Introduction: Pediatric endoscopic rertograde cholagiopancreatography (ERCP) is not routinely performed by most therapeutic endoscopists. The challenges of a pediatric anatomy, pediatric physiology, rare indications, and the need for side viewing endoscope preclude this procedure from becoming popular by pediatric gastroenterologist or laparoendoscopic surgeons. This investigation studied the hypothesis that pediatric ERCP can be performed by… Continue Reading
- Type:
- Posters
Efficacy of Hand-Assisted Laparoscopic Splenectomy for Portal Hypertension Patients with Thrombocytopenia
Peg-interferon and ribavirine therapy is promising for hepatitis C virus positive patients; however thrombocytopenia as its adverse event limits the treatment. We perform hand-assisted laparoscopic (HALS) splenectomy tonincrease the thorombocyte before interferon treatment for patients with thrombocytopenia.From March, 2006 to August 2008, we performed HALS splenectomy in 26 patients. 5 cases underwent Hassab operation. An… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Emergent Laparoscopic Surgery for Perforated Ulcers and Peritonitis: A Case Review
Introduction: Acute care surgery for peritonitis and perforated ulcer has traditionally been performed open, but in select circumstances may be safely performed laparoscopically with good outcomes. Methods: A retrospective chart review of emergent cases in an academic medical center involving acute abdomen from 2007 to 2008 included three perforated duodenal ulcers and one marginal ulcer… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Endoflip: a Novel Device for Precise Measurement of Gastric Pouch Volume and Wall Compliance
Introduction: Significant weight regain after gastric bypass can occur over time due to dilatation of the gastric pouch and stoma. Endoluminal approaches for gastric pouch reduction are currently under investigation. EndoFLIP® (Crospon Ltd., Dangan, Galway, Ireland) is an endoscopic functional imaging probe designed to accurately measure intraluminal volume and wall compliance. Our objective was to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoluminal Assistance During Minimally Invasive Esophagectomy for Esophageal Cancer
Background: In Japan many cases with early esophageal cancer have been treated by endoscopic mucosal resection (EMR). Recently submucosal dissection (ESD) is being increasingly used for the treatment of superficial esophageal cancer including some T1b cancer. If pathological examination reveals vessel invasion around the lesion or deep T1b, additional treatment is required because of the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoluminal Vertical Gastroplasty
Although laparoscopic bariatric procedures have dramatically reduced the morbidity and mortality associated with them, there is still morbidity associated with a transabdominal procedure. An endoluminal procedure would theoretically have no more risk or difficulty in an obese patient compared to a normal weight one. Furthermore, an endoluminal procedure, if possible, would avoid all wound and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Endoscopic and Manometric Characteristics of the Gastroesophageal Valve in Lateral Decubitus and Upright Positions in Clinically Normal Patients
Background: The relationship between body position and the gastroesophageal junction (GEJ) has been subject to intense interest in its role in gastroesophageal reflux disease (GERD). Few studies have looked at the position related changes of the gastroesophageal valve (GEV) in asymptomatic individuals.Purpose: To define the normal physiology of the GEJ in left lateral decubitus (LLD)… Continue Reading
Endoscopic and Radiographic Changes Following Incisionless Revisional Surgery for Treatment of Post Roux-en-Y (rygb) Stoma and Pouch Dilatation
Introduction: Upper gastrointestinal contrast studies and upper endoscopy are useful tools for screening and evaluation of gastrointestinal integrity before and after bariatric surgery. They also can be useful in documenting the anatomical changes following these interventions. We wanted to evaluate the immediate and intermediate post-operative changes associated with an incisionless approach to revisional surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Endoscopic Axillary Surgery
Introduction: Biopsy of lymph node tissue helps in the staging of breast cancer, providing reliable prognostic information and identifying patients who will benefit from systemic therapy. Endoscopic techniques combined with liposuction have been developed to provide a minimally invasive technique.Methods and procedures: In endoscopic axillary lymph node removal, very small incisions are made in the… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Endoscopic Findings in Patients with Upper Gi Symptoms After Roux-en-Y Gastric Bypass
INTRODUCTION: Upper endoscopy (UE) is essential in the diagnosis and treatment of complications after Roux-en-Y gastric bypass (RYGB). Patients who have undergone RYGB present with a variety of functional (nausea, pain, and reflux) as well as obstructive (vomiting and dysphagia) symptoms. The primary aim of this study was to correlate symptoms and endoscopic findings with… Continue Reading
- Type:
- Posters
Endoscopic Management of Eroded Prosthesis in Vertical Banded Gastroplasty Patients
Introduction:One of the major complications of applying a prosthetic device to facilitate gastric partitioning has been intra-luminal erosion of the prosthesis. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and left lobe of the liver. As a result, bariatric clinicians have attempted to apply… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic Myotomy of the Lower Esophageal Sphincter – A Model for Gastroesophageal Reflux.
1. Objective of the study: A reproducible animal model for gastroesophageal reflux would aide in advancing endoscopic intralumenal therapies for GERD. In this study we performed a full thickness myotomy through the lower esophageal sphincter (LES) onto the gastric cardia incorporating our submucosal endoscopy with mucosal safety flap (SEMF) technique in efforts to establish a… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoscopic Surgical Skill Qualification System in Japan: Four Years of Experience in the Digestive Field
To reduce the complications of endoscopic surgery, The Japan Society for Endoscopic Surgery (JSES) established a committee for the Endoscopic Surgical Skill Qualification System (ESSQS) in 2001. The committee decided that qualified surgeons should have sufficient competence to act as mentors for endoscopic surgery. Here we report the methods and results obtained with ESSQS over… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Endoscopic Technique for Removal of an Intra-gastric Balloons Causing Gastric Outlet Obstruction
Objectives: Intra-gastric balloons are devices used in many foreign countries as a bridge to bariatric surgery. Regulatory oversight differs from country to country leading to inconsistency in patient evaluations and procedural techniques. Often a United States (US) physician’s first exposure to these devices is generally upon arrival of a patient presenting with device related sequelae.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic Thyroidectomy for Multinodular Goiter
Introduction: Surgery for multinodular goiter disease typically requires a modest cervical incision to access and extract the diseased thyroid gland. Endoscopic thyroid surgery has become increasingly popular as a result of improved visualization of critical anatomy as well as improved overall cosmetic outcome by avoiding the typical cervical neck incision. In an effort to maximize… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other