Inflammatory Myoglandular Polyp of the Right Colon in a Patient with Hematochezia and Intermittent Rectal Pain.
INTRODUCTION: Inflammatory Myoglandular Polyps (IMP's) are poorly characterized and extremely rare. They present most frequently in the left colon, and may produce symptoms related to this location. We present a case of IMP located in the right colon, associated with rectal symptoms, and offer a review of the available medical literature. CASE REPORT: A 35… Continue Reading
- Type:
- Posters
Inpatient Mortality and Length of Stay Comparison of Percutaneous Endoscopic Gastrostomy and Percutaneous Endoscopic Gastrojejunostomy
Introduction: Percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic gastrojejunostomy (PEGJ) are endoscopic procedures often performed by surgeons. No recent population based study has compared inpatient mortality or length of stay between patients who undergo PEG or PEGJ placement during their hospitalization. Methods: Patients undergoing inpatient PEG or PEGJ placement >=18 year old were identified from… Continue Reading
Laparoscopic Common Bile Duct Exploration and Laser Lithotripsy: A Novel Approach to Management of Common Bile Duct Stones
Introduction: Common bile duct stones (CBDS) are found in approximately 10% of patients who undergo cholecystectomy. Symptomatic common bile duct stones are a source of significant morbidity as they may cause obstructive jaundice, cholangitis, biliary cirrhosis and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) has been a mainstay of treatment for common bile duct stones. Laparoscopic common… Continue Reading
Preoperative Endoscopy in the Evaluation of Patients Before Bariatric Surgery
BACKGROUND: This study evaluates the diagnostic yield of esophago-gastroduodenoscopy (EGD) before bariatric surgery and its influence on the planned surgery. METHODS: Endoscopy reports of all patients having undergone an EGD at our endosurgical unit were reviewed. We identified a non-consecutive series of morbidly obese patients that had an endoscopic evaluation before their primary bariatric procedure… Continue Reading
Prospective Monitoring of Surgical Trainee Endoscopy Volumes
Introduction: Despite a recent increase in endoscopic surgery requirements for graduate surgical trainees by the Residency Review Committee for Surgery (RRC-S), there is still a question of competence: is the endoscopic volume achieved by surgical trainees sufficient for the procedural competence needed by practicing surgeons in academic centers and community hospitals? Prospective monitoring of trainee… Continue Reading
Single Incision Experience At San Diego: The Evolution of Clear Imaging
Objective: Classic laparoscopic surgery is based on the ability to triangulate instrumentation to have good exposure and working space. This is done with multiple trans-abdominal ports. Decreasing the number of ports may be beneficial in decreasing pain. In addition elimination of port sites eliminates the risk of herniation at those sites and provides a definite… Continue Reading
- Type:
- Posters
Single Incision Laparoscopic Cholecystectomy
Introduction: Single incision laparoscopic surgery (SILS) has been proposed as a minimally invasive technique with proposed advantages of smaller external scars and reduced pain. Furthermore, usage of the flexible endoscope for SILS in lieu of the standard laparoscope provides distinct visualization advantages. This video illustrates a single incision cholecystectomy performed through a single incision placed… Continue Reading
Single Site Series Utilizing the Endosurgical Operating System (eos) for Revision of Post Roux-en-Y Gastric Bypass Stomal and Pouch Dilitation
SINGLE SITE SERIES UTILIZING THE ENDOSURGICAL OPERATING SYSTEM (EOS) FOR REVISION OF POST ROUX-EN-Y GASTRIC BYPASS STOMAL AND POUCH DILITATION. Michael Chaump, M.D., Roy M. Dressner, D.O., Steven A. Gorcey, M.D., Frank J. Borao, M.D., Monmouth Medical Center, Long Branch NJIntroduction: Interventional therapy for weight regain after Roux-en-Y gastric bypass surgery (RYGB) has been tempered… Continue Reading
Splenic Injury After Therapeutic ERCP
INTRODUCTION: Endoscopic Retrograde Cholagiopancreatography (ERCP) is an invasive, but sensitive means of diagnosing and treating biliary disease. Complications range from 5-10%. The most common complications of ERCP are acute pancreatitis and duodenal perforation; but esophageal, splenic and hepatic injury have been reported. Here we report such a splenic injury after ERCP. CASE REPORT: A 29… Continue Reading
- Type:
- Posters
The Predictive Value of Pet/ct Findings Suspicious for Colorectal Cancer in Patients with Non-gastrointestinal Malignancies
Introduction:Positron Emission Tomography/Computed Tomography (PET/CT) performed in the staging and follow-up of patients with non-GI malignancies will occasionally detect a second primary tumor in the GI tract. The purpose of this study was to determine the ability of PET/CT to predict the presence of occult colorectal malignancy in patients already diagnosed with a non-GI cancer.… Continue Reading
- Type:
- Posters
Transgastric Endoscopic Retrograde Cholangiopancreatography a Case Series and Description of Technique.
Transgastric Endoscopic Cholangiopancreatography: a Case Series and Description of Technique. Peter M. Bertin DO, Kirpal Singh MD, Maurice E. Arregui MD FACS. St Vincent Indianapolis, IN Purpose: Roux-en-Y gastric bypass excludes the biliary and pancreatic tree from traditional endoscopic evaluation and treatment. As the number of former bypass patients accrues, the need to assess and… Continue Reading
Treatment of Ultra-long Segment Barretts Using Focal and Balloon-based Radiofrequency Ablation
INTRODUCTION: Endoscopic radiofrequency ablation (ERFA) is being evaluated as definitive treatment for patients with Barrett’s esophagus (BE). Guidelines have yet to be developed for the application of this technology to patients with ultra-long segment BE (ULBE, > or = to 8cm). This study reports a single institution’s experience with ERFA of ULBE with various degrees… Continue Reading
Use of a Novel Bedside Endoscopy Cart to Teach Surgery Residents
INTRODUCTION: Bronchscopy and laryngoscopy have become common bedside procedures in the ICU. Frequently, however, these modalities utilize non-video platforms which make it difficult for novices to perform the procedures independently. This study evaluated a novel ICU bedside procedure cart for performing video laryngoscopy and bronchoscopy to see if junior level residents could be mentored through… Continue Reading
- Type:
- Posters
Use of Endoscopic Stents in the Treatment of Upper Gastrointestinal Leaks Following Bariatric Surgery
Introduction: Upper gastrointestinal (GI) leaks are one of the most important postoperative complications following bariatric surgery. Standard treatment has been a combination of surgical or percutaneous drainage, parenteral nutrition and antibiotics. The endoscopic approach using flexible stents has been recently proposed as an alternative of treatment. Methods and procedures: Restrospective analysis of all patients who… Continue Reading
- Type:
- Posters