Early Us Experience with Endoscopic Removal of the Orbera System® Intragastric Balloon.
Introduction: The Orbera System® intragastric balloon is an endoscopically placedshort termdevice that facilitates weight loss. The device, which was formerly known as the Bioenteric Intragastric Balloon® (BIB), is extensively used in numerous foreign countries, but is presently not FDA approved for placement in the US. There have been a number of reported cases of Orberaremovals… Continue Reading
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140 Cases Experience of Self-expandable Metalic Stent Insertion for Colon and Rectum
Purpose: In the treatment of obstructive colorectal cancer, we should relieve ileus in the same time that we pursue improvement of operative curability and safety. To avoid emergency operation and to perform elective surgery without stoma creation after improvement of patients’ general condition, we use self-Expandable Metallic Stent (EMS) placement. We report the result of… Continue Reading
Total Endoscopic Gastric Band Removal
Introduction: Multiple surgical options are available for patients undergoing treatment for obesity. One of the most popular, due to short surgical times and low morbidity, is laparoscopic gastric band placement. Complications necessitating reoperation include prolapse and gastric band erosion. In our video we present a totally endoscopic removal of an eroded gastric band.Methods: A 61… Continue Reading
Small-dose India Ink Tattooing for Preoperative Localization of Colorectal Tumor: A Pilot Study
INTRODUCTION: India ink tattooing is widely used for tumor localization. However, the procedure of india ink tattooing was not standardized yet. Our group reported previously that preoperative colonoscopic tattooing using a saline test injection method with prepackaged, sterile India ink was a safe and effective method for tumor localization in laparoscopic colorectal surgery. And then… Continue Reading
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Safety and Quality of Colonoscopy Performed By General Surgeons
INTRODUCTION: Throughout the world, the majority of colonoscopy is performed by Gastroenterologists. In our hospital, however, the general surgeons have been the principal exponents of all upper and lower GI endoscopy for over 20 years. The current interest in Natural Orifice Transluminal Endoscopic Surgery (NOTES) necessitates more general and laparoscopic surgeons become skilled at gastrointestinal… Continue Reading
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First Report of Spray Cryosurgery Depth of Injury to the Human Esophagus
Introduction: This study provides histologic documentation of spray cryosurgery (SCS) affect on human tissue at varying dose. SCS is a non-contact method of destroying unwanted tissue using low-pressure liquid nitrogen. The rapid freezing and thawing associated with SCS evokes significant cellular damage through a variety of pathways leaving the stroma essentially unaffected, avoiding the potential… Continue Reading
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Endoscopic Management of a Rare Right Colon Perforation From a Migrated Biliary Stent
Objective: We describe the case of an ascending colon perforation from a migrated flexible biliary stent which was treated by colonoscopic removal without the need for surgical intervention. Procedure/Case Report: A 77-year-old female, with Alzheimer’s disease and multiple medical problems, presented with nausea, vomiting, and RLQ abdominal pain without evidence of peritonitis. Eight months earlier,… Continue Reading
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Are rural general surgeons performing valid colonoscopies?
Introduction: A recent Canadian study reviewed the effectiveness of colonoscopy. Colonoscopy reduced the death rate for left colon cancers, but not the right. Were right colon missed? Since the majority of colonoscopies were performed by non-gastroenterologists (69%), questions were raised as to who is qualified to perform colonoscopies. Method: A standard colonoscopy recording form was… Continue Reading
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