Endoscopic Stenting Versus Emergency Surgery in Patients With Metastatic Colorectal Cancers Presenting With Acute Intestinal Obstruction.
Ker-kan Tan, FRCS Edin, Tian-zhi Lim, MBBS, Charles B Tsang, FRCS Edin FRCS Glasg, Dean C Koh, FRCS Edin FRCS Glasg. National University Health System BackgroundOperating in patients with obstructed colorectal cancers is associated with numerous morbidities. Self expanding metallic stents provide a promising alternative. The aim of this study was to compare the… Continue Reading
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Percutaneous Endoscopic Gastrostomy With T-fasteners Obviates the Need for Emergent Exploration After Early Tube Dislodgement
Poochong Timratana, MD, Kevin M El-hayek, MD, Hideharu Shimizu, MD, Matthew Kroh, MD, Bipan Chand, MD FACS. Cleveland Clinic INTRODUCTION: Despite technical refinements of percutaneous endoscopic gastrostomy (PEG), complications remain static. These complications include bleeding, tube site infection, and tube dislodgement. Tube dislodgement occurs more frequently in high risk patients such as those with… Continue Reading
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Pattern of Oesophageal Stricture Post Endoscopic Injection Sclerotherapy
K O Ba Hakem, MD, M A Ibn Ouf, Professor of surgery, M O Gadour, Professor of Medicine. Ibn Siena Hospital , GI bleeding Centre ,Sudan Background: Post endoscopic sclerotherapy oesophageal stricture is usually not fatal but may requires several sessions of oesophageal dilation as an effective palliative treatment yet has its own complications.… Continue Reading
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Peg Failures: Should Another Specialty Attempt Placement?
K A Zuberi, MD, B R Zagol, MD, V K Narula, MD, V C Memark, MD, J B Anderson, MD, W Scott Melvin, MD, J W Hazey, MD. The Ohio State University Medical Center: Center for Minimally Invasive Surgery, Columbus, OH, USA Introduction: Percutaneous Endoscopic Gastrostomy (PEG) tube placement is the preferred enteral access… Continue Reading
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A Case of Huge Esophageal Hamartoma Treated By Endoscopic Resection
Toshiyuki Sasaki, MD, Nobuo Omura, MD, Yuuichirou Tanishima, MD, Katsunori Nishikawa, MD, Norio Mitsumori, MD, Hideyuki Kashiwagi, MDPhD, Katsuhiko Yanaga, MDPhD. Departments of Surgery, Jikei University School of Medicine In general, hamartoma frequently occurs in the lung, heart, or hypothalamus, and its occurrence in the gastrointestinal tract is very rare. We report a patient… Continue Reading
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Detecting Abnormalities in Endoscopic Examinations By Combining Information From Multiple Images
Qian Zhao, Gerard E Mullin, MD, Max Q-h Meng, PhD, Themistocles Dassopoulos, MD, Rajesh Kumar, PhD. Johns Hopkins University, Chinese University of Hong Kong, Washington University School of Medicine INTRODUCTION: Endoscopic, and more recently wireless capsule endoscopic (CE) examinations produce large number of images (e.g. over 50,000 images for CE), not all of which… Continue Reading
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Reconstruction of the Esophagojejunostomy Using the Transorally Inserted Anvil (Orvil [tm]) After Laparoscopic Total Gastrectomy
Shinya Mikami, Tetsu Fukunaga, Hiroaki Itoh, Keizou Hataji, Ryuichi Oshima, Takeharu Enomoto, Jo Sakurai, Nobuyoshi Miyajima, Takehito Otsubo. St. Marianna University School of Medicine, Department of Gastroenterological and General Surgery, INTRODUCTION - Laparoscopic total gastrectomy (LTG) has not become as popular as laparoscopic distal gastrectomy because of the more difficult reconstruction technique. Although various reconstruction… Continue Reading
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Endoscopic Management of Colorectal Anastomotic Stricture With Temporary Stent
Y Saida, MD, T Enomoto, MD, K Takabayashi, MD, A Otsuji, MD, Y Nakamura, MD, M Katagiri, MD, S Nagao, MD, M Watanabe, MD, K Asai, MD, Y Okamoto, MD, J Nagao, MD, S Kusachi, MD. Toho University Ohashi Medical Center PURPOSE: Stenting of benign colorectal conditions has been described, but its role has… Continue Reading
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Endolumenal Management of Tubular Esophageal Duplications
Danielle S Walsh, MD FACS, Adam S Harris, MD, Maryanne L Dokler, MD FACS, Donald E George, MD. East Carolina University, Nemours Children's Clinic, Mayo Clinic Jacksonville Introduction: Tubular esophageal duplications are a challenging anomaly traditionally treated with resection via thoracotomy or thoracoscopy. An endoscopic approach to the esophagus with division of the common… Continue Reading
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