Risk Factors of Fecal Diversion for Colonoscopic Perforation: A Review of 35,361 Endoscopic Procedures
Kampol Toemakharathaworn, Voraboot Taweeruchana, Jirawat Swangsri, Thawatchai Akaraviputh, Asada Methasate, Vitoon Chinswangwatanakul, Thanyadej Nimmanwudipong, Atthaphorn Trakarnsanga. Minimally Invasive Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.. Introduction: Colonic perforation is considered as one of severe complications for endoscopic procedure of colon, including colonoscopy and sigmoidoscopy. This complication is unusual but… Continue Reading
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Rendezvous technique for treatment of complete common bile duct transection after multiple hepatobiliary surgeries
Seung Hoon Shin, MD, Ariel Klevan, MD, Christopher Fernandez, MD, Jose M Martinez, MD, FACS. Division of Laparoendoscopic and Bariatric Surgery, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA. Common bile duct (CBD) injury during surgical procedures is a serious complication. Partial injury can usually be managed… Continue Reading
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Radiofrequency Ablation for Barrett’s associated intramucosal carcinoma: A multi-center follow-up study
Adam C Strauss, MD, Agoston Agoston, MD, PhD, Parambir S Dulai, MD, Thadeus L Trus, MD, Amitabh Srivastava, MD, Richard I Rothstein, MD. Dartmouth Hitchcock Medical Center; Brigham and Women's Hospital. Purpose: Radiofrequency ablation (RFA), with or without endoscopic mucosal resection (EMR), has been validated as a safe, effective and durable treatment option for dysplastic… Continue Reading
Peroral Endoscopic Myotomy (POEM) Leads to Similar Results in Patients with and Without Prior Endoscopic Or Surgical Therapy
Sean B Orenstein, MD, Siavash Raigani, BA, Yuhsin V Wu, MD, Eric M Pauli, MD, Melissa S Phillips, MD, Jeffrey L Ponsky, MD, Jeffrey M Marks, MD. Department of Surgery, University Hospitals Case Medical Center, Cleveland OH; Department of Surgery, Penn State Hershey Medical Center, Hershey PA; Department of Surgery, University of Tennessee, Knoxville, TN.… Continue Reading
Percutaneous Endoscopic Gastrostomy for Prolonged Ileus and Non-malignant Obstruction
Christopher R Daigle, MD, Eric Marcotte, MD, Ricard Corcelles, MD, Kevin El-Hayek, MD, Matthew Kroh, MD, Stacy Brethauer, MD. Cleveland Clinic Main Campus, Cleveland, Ohio. INTRODUCTION - The utility of percutaneous endoscopic gastrostomy (PEG) decompression for inoperable malignant bowel obstruction is well documented. However, there is limited data on the use of decompressive PEG in… Continue Reading
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Per-oral Endoscopic Myotomy (POEM) Following Previous Lapaoscopic Heller Myotomy Is Feasible and Safe in a Porcine Survival Model
Andrew S Kastenmeier, MD, Luke Miles, BS, Matthew Frelich, MS, Kulwinder Dua, MD, Jon C Gould, MD. Medical College of Wisconsin, Department of Surgery, Division of General Surgery; and Medical College of Wisconsin, Department of Medicine, Division of Gastroenterology. Introduction: Recurrent or persistent dysphagia after a Heller myotomy occurs in up to 10-15% of patients.… Continue Reading
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Peg Tube Placement: Do We Do It Better Than Gi?
Bindhu Oommen, MD, MPH, Samuel W Ross, MD, MPH, Joel F Bradley, MD, Kristopher B Williams, MD, Hannah C Kline, Vedra A Augenstein, Brant T Heniford, MD, Ronald F Sing, DO. Carolinas Medical Center, Department of Surgery, Division of Gastrointestinal & Minimally Invasive Surgery, Charlotte, NC. INTRODUCTION Percutaneous endoscopic gastrostomy (PEG) tube placement is a… Continue Reading
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Partial Balloon deflation for controlled withdrawal of single balloon enteroscopy
Abiodun O Laoye, MD, Gorcey A Steven, MD. Jersey Shore University Medical Center. Case: An 80 year old female with chronic paroxysmal atrial flutter on Aspirin and Coumadin presented as an outpatient for evaluation of iron deficiency anemia. She denied any abdominal pain, weight loss, hematemesis, melena or hematochezia. Physical examination was normal; hemoglobin was… Continue Reading
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Over the Scope Clip (OTSC) Placement for Perforation, Fistula and Anastomotic Leak Closure
P Umamaheswaran, MD, D Davila-Bradley, MD, A Bastawrous, MD, D Schembre, MD, R Kratz, MD, J A Cervera-Servin, MD, R W Aye, MD, B E Louie, MD. Swedish Medical Center. Introduction: Gastrointestinal fistulas and perforations can be challenging problems for surgeons and endoscopists. Traditional management was surgical if the patient was systemically unwell or nil… Continue Reading
Learning efficacy between a 30 degree rigid scope and a flexible scope in newly educated medical personnel for laparoscopic colorectal procedure: a prospective, comparative study
Young-Jae Lee, MD, Seon-Hahn Kim, MD, PhD. Colorectal Division, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea. Background: During laparoscopic surgery, the scope is often maneuvered by novice in operation. This study was designed to find out which of the two types of scopes (30° rigid scope and flexible… Continue Reading
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Is 10 Years Too Long? Development of Interval Colorectal Cancer Despite Following Recommended Colonoscopic Guidelines
Eric M Changchien, MD, Melinda Hawkins, MD, Michelle E Murday, MD, John A Griffin, MD. St Mark's Hospital, Salt Lake City, Ut. Background: Colorectal cancer is a leading cause of cancer mortality. Screening protocols have led to decreases in the incidence of colorectal cancer. Currently, average-risk individuals are recommended to undergo colonoscopy every 10 years… Continue Reading
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Intraoperative endoscopy may decrease post operative leak & stenosis in gastric bypass and sleeve gastrectomy
Mohamed B Al Hadad, MD, Nidal Dehni, MD, Abdelrahman A Nimeri, MD. Division of general, thoracic and vascular surgery Sheikh Khalifa Medical City managed by Cleveland clinic. Introduction: Morbid obesity is a global epidemic and bariatric surgery in the only available long term solution. Laparoscopic Roux en Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy… Continue Reading
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Implementation of Direct Peroral Cholangioscopy for Common Bile Duct Stones
Jonathan Leunbach, MD, Jan M Krzak, MD, Einar Pahle, MD, PhD. Department of Surgery, Viborg Hospital, Viborg, Denmark. OBJECTIVE: To evaluate the process and the initial results of implementing Direct Peroral Cholangioscopy (DPC) as a new treatment modality in patients with common bile duct stones refractory to retrieval by conventional Endoscopic Retrograde Cholangiopancreatography (ERCP). METHODS:… Continue Reading
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Fast access to the Common Bile Duct during Endoscopic Retrograde Cholangio-Pancreatography, our experience with a double wire technique.
J Andres Astudillo, MD, Jean Carlos Jimenez, MD, Jose M Martinez, MD. University of Miami, Department of Laparoendoscopic Surgery, Miami, FL.. INTRODUCTION Repeated cannulation of the pancreatic duct (PD) while attempting to cannulate the common bile duct (CBD) is often encountered during Endoscopic retrograde cholangiopancreatograpy (ERCP). This often leads to unsuccessful cannulation or post procedure… Continue Reading
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Endoscopy assisted laparoscopic intragastric surgery for stromal tumor
Hussein Wissanji, MD, Jean-Pierre Gagne, MD. University Laval. Introduction: Mesenchymal tumors constitute 1 % of primary GI cancer. Surgical treatment of gastric gastrointestinal stromal tumor (GIST) is the only known curative therapy. Traditionally, management involves a wedge resection. A problematic exists for tumor located at gastric cardia due to the proximity of the lower… Continue Reading