INNOVATIVE APPROACH FOR THE REMOVAL OF A GIANT GASTRIC LIPOMA
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 50 year old obese female presenting with epigastric pain and UGI bleeding found to have a large… Continue Reading
PARAESOPHAGEAL HERNIA ASSOCIATED WITH POSTERIOR SLIPPAGE OF GASTRIC BAND
William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon ClinicThis video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due… Continue Reading
- Topic:
- Foregut
Endoscopic Pattern Tracing and Inanimate ex-vivo Pig Stomach Models to Acquire Skills Necessary for Endoscopic Submucosal Dissection (ESD)
Erica Pettke, MD1, Abhinit Shah, MD2, Xiaohong Yan, PhD1, Vesna Cekic, RN1, Geoffrey Bellini, MD1, Elie Sutton, MD3, Nipa Gandhi, MD1, Carl Winkler, MD1, Jaspreet Sandhu, MD4, Richard L Whelan, MD1. 1Mount Sinai West Hospital, 2Topiwala National Medical College, 3Maimonides Medical Center, 4Brookdale University Hospital Medical CenterIntroduction: In Japan Endoscopic Submucosal Dissection (ESD) is the… Continue Reading
Three-Trocar-Port Laparoscopic Distal Pancreatectomy with Spleen Preservation
Andres Guevara, MD, Francisco Berrospi, MD. Instituto Nacional De Enfermedades Neoplasicas - Lima PeruThe three port laparoscopic distal pancreatectomy with spleen preservation is a reduced port techinque in laparoscopy. This techinque has the advantage that is less traumatic than the fourth port standard techinque for pancreatic surgery and in spite of being a complex surgery… Continue Reading
Laparoscopic Heller myotomy for achalasia in a patient with cirrhosis and intra-abdominal varices as well as prior bowel resections for Crohn’s, what it is like to be in a mine-field.
Adrian Dobrowolsky, MD, Nikolai Bildzukewicz, MD. USC KeckWe Present to you a 55y M with h/o Crohn's disease who has undergone multiple bowel resections and Hepatitis C for 25 years and cirrhosis for 6 years and now esophageal varices who complains of worsening dysphagia over the last 6 months. Upper GI and manometry confirmed achalasia… Continue Reading
- Topic:
- Foregut
Put a Stent in it: Alternative Techniques in Endoscopic Stenting
Yael Marks, MD, Julio Teixeira, MD. Lenox Hill HospitalIntroduction: Although endoscopic stenting for leaks after sleeve gastrectomy can often be easily accomplished by fluoroscopic guidance, anatomoy, strictures, adhesions and other factors can significantly impact the ease and efficiency of stent placement. This video demonstrates alternative techniques of endoscopic stent placenement in complex situations including fluoroscopic… Continue Reading
LAPAROSCOPIC TRANSGASTRIC SUBMUCOSAL DISSECTION
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Filippo Filicori, MD1, Ahmed M Zihni, MD, MPH1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Steven R DeMeester, MD, FACS2, Lee L Swanstrom, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicA case of a 68-yeay-old male with history of familial adenomatous polyposis… Continue Reading
Totally laparoscopic management in complicated case of choledochal cyst
Hariruk Yodying, MD1, Sermsri Pongratanakul, MD1, Vichit Viriyaroj, MD1, Thammanij Rookkachart, MD1, Thanatorn Sricharoen, MD2. 1Department of surgery ,Sirindhorn medical center Hospital , Srinakharinwirot University, 2Department of radiology ,Sirindhorn medical center Hospital , Srinakharinwirot UniversityBackground: Choledochal cysts typically are a surgical problem of childhood, but some of the patients can have delay presentation in adult. The… Continue Reading
- Topic:
- Biliary
Refractory Reflux and Weight Regain after Sleeve Gastrectomy: What Happens When Patient Does Not Want Conversion to Bypass?
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Keith R Scharf, DO, FACS, FASMBS, Marcos Michelotti, MD, FACS. Loma Linda University HealthWe present the case of a 49-year-old female who is status post sleeve gastrectomy presenting 2 years ago, now presented with de novo… Continue Reading
Robotic- Assisted Redo Heller Myotomy; Improved Visions with Fluorescence
Aarthy Kannappan, MD, Manuel Garcia, MD, Esther Wu, Jeffrey Quigley, MD, Stephanie Keeth, DNP, Marcos Michelotti, MD, FACS, Keith Scharf, Crystal Alvarez, DO. Loma Linda UniversityPresented is a video case report of a 44-year-old male who presented with persistent difficulty swallowing liquids and solids approximately 7 months after a laparoscopic Heller myotomy at an outside… Continue Reading
Complex Rectal ESD: Double Balloon with Traction Technique
Takahiro Hiratsuka, MD, Kota Momose, MD, Jeffrey Milsom, MD, Sam Sharma. Weil Cornell MedicineIntroduction: Rectal ESD of lesions on folds or valves is technically difficult, and has an increased perforation risk and en-bloc resection failure. There are limited reports of the use of add-on devices to assist in such techniques. To meet this need we… Continue Reading
Bizarre Encounters in Endoscopic Surgeries
Raj Gajbhiye, MS1, Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS2, Gagandeep Talwar2, Jasmine Agarwal2, Amol Wagh, MS2, Saurabh Gandhi, MS2, Chintan Patel, MS2, Eham Arora, MS2, Shubham Gupta, MS2, Vikrant Akulwar, MS1. 1Government Medical College, Nagpur, India, 2Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaEndoscopic surgery has a diversified… Continue Reading
OVER-THE-SCOPE CLIP-ASSISTED ENDOSCOPIC FULL-THICKNESS RESECTION OF DUODENAL BULB NEUROENDOCRINE TUMOR
Cheyenne C Sonntag, MD, Ryan M Juza, MD, Eric M Pauli, MD. Penn State Milton S Hershey Medical CenterEndoscopic full-thickness resection (EFTR) of GI tract lesions permits accurate diagnosis and definitive management while avoiding more complex surgical procedures. Traditionally the full-thickness resection is performed first, followed by closure of the defect with clips or endoscopic suture. More recently over-the-scope… Continue Reading
Laparoscopic complete bursectomy with total gastrectomy for advanced gastric cancer at the posterior wall of stomach
Wei Wang, MD, Wenjun Xiong, MD, Lijie Luo, Yansheng Zheng, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineThe primary results of JCOG1001 had shown that bursectomy can be safely performed without increasing morbidity and mortality, but bursectomy can not improve 3-years survival for patients with advanced gastric cancer. However, the significance of bursectomy for advanced… Continue Reading
Laparoscopic Transgastric ERCP: Double Wire Technique to Ease Biliary Cannulation
Gabriel Arevalo, MD, Jeffrey Marks, MDFACSFAGS. UH Cleveland Medical CenterOne of the known reasons for difficult biliary cannulation during ERCP is altered anatomy such as in RYGBP. One of the approaches to access the papilla in this group of patients is laparoscopic transgastric ERCP. Although a reliable and highly successful technique, there are several factors… Continue Reading