Endoscopic Guided Gastrojejunostomy Formation (EGG)
Lawrence E Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD, William Hsueh, MD, Kelly David, MD, David Borgstrom, MD, John Nasr, MD. West Virginia UniversityWe present a procedural video of what we believe is the first ever endoscopic guided gastrojejunostomy formation (EGG) in a patient that had previous Roux-en-Y gastric bypass surgery. The patient presented… Continue Reading
ENDOSCOPIC MANAGEMENT OF A COMPLEX GASTROJEJUNAL AND PANCREATIC LEAK FOLLOWING PANCREATICODUODENECTOMY
Patrick J Sweigert, MD, Kamthorn Yollsuriyanwong, MD, Gerard Abood, MD, FACS, Bipan Chand, MD, FACS, FASMBS, FASGE. Loyola University Medical CenterBackground: Pancreaticoduodenectomy (PD) remains the mainstay of surgical treatment of malignant periampullary disorders. Despite technological advances, the procedure continues to be associated with relatively high complication rates, including leakage from the pancreaticojejunostomy (PJ) and resultant… Continue Reading
NAUSEA & VOMITING AFTER RNYGB. THINKING OUTSIDE THE BOX: IDENTIFYING AND TREATING ACHALASIA
Gabriel Arevalo, MD, Joslyn Jose, MD, Leena Khaitan, MD, Jeffrey Marks, MDFACSFAGS. UH Cleveland Medical CenterNausea and vomiting are common sequelae following bariatric procedures and RNYGB is no exception. Differential diagnoses of postoperative complications that can elicit these symptoms include obstruction, hematoma, postoperative edema, internal hernia, intussusception, anastomotic strictures, gallstone formations and marginal ulcers. If… Continue Reading
Anti-Reflux Mucosectomy using a Band Endoscopic Mucosal Resection System
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemAnti-reflux mucosectomy (ARMS) is a relatively new surgical procedure that was discovered after the observation that individuals who had a gastroesophageal junction mucosectomy for Barrett’s Esophagus also had improvement in symptoms of gastroesophageal (GE) reflux. The procedure is an endoscopically… Continue Reading
Submucosal tunneling endoscopic resection of an esophageal leiomyoma
Julietta H Chang, MD, David Berger, MD, Ozanan Meirelez, MD. Massachusetts General HospitalSubmucosal tunneling endoscopic resection (STER) is modeled on the same principals as per-oral endoscopic myotomy. It uses the principles of creating a submucosal tunnel to reach a muscular target in order to maintain integrity of the esophageal lumen and prevent mediastinitis. STER has… Continue Reading
Per Oral Pyloromyotomy: Technical Pearls
Marita Bauman, MD, Jeffrey Ponsky, MD, Matthew Kroh, MD, James Villamere, MD, Kevin El-Hayek, MD, John H Rodriquez, MD. Cleveland Clinic FoundationPer-oral pyloromyotomy, also known as POP, is an innovative treatment for mecially refractory gastroparesis. This video describes the technical pearls learned during the initial 100 cases of per-oral pyloromyotomy at a single center.Presented at the… Continue Reading
Internet connection for Tele-endoscopy – own experience.
Rafal Solecki, MD, PhD1, Artur Pasternak1, Jan Krzak, MD2, Miroslaw Szura, MD, PhD1, Maciej Matyja, MD1. 1Jagiellonian University Medical College, 2Hospital of Southern Jutland, Aabenraa, DenmarkThe quality of endoscopic examination depends on the quality of endoscopic equipment, experience of the endoscopist and preparation of the patient. Contemporarily electronic endoscopes make feasible to transfer image directly… Continue Reading
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TRANSGASTRIC ENDOSCOPIC DRAINAGE OF A PERIPANCREATIC ABSCESS FROM A BBQ BRUSH BRISTLE GASTRIC PERFORATION
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryIntroduction: Oropharyngeal and Gastrointestinal (GI) perforations from BBQ brush bristles are being reported in the literature with increasing frequency. Media attention to this problem has increased awareness by the public. Most commonly, BBQ bristles lodged in the GI tract… Continue Reading
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ENDOSCOPIC RETROFLEXED BALLOON DILATION OF THE GE JUNCTION
Andrew W White, MD, Carl Westcott, MD. Wake Forest Baptist Medical CenterINTRODUCTION: Endoscopic balloon dilation of the gastroesophageal junction (GEJ) is generally limited to 20mm in diameter. In many stenotic or spastic disorders of the GEJ 20mm is just not big enough. Larger balloon sizes are available (30 and 40mm), although these are deployed under… Continue Reading
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Feasibility of laparoscopic surgery using a flexible endoscopic surgery system: preliminary results from animal experiments.
Norihito Wada, MD, PhD, FACS1, Kyoko Okuda, MA1, Kazumi Kuboi, RN1, Hirofumi Tanaka2, Tetsushi Ito3, Takuya Miyazaki4, Yoshihiko Himura4, Yuko Kitagawa, MD, PhD, FACS1. 1Department of Surgery, Keio University School of Medicine, 2Kawasaki Heavy Industries, Ltd., 3Medicaroid Corporation, 4Top CorporationINTRODUCTION: Robot-assisted surgery allows surgeons to perform many types of complex laparoscopic surgical procedures. More and… Continue Reading
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Regression of Anal and Scrotal Squamous Cell Carcinoma (HPV Related) with Imiquimod
F Andrew Morfesis, MD. Highsmith HospitalIndex patient is a 48 year old HIV positive homosexual man with anal-scrotal condylomas (AIN) initially resected in 2012, then treated with radiation in 2014 for recurrence. Recurred in 2016 with changes severe enough to "...consider diagnosis of invasive squamous cell carcinoma...". Patient elected trial of Imiquimod 5% cream three… Continue Reading
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INCREASING FLEXIBLE ENDOSCOPY CASE VOLUME DURING SURGICAL FELLOWSHIPS: A FELLOWSHIP COUNCIN CASE LOG EVALUATION
Cheyenne C Sonntag, MD1, Ryan M Juza1, Gabriel Arevalo, MD2, Jeffrey M Marks, MD2, Eric M Pauli, MD1. 1Penn State Milton S Hershey Medical Center, 2University Hospitals Cleveland Medical CenterINTRODUCTION: Training in flexible endoscopy remains a critical skill for surgeons, as therapeutic endoscopy procedures continue to evolve and to supplant standard surgical operations. The role… Continue Reading
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DUODENAL STENTING IS CLINICALLY EFFECTIVE FOR THE MANAGEMENT OF FISTULOUS OUTPUT AFTER COMPLEX PANCREATICODUODENAL TRAUMA: A MATCHED CASE-CONTROL STUDY
Hassan Mashbari, MD, Kevin L Chow, MD, Mohannad Hemdi, MD, Kirstie K Danielson, PhD, Eduardo Smith-Singares, MD. University of Illinois at ChicagoIntroduction: Complex pancreatic and duodenal injuries due to trauma continue to present a formidable challenge to the trauma surgeon with a described mortality of 5-30% and morbidity of 22-27%. Duodenal fistula formation subsequent to… Continue Reading
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ESOPHAGEAL SALVAGE USING STENTS AFTER FAILURE OF PRIMARY SURGICAL REPAIR OF PENETRATING TRAUMA
Kevin L Chow, MD, Hassan Mashbari, MD, Mohannad Hemdi, MD, Eduardo Smith-Singares, MD. University of Illinois at ChicagoIntroduction: Esophageal trauma represents an uncommon but potentially catastrophic injury with a reported overall mortality of up to 20%. The management of iatrogenic and spontaneous perforations have been previously described with well-established guidelines which have been mirrored in… Continue Reading
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Results of the Ovesco-Over-Overstitch Technique for Managing Bariatric Surgical Complications
Vamsi V Alli1, Andrew T Strong, MD2, Matthew T Allemang, MD2, Matthew Kroh, MD2, Eric M Pauli, MD1. 1Penn State - Milton S. Hershey Medical Center, 2Cleveland Clinic FoundationIntroduction: Endoscopic management of bariatric surgical complications is commonplace, including the management of leaks and fistulae. Large or complex full-thickness gastrointestinal (GI) tract defects often require multisession… Continue Reading
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