Per Oral Endoscopic Pyloromyotomy after Esophagectomy
S. Julie-Ann Lloyd, MD, PhD, Matthew T Allemang, MD, Kevin M El-Hayek, MD, Jeffrey L Ponsky, MD, Matthew D Kroh, MD, John H Rodriguez, MD. Section on Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OhioIntroduction: Endoluminal surgery is an innovative and rapidly evolving field, gaining wider acceptance in the treatment of multiple gastrointestinal… 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
Outcome of endoscopic naso-jejunal tube stenting in early postoperative jejunal limb obstruction after gastrectomy
Chadin Tharavej, Worawit Kattipatanapong, Supaut Pungpapong, Suthep Udomdaweangsup, Krit Kittisin, Patpong Navicharern. Chulalongkorn UniversityIntroduction: Early postoperative afferent/efferent limb obstruction is a rare complication following reconstruction of total or partial gastrectomy. The condition is mainly attributed to kinking of the jejunal limbs or gastro-jejunal or jejunojeunal anastomosis. Less was known regarding the treatment outcome of endoscopic… Continue Reading
Novel Approaches for Eroded Adjustable Gastric Band Removal
Salman Alsabah, MD, MBA, FRCSC, FACS1, Manoel Galvao-Neto, MD2, Suthep Udomsawaengsup, MD3. 1Kuwait University, 2Florida International University Herbert Wertheim College of Medicine, 3Chulalongkorn UniversityWe present a video that illustrates novel approaches to remove the eroded adjustable gastric band. These approaches involve endolumenal and laparoscopic techniques. Conclusion: Endoscopic removal of eroded laparoscopic adjustable gastric banding is… 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
Natural Orifice Transluminal Endoscopic Surgical Assisted Laparoscopic Management of Esophagojejunal Anastomotic Disruption
Samantha R Witte, MD, Eric M Pauli, MD, Niraj Gusani, MD, Ryan M Juza, MD, Vamsi Alli, MD. Penn State Milton S Hershey Medical CenterThis video demonstrates the effective use of NOTES technique to assist in the laparoscopic management of an esophagojejunal anastomotic disruption resulting in diffuse peritonitis. Without endoscopic assistance, the patient would have… Continue Reading
MYOTOMY STARTING POINT AND LENGTH INFORMED BY HIGH-RESOLUTION ESOPHAGEAL MANOMETRY (HREM) RESULTS IN IMPROVED PER-ORAL ENDOSCOPIC MYOTOMY (POEM) OUTCOMES
Erica D Kane, MD, MPH, Erin M Thompson, MD, Vikram Budhraja, MD, David J Desilets, MD, PhD, John R Romanelli, MD. University of Massachusetts Medical School-Baystate Medical CenterINTRODUCTION: High-resolution esophageal manometry (HREM) is essential in characterizing achalasia subtype and the extent of affected segment in order to plan the starting point of the myotomy during… Continue Reading
Multicenter collaborative retrospective review of peroral endoscopic myotomy for esophageal achalasia; examination of more than 1,300 cases at 8 facilities in Japan
Hironari Shiwaku1, Haruhiro Inoue2, Manabu Onimaru2, Hitomi Minami3, Hiroki Sato4, Chiaki Sato5, Shinwa Tanaka6, Ryo Ogawa7, Norihiko Okushima8. 1Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, 2Digestive Diseases Center, Showa University Koto-Toyosu Hospital, 3Department of Gastroenterology and Hepatology, Nagasaki University Hospital, 4Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, 5Division of… Continue Reading
Long Term Outcomes following POEM for Non-Achalasia Motility Disorders of the Esophagus.
Filippo Filicori, MD, Christy M Dunst, MD, Ahmed Sharata, MD, Walaa F Abdelmoaty, MD, MBA, Ahmed M Zihni, MD, MPH, Steven R Demeester, MD, Lee L Swanstrom, MD. Portland Providence Medical CenterINTRODUCTION: Per-Oral Endoscopic Myotomy (POEM) is now a well accepted treatment for esophageal achalasia. Optimal treatment for symptomatic patients with non-achalasia motility disorders (NAD)… Continue Reading
Long term follow up of patients undergoing endoscopic intervention for abdominal pain with minimal biliary ductal dilation and without stone disease or malignancy
Garrett F Mortensen, MD, Neal Bhutiani, MD, Amber N Brown, Vladimir Davidyuk, MD, Hannah Palin, Michael H Bahr, MD, Gary C Vitale, MD. University of LouisvilleBackground: Biliary colic after cholecystectomy in patients with minimal biliary ductal dilation and no evidence of biliary stones or malignancy represents a difficult clinical situation. While endoscopic methods can be… Continue Reading
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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
Intraluminal Zenker’s Diverticulectomy
Jessica Ardila-Gatas, MD, Matthew Allemang, MD, James Villamere, MD, Matthew Kroh, John Rodriguez, Jeffrey Ponsky. Cleveland ClinicIntroduction: Zenker's diverticulum is a false diverticulum in the upper esophagus. Symptoms include dysphagia, regurgitation of food and foul breath. Diagnosis is made with a barium swallowing exam and treatment is surgical. Open and endoscopic techniques have been described.… 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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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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Impact of Full-spectrum endoscopy on pathological lesion detection in different regions of the colon: randomised controlled trial.
Artur Pasternak, MD, PHD, Miroslaw Szura, MD, PhD, Solecki Rafal, MD, PhD, Pawel Bogacki, MD. Jagiellonian University Medical CollegeColonoscopy is crucial to detect and localize pathological lesions within the colon. Its quality is defined by a number of parameters such as cecal intubation rate (CIR), withdrawal time, adenoma detection rate (ADR) and polyp detection rate… Continue Reading