Gastric Per Oral Pyloromyotomy for Post-Vagotomy Induced Gastroparesis Following Esophagectomy
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FASC, FASGE. Case Western Reserve UniversityIntroduction: Delayed gastric emptying occurs in approximately 15-30% of patients following thoracoabdominal esophagectomy. This is predominantly due to inherent vagotomy. Patients have a decreased quality of life secondary to persistent nausea and intolerance of oral intake. Management options include dietary modifications,… Continue Reading
ENDOSCOPIC MANAGEMENT OF RECURRENT ANASTOMOTIC LEAK FOLLOWING CHEMOTHERAPY AFTER COLORECTAL SURGERY
David J Morrell, MD, Kevin J Mckenna, MD, Evangelos Messaris, MD, PhD, Eric M Pauli, MD. Penn State Health Milton S. Hershey Medical CenterIntroduction: The standard therapy for free intraperitoneal anastomotic leaks consists of surgical revision, diversion, and drainage. We present a patient managed endoscopically utilizing the same surgical techniques of source control and drainage. Methods: Patient… Continue Reading
Endoscopic rescue of diverse surgical gastro-intestinal complications using the over-the-scope Padlock clip
Alfonso Lapergola, MD, Bernard Dallemagne, MD, Antonio D'urso, MD, Ludovica Guerriero, Didier Mutter, MD, PhD, FACS, Jacques Marescaux, MD, FACS, HonFRCS, HonFJSES, Silvana Perretta, MD, PhD. Department of Digestive and Endocrine Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital; Institut de Recherche contre les Cancers de l’Appareil Digestif (IRCAD) - IHU, Institute of Image-Guided SurgeryIn recent… Continue Reading
Giant Rectal ESD With Tissue Retraction: A Unique Approach
Sam K Sharma, James E East, Adam A Bailey. Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, U.K.INTRODUCTION: Hypothesis: The use of a novel endoscopic tissue retraction device was 1) feasible and 2) facilitated effective and efficient dissection of giant colonic polyps. Giant colonic polyps (>4cm diameter) are often treated by surgical resection. Endoscopic treatment options… Continue Reading
Control of a Bleeding Dieulafoy Ulcer at the Gastroesophageal Junction with a Full Thickness Over the Scope Suturing Device
Stephanie M Novak, MS, Zachary Callahan, MD, Rod Avitia, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of an endoscopic repair of a Dieulafoy Ulcer. The patient is a 73-year-old Hispanic female who presented multiple times with GI bleeding. She has a history of end-stage renal disease and is on hemodialysis. Her… Continue Reading
Management of various rectal lesions by using TAMIS.
Pramod Nepal, MD, Shinichiro Mori, MD, PhD, Yoshiaki Kita, MD, PhD, Kan Tanabe, MD, PhD, Kenji Baba, MD, PhD, Yasuto Uchikado, MD, PhD, Hiroshi Kurahara, MD, PhD, Takaaki Arigami, MD, PhD, Masahiko Sakoda, MD, PhD, Kosei Maemura, MD, PhD, Shoji Natsugoe, MD, PhD. Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine,… Continue Reading
Percutaneous Endoscopic Gastrojejunostomy Tube Placement: A Technique Using a Tapered Dilator within a Peel-away Sheath
Jaclyn Clark, MD, Lindsay O'Meara, CRNP, Jose J Diaz, MD. University of MarylandIn patients with gastric dysfunction who require nutritional support, jejunal feeding is a safe method for providing enteral nutrition. There are several approaches to place gastrojejunostomy (GJ) tubes, including percutaneous, open, radiologically-guided, endoscopic and various combinations of the above. It can often be… Continue Reading
Endoscopic placement of a GJ feeding tube as a one step procedure, a novel approach
Jason E Kuhn, DO, Robert Cunningham, MD, Jon Gabrielsen, MD, Anthony Petrick, MD, David Parker, MD. Geisinger Medical CenterGeisinger Medical Center is presenting a video submission for a novel endoscopic placement of a GJ feeding tube. Traditionally this tube is placed either in a two step endoscopic procedure, first with a PEG then removal after… Continue Reading
Endoscopic Vacuum Assisted Closure for Management of Leak Post Collis-Nissen
Stephanie Kerlakian, MD, Amy Murphy, DO, Katherine Meister, MD, Kevin Tymitz. TrihealthThis is a case report discussing Endscopic Vacuum Assisted Closure (E-VAC) management of a patient who developed a leak after laparoscopic hiatal hernia repair with collis gastroplasty and nissen fundoplication. This case discusses the events leading up to her surgery, her postoperative course and… Continue Reading
Laparoscopic-assisted Percutaneous Endoscopic Gastrostomy (PEG) tube placement in patient with unsuccessful attempt of PEG
Usah Khrucharoen, Greg Sacks, Yijun Chen, Erik P Dutson. UCLAIn this video, we demonstrated a technique of laparoscopic-assisted PEG tube placement in patient with unsuccessful attempt of PEG due to air-filled loops of colon positioned between the stomach and anterior abdominal wall. In this case, patient had a history of recurrent embolic strokes and swallowing disorder… Continue Reading
SIMETHICONE DECREASES BLOATING AND IMPROVES BOWEL PREPARATION EFFECTIVENESS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Muhammad Moolla, BSc, Jerry Dang, MD, Ashley Shaw, MD, Thuc Nhi T Dang, MD, Chunhong Tian, PhD, Shahzeer Karmali, MD, MPH, Richard Sultanian, MD, MSc. University of AlbertaIntroduction: We performed a systematic review and meta-analysis to determine if the addition of simethicone to bowel preparations prior to colonoscopy had an impact on bowel cleanliness and patient… Continue Reading
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NOVEL ROBOTIC TRANSANAL APPROACH TO EARLY RECTAL NEOPLASIA: A SINGLE SURGEON’S EXPERIENCE WITH THE MEDROBOTICS FLEX*TM COLORECTAL DRIVE
Ada E Graham, MD, Natalie Pudalov, Vincent Obias, MD. George Washington University HospitalIntroduction: Treatment for early rectal cancer has evolved from the total mesorectal excision with data to support local excision. The nonlinear anatomy of the rectum and distal colon make surgical access and visualization of these regions challenging given the linear nature of most instrumentation… Continue Reading
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The endoluminal treatment of tumor obstruction of UGI.
Yerlan Abdirashev, MD, Nurken Abdiyev, Sholpan Izmagambetova, MD, Amir Uzhakhov, MD. JSC “National Scientific center of surgery named after A.N. Syzganov’s”Aims: The severe and complicated malignant stenosis of UGI show up a difficult problem. The purpose is retrospective analysis of SEMS inserting to UGI cancer obstruction. Methods: From 2014 to 2018 we analyzed of… Continue Reading
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Salvage therapy for postoperative residual chest pain due to esophageal achalasia
Chiaki Sato, MD, PhD, Yusuke Taniyama, MD, PhD, Tadashi Sakurai, MD, PhD, Makoto Hikage, MD, PhD, Kai Takaya, MD, PhD, Takuro Konno, MD, PhD, Ken Koseki, MD, Ryohei Ando, MD, Takeshi Naitoh, MD, PhD, Michiaki Unno, MD, PhD, Takashi Kamei, MD, PhD. Dept of surgery, Tohoku Univ HospitalIntroduction: Chest pain is a common symptom of… Continue Reading
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IS IT TIME FOR GENERAL SURGEONS TO PLACE WIRELESS pH PROBE AT THE TIME OF INITIAL ENDOSCOPY FOR PATIENTS WITH GASTROESOPHAGEAL REFLUX SYMPTOMS?
Medhat Fanous, MD, FACS, Anja Jaehne, MD, Amanda Lambert, RN, David Lorenson, RN. Aspirus Iron River HospitalIntroduction: Patients with symptoms of Gastroesophageal reflux disease (GERD) are often given a trial of proton pump inhibitors (PPIs). Despite low diagnostic yield, esophagogastroduodoscopy (EGD) is usually offered when empiric treatment fails. When a pH study is warranted to confirm… Continue Reading
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- Posters