Endoscopic Gastrojejunal Revision (Transoral Outlet Reduction) for Persistent Hypoglycemia after Gastric Bypass
Eliza A Conaty, BS, Stephanie M Novak, MA, Rod Avitia, Bailey Su, MD, John G Linn, MD, Michael B Ujiki, MD. NorthShore University HealthSystemThis video is a case study of an endoscopic gastrojejunal revision (EGJR) done for persistent postoperative hypoglycemia. The patient is a 61 year old female, who had undergone Roux-en-Y Gastric Bypass twelve… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic lateral neck dissection (IIa, IIb, III and IV) via a breast approach
Rui Qu1, Youming Guo1, Daosheng Liu1, Daniela Treitl2, Quan-Yang Duh2. 1First People's Hospital of Zunyi, 2University of California, San FranciscoBackground: Endoscopic thyroidectomy has been adopted because it can avoid neck scarring. However, there are seldom reports concerning completely endoscopic lateral neck dissection approaches. In our institute, we explored a technique for performing endoscopic thyroidectomy with… Continue Reading
- Topic:
- Robotics
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
Endoscopic Resection of a Large Mediastinal Esophageal Leiomyoma
Kelly R Haisley, MD, Kevin Reavs, MD, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Missy Desouza, MD, Christy Dunst, MD, Lee Swanstrom. Providence Portland Medical CenterIntroduction: In this video, we review a case of the complex endoscopic removal of a large esophageal leiomyoma by a submucosal resection technique extending into the mediastinum. Background: The patient is a… Continue Reading
Endoscopic Septotomy & Dilation of Chronic Sleeve Gastrectomy Leak
David C Kelly, MD, MHA, MS, Salim Abunnaja, MD, Lawrence Tabone, MD, John Nasr, MD, Nova Szoka, MD. West Virginia UniversityLeak following laparoscopic sleeve gastrectomy is a common complication with incidence rates of 0.5-2.2%. Most leaks resolve quickly with conservative measures but some may persist for weeks to months. Management of persistent and chronic leaks… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic Thyroidectomy: The Dawn of New Era ?
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Amarjeet E Tandur, MS, Girish D Bakhshi, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Eham L Arora, MS, DNB, Shekhar Jadhav, MS, Jalbaji P More, MS, Jai Rathore, MBBS, Priyanka Saha, MBBS, Soumya Chatnalkar, MBBS. Grant Government… Continue Reading
- Topic:
- Minimally Invasive Other
ESD and TAMIS: An Adaptive Customized Approach
Ipek Sapci, Emre Gorgun. Cleveland ClinicIn this case we demonstrate the hybrid approach with endoscopic submucosal dissection and TAMIS of a 60 mm rectosigmoid polyp. Using ESD followed by TAMIS, the lesion was resected in an en bloc fashion and the patient was discharged home the same day with no complications.Intraoperative challenges with either technique, for… Continue Reading
- Topic:
- Colorectal
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
ICG image–guided laparoscopic complete mesocolic excision with central vascular ligation for transverse colon cancer using pincer manuever
Goutaro Katsuno, MD, PhD1, Yasuhiko Nakata, MD, PhD1, Nobuyuki Kubota, MD, PhD1, Teruo Kaiga, MD, PhD1, Takao Mamiya, MD1, Naoaki Shimamoto, MD1, Hidetaka Arima1, Shuichi Sakamoto, MD, PhD2. 1Mitsuwadai General Hospital, 2Sakamoto ClinicIntroduction: Laparoscopic (LAP) complete mesocolic excision (CME) with central vascular ligation (CVL) is technically difficult on transverse colon cancer. The main reason for… Continue Reading
- Topic:
- Colorectal
Initial Single Port Robot Experience in Colorectal Surgery
John Marks, MD, Jean Salem, MD, Jonathan Josse, MD, Brigitte Anderson, BS, Henry Schoonyoung, MD. Lankenau Medical CenterThis video demonstrates the first North American use of the Single Port (SP) DaVinci Robot, in the performance of a colonic resection. The patient is a 53 year old male presenting for elective anterior resection for diverticulitis. The patient… Continue Reading
- Topic:
- Robotics
INTRA-OPERATIVE ENTEROSCOPIC POLYPECTOMY- AN INNOVATIVE APPROACH
Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Nidhisha Sadhwani, MBBS1, Waqar Ansari, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES1, Amol Wagh, MS, FICS, FBMS, FALS, FMAS1, Shekhar Jadhav, MS, FMAS1, Eham Arora, MS1, Prashant Rahate, MS, FMAS, FALS2, Raj Gajbhiye, MS1, Shivang Shukla, MBBS2. 1Grant Government Medical College & Sir J.J. Group of… Continue Reading
- Topic:
- Minimally Invasive Other
Intraoperative Endoflip: Real-time Assessment of Myotomy Adequacy
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, David C Kunkel, MD, Santiago Horgan, MD. UC San DiegoDysphagia following foregut surgery often presents a challenge in management.… Continue Reading
- Topic:
- Foregut
INVERTING THE Y-AXIS: THE FUTURE OF ABDOMINAL WALL RECONSTRUCTION IS UPSIDE DOWN
Noah B Zuker, MD, FACS, Michael R Oakley, MD. Claxton-Hepburn Medical CenterMinimally invasive abdominal wall reconstruction continues to evolve with technological advancement. This video describes a useful method for modified robotic retrorectus hernia repair with improved visualization and surgeon ergonomics. The use of an inverted camera image is demonstrated with reassignment of the surgical instruments… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Approach to Intussusception After Roux-en-Y Gastric Bypass
Selwan D Barbat, MD, Abdelrahman A Nimeri, MD, FACS, FASMBS, Timothy S Kuwada, MD, FACS, FASMBS, Keith S Gersin, MD, FACS, FASMBS. Carolinas Weight Management & Wellness CenterBackground: Intussusception after Roux-en-Y gastric bypass is a rare, but critical event that has an incidence of 0.1 to 0.3%. There have been only a few case series… Continue Reading
- Topic:
- Metabolic / Obesity