Esophageal Mucosal Resection Diagnostics
INTRODUCTION: Endoscopic four-quadrant forceps biopsy of esophageal dysplasia can be inaccurate due to sampling of Session: Podium Presentation Program Number: S080 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Physiologic Impact of Prolonged Intra-luminal Insufflation
PHYSIOLOGIC IMPACT OF PROLONGED INTRA-LUMINAL INSUFFLATION.Cedric S.F. Lorenzo MD, Thai H. Pham MD, Kyle A. Perry MD, Blair A. Jobe MD, John G. Hunter MD, Charles R. Phillips MD, Robert O’Rourke MD. Department of Surgery; Oregon Health and Science University, Portland, OR.Introduction: Prolonged intra-luminal and intra-peritoneal insufflation with gas is a critical component of endoluminal… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES
Clinical Feasability of a New Colonic Access Device (megachannel™) for Interventional Procedures At Colonoscopy: A Prospective, Multicenter Trial
Background: Megachannel™ is a new colonic access system that was originally developed for colonoscopic appendectomy. Once in place, the reinforced wall protects the colon from perforation risks during rapid, multiple passes of the colonoscope to the right colon. The 20mm working channel allows the rapid and safe delivery of bulky instruments such as EUS, banders,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Clinical Results of Alternative Technique for N.o.t.e.s. Transvaginal Cholecystectomy
Objectives: Transvaginal NOTES is a new diagnostic and potentially therapeutic method of surgical endoscopy, and clinical experience is still limited. A preliminary experience with NOTES transvaginal method for cholecystectomy is described.Methods: IRB approval was obtained at the institution for transvaginal NOTES clinical trials. The technique of transvaginal NOTES cholecystectomy was clinically applied in 15patients with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Gynecologic Status After NOTES Transvaginal Cholecystectomy
Background: the development of NOTES procedures and its clinical application raise issues regarding the ways of access to the abdominal cavity. The transvaginal access through posterior colpotomy has been widely used by gynecologists for the treatment of several conditions and eliminates the disadvantages associated with other NOTES approaches ( transgastric, transrectal and trans-vesical). Objective: assessment… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Clinical Experience with a Multifunctional Flexible Surgery System for Endoluminal, Singe Port and NOTES Procedures
Introduction: Single port and incisionless surgical approaches hold the promise of fewer complications, reduced pain, faster recovery and improved cosmesis compared to traditional open or laparoscopic ones. The ability to select an access approach (i.e., endolumenal, single port, trans-vaginal or trans-gastric) with one platform may be important to optimizing individual patient results.We report our results… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Peritoneoscopy Does Not Lead to Increased Risk of Infectious Complications
Introduction: As the field of natural orifice transluminal endoscopic surgery (NOTES) develops it remains important to determine the risk of clinically significant bacterial contamination and infectious complications of the peritoneal cavity. We report herein the bacterial contamination of the peritoneum in patients undergoing transgastric endoscopic peritoneoscopy (TEP) during laparoscopic roux-en-y gastric bypass (LRYGB) to perform… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A Simple and Efficient Technique for Natural Orifice Translumenal Endoscopic Surgery (notes) Gastrotomy Closure Utilizing Endoscopic Clips and Loops Facilitated By Temporary Transfascial Sutures
Background: A current limitation in utilizing the stomach as a primary point of access for NOTES is the availability and reliability of the closure devices. The majority of devices described in recent reports are at an investigative or prototype only stage. Here we describe a reliable closure technique using readily available on-shelf endoscopic tools with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Defining the Host Immune Response to NOTES
Before natural orifice translumenal endoscopic surgery (NOTES) can be safely introduced for human use in the United States, several technical and physiologic factors need to be elucidated. Among these are the host systemic and peritoneal responses to inflammation. The inflammatory response to laparoscopy (LAP) has been well characterized, and has been shown to favorably alter… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Natural Orifice Transluminal Endoscopic Surgery (notes) in the Setting of Acute Abdomen:
OBJECTIVE:Laparoscopy has provided a means to assist in the decision-making process for patients with acute abdominal pain. Conditions such as appendicitis, diverticulitis, cholecystitis, small bowel obstruction, perforated viscous, endometriosis, and ovarian cysts can now be safely diagnosed and treated via laparoscopy. With Natural Orifice Transluminal Endoscopic Surgery(NOTES) considered as the next frontier in minimally invasive… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
The Cost of Achalasia: Quantifying the Effect of Symptomatic Disease on Patient Cost Burden, Treatment Time and Decreased Work Productivity
OBJECTIVES – Achalasia is an uncommon disease of esophageal motility, characterized physiologically by failure of the lower esophageal sphincter to relax upon swallowing, and the absence of effective peristalsis in the body of the esophagus. Although the incidence of achalasia is low, the burden of suffering is high because it is a chronic incurable disease… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Total Gastrectomy for Cardia Cancer with Esophageal Invasion
BACKGROUND: Total gastrectomy is the standard therapy for resectable gastric cancer, including cardia cancer. A number of cardia cancers are invasive to esophagus, which requires extensive resection of esophagus. In some cases, division of esophagus should be placed in thorax so as to secure margin of tumor. Division of esophagus and esophago-jejunostomy in Roux-en-Y anastomosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Collis-nissen Fundoplication in a Patient with Tracheoesophageal Fistula Repair with Recurrent Hiatal Hernia and Gastroesophageal Reflux
INTRODUCTION: A 6 year old with a history of a tracheosophageal fistula presents with a history problematic for recurrent hiatal hernias and severe gastroesophageal reflux. He underwent a laparoscopic Nissen fundoplication at 3 months of age. He had continued reflux and strictures and underwent a revision Nissen fundoplication with repair of a hiatal hernia at… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Expertise Increases Hospital Volume of Surgical Therapy for Achalasia
Laparoscopic Heller myotomy is the preferred approach for the treatment of achalasia. The purpose of our study was to evaluate the number of laparoscopic Heller myotomies performed before and after the implementation of a minimally invasive gastrointestinal surgical program (MIP) in 1998.A retrospective chart review was conducted on all patients who underwent laparoscopic Heller myotomy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Intra-operative Oesophageal Manometry As a Predictor of Post-operative Dysphagia
Intra-operative oesophageal manometry as a predictor of post-operative dysphagiaAuthors: Khan M, Elghellal K, Smythe A, Globe J, Ackroyd RInstitution:Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, U.K.AbstractBackground:Many trials have undertaken Intra-oesophageal manometry (IEM) as a measurement of adequacy of fundoplication. The aim of this pilot study was to assess the value of IEM in predicting… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery