The Preoperative Endoscopic Drainage in the Malignant Obstructive Jaundice
Konstantinos S Mammas, MD, MSc, PhD, Demetrios S Lappas, MD, PhD, Andreas Polydorou, MD, PhD, Vasileios Smyrniotis, MD, PhD. National and Kapodistrian University of Athens, Aretaieion University Hospital of Athens , Surgical Laboratory Prof.C.Tountas. Background: Preoperative biliary drainage (PBD) in Malignant Obstructive Jaundice (MOJ) remains controversial.Aim: This project is a meta-analysis that compares the impact… Continue Reading
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Two-stage optical system for colorectal polyp assessement.
Miroslaw Szura, PhD, Krzysztof Bucki, PhD, Artur Pasternak, PhD, Andrzej Matyja, PhD, Jan Kulig, PhD. Jagiellonian University. Macroscopic evaluation of the degree of invasion of colorectal polyps allows to choose the most adequate method of endoscopic treatment. Narrow Band Imaging is a new image enhancement system employing optic digital methods to enhance images of blood… Continue Reading
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Is 10 Years Too Long? Development of Interval Colorectal Cancer Despite Following Recommended Colonoscopic Guidelines
Eric M Changchien, MD, Melinda Hawkins, MD, Michelle E Murday, MD, John A Griffin, MD. St Mark's Hospital, Salt Lake City, Ut. Background: Colorectal cancer is a leading cause of cancer mortality. Screening protocols have led to decreases in the incidence of colorectal cancer. Currently, average-risk individuals are recommended to undergo colonoscopy every 10 years… Continue Reading
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Intraoperative endoscopy may decrease post operative leak & stenosis in gastric bypass and sleeve gastrectomy
Mohamed B Al Hadad, MD, Nidal Dehni, MD, Abdelrahman A Nimeri, MD. Division of general, thoracic and vascular surgery Sheikh Khalifa Medical City managed by Cleveland clinic. Introduction: Morbid obesity is a global epidemic and bariatric surgery in the only available long term solution. Laparoscopic Roux en Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy… Continue Reading
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Implementation of Direct Peroral Cholangioscopy for Common Bile Duct Stones
Jonathan Leunbach, MD, Jan M Krzak, MD, Einar Pahle, MD, PhD. Department of Surgery, Viborg Hospital, Viborg, Denmark. OBJECTIVE: To evaluate the process and the initial results of implementing Direct Peroral Cholangioscopy (DPC) as a new treatment modality in patients with common bile duct stones refractory to retrieval by conventional Endoscopic Retrograde Cholangiopancreatography (ERCP). METHODS:… Continue Reading
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Tailored Minimally Invasive Treatment of Biliary Leaks
Jan M Krzak, MD, Ada M Krzak, Poul Bak Thorsen, MD, PhD, Miroslaw Szura, MD, PhD, Lars Stig Jorgensen, MD. Department of Surgery, Sygehus Lillebaelt, Kolding, Denmark. OBJECTIVES The goal of this study was to find the most optimal treatment for biliary leaks after a surgery. METHODS Records from secondary referral centre ERCP database of… Continue Reading
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Endoscopic Management of Postoperative Esophageal Strictures
Edip Akpinar, MD, Sheila C. Marmalojes, MD, Mohamed S. Alshal, MD, Jc Jimenez, MD, D Horkan, MD, Ja Astudillo, MD, Jose M. Martinez, MD, FACS. Department of LaparoEndoscopic Surgery, University of Miami, Miami, FL. Background: Postoperative esophageal strictures may happen in 30% of patients at the anastomotic site following reconstruction for esophagectomy using gastric or… Continue Reading
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Case Report: Use of a Stent to Treat a Colonic Anastomotic Leak
Sarah J Lippert, MD, Philip L Leggett, MD, Howard B Hamat, MD, Javier Nieto, MD. The University of Texas Medical School at Houston. Anastomotic leaks are a serious complication in colorectal surgery that often require operative intervention and fecal diversion. Use of uncovered self-expanding metal stents in the colon has gained wide acceptance, especially in… Continue Reading
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Sedation and bowel preparation for colonoscopy in elderly: A nationwide survey in Ireland.
Hytham Hamid, Mr, Adeel Zafar, Mr, Brian Egan, Dr, Luke O'Donnell, Dr, Iqbal Khan, Mr. Departments of Surgery and Gastroenterology, Mayo General Hospital, Ireland.. Background and Aims: The practice of colonoscopy in elderly is not standardized in Europe. Recent European Society of Gastrointestinal Endoscopy (ESGE) guidelines are concerned primarily with safety aspects of the procedure… Continue Reading
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Surgical Outcomes of Lateral Transperitoneal Adrenalectomy and Posterior Retroperitoneoscopic Adrenalectomy in Consecutive Patients by a Single Surgeon
Young Jun Chai(1), MD, Soon Young Tae(1), MD, Heeseung Lee(1), MD, Yong Joon Suh(1), MD, Jung-Woo Woo(1), MD, Se Hyun Paek(1), MD, Su-jin Kim(1), MD, Jun Young Choi(2), MD, Kyu Eun Lee(1), MD, PhD, Yeo-Kyu Youn(1), MD, PhD. (1)Department of Surgery,Seoul National University Hospital and College of Medicine,Seoul,Korea, Division of Surgery,Thyroid Center,Seoul National University Cancer… Continue Reading
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Self Expandable Metal Stents (sems) as an Alternative Treatment Option in Perforated Duodenal Ulcers, Comparison with Surgery
Per-Ola Park, Professor, Jorge Alberto Arroyo Vazquez, MD, Gina Nesouli, MD, Maria Bergstrom, MD, PhD. Dept of Surgery, South Alvsborg Hopital, Boras, Sweden, Gothenburg University, Gothenburg Sweden. Introduction The objective of this study was to compare a new treatment method using stent-placement with the traditional surgical suture for perforated duodenal ulcers. Standard treatment for perforated… Continue Reading
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Economic Impact of Per Oral Endoscopic Myotomy Versus Laparoscopic Heller Myotomy and Endoscopic Pneumatic Dilation
Michael P Meara, MD, MBA, Kyle A Perry, MD, Jeffery W Hazey, MD. The Ohio State University Wexner Medical Center. BACKGROUND: Per Oral Endoscopic Myotomy (POEM) has proven to be a viable therapeutic modality for the treatment of idiopathic achalasia. Cost data has not been reported which evaluates the cost of POEM. The purpose of… Continue Reading
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Endoscopic suture fixation of gastroesophageal stents with and without submucosal injection in a porcine model
Victor T Wilcox, MD, Brian J Dunkin, MD, FACS, Nabil Tariq, MD, FACS, Albert Y Huang, MD, Patrick R Reardon, MD, FACS. Methodist Institute for Technology, Innovation & Education (MITIE). BACKGROUND: Self expanding metal stents (SEMS) are useful for treating leaks after bariatric or upper gastrointestinal (GI) surgery. Stent migration is common, however, occurring in… Continue Reading
Endoscopic Management of Silastic Ring Gastric Erosion
Juan P Toro, MD, Nathaniel W Lytle, MD, Ankit D Patel, MD, S. Scott Davis Jr., MD, Edward Lin, DO, MBA. Department of Surgery, Emory University. Atlanta, GA. Silastic rings have been used to control the outlet of the gastric pouch avoiding dilation and subsequent weight regain. However, this may result in different complications like… Continue Reading
Endoscopy assisted laparoscopic intragastric surgery for stromal tumor
Hussein Wissanji, MD, Jean-Pierre Gagne, MD. University Laval. Introduction: Mesenchymal tumors constitute 1 % of primary GI cancer. Surgical treatment of gastric gastrointestinal stromal tumor (GIST) is the only known curative therapy. Traditionally, management involves a wedge resection. A problematic exists for tumor located at gastric cardia due to the proximity of the lower… Continue Reading