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
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
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
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
Per Oral Pyloromyotomy (POP) for Delayed Gastric Emptying after Sleeve Gastrectomy
Matthew J Davis, MD, Camila B Ortega, MD, Alfredo D Guerron, MD. Duke University Health CenterWe present a patient status post sleeve gastrectomy who developed delayed gastric emptying. Per oral pyloromyotomy was performed with resolution of her symptoms. The video presents the case and describes our technique.Presented at the SAGES 2017 Annual Meeting in Houston,… Continue Reading
Per Oral Pyloromyotomy: Technical Pearls
Marita Bauman, MD, Jeffrey Ponsky, MD, Matthew Kroh, MD, James Villamere, MD, Kevin El-Hayek, MD, John H Rodriquez, MD. Cleveland Clinic FoundationPer-oral pyloromyotomy, also known as POP, is an innovative treatment for mecially refractory gastroparesis. This video describes the technical pearls learned during the initial 100 cases of per-oral pyloromyotomy at a single center.Presented at the… Continue Reading
POEM Procedure : Presence of Anatomical Landmarks
Michelle Savu, MD1, Ashish Sharma, MD2, Haruo Ikeda, MD2, Joshua Tuason, MD2, H Ominami2, K Kono, MD2, Haru Inoue, MD, PhD2. 1BJU, 2Showa University, Toyosu , Tokyo JapanIntroduction: Since its inception in 2008, POEM has become a viable procedure for the treatment of achalasia and esophageal dysmotility disorders. However many institutions are in the beginning… Continue Reading
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Posterior Approach to POEM for Esophageal Diverticula
William D Gerull, BS, Jeffrey Blatnik, MD, Michael M Awad, MD, PhD. Washington University School of MedicineThe patient is a fifty-five year old female with a four year history of retrosternal pain while eating and dysphagia to solid foods at every meal. She denies any regurgitation or weight loss, and has an Eckardt score of… Continue Reading
Put a Stent in it: Alternative Techniques in Endoscopic Stenting
Yael Marks, MD, Julio Teixeira, MD. Lenox Hill HospitalIntroduction: Although endoscopic stenting for leaks after sleeve gastrectomy can often be easily accomplished by fluoroscopic guidance, anatomoy, strictures, adhesions and other factors can significantly impact the ease and efficiency of stent placement. This video demonstrates alternative techniques of endoscopic stent placenement in complex situations including fluoroscopic… Continue Reading
Real-time Diagnosis of Barrett’s Esophagus: A Prospective, Multicenter Trial Comparing Confocal Laser Endomicroscopy with Conventional Histology for the Identification of Intestinal Metaplasia in Novice Users
Cory Richardson, MD1, Paul Colavita, MD2, Christy Dunst, MD3, John Bagnato, MD4, Peter Billing, MD5, Kurt Birkenhagen, MD6, Francis Buckley, MD7, William Buitrago, MD8, Joseph Burnette, MD4, Phil Leggett, MD8, Howard McCollister, MD9, Kurt Stewart, MD5, Thomas Wang, MD8, Alvin Zfass, MD10, Paul Severson, MD9. 1Northwest Institute for Digestive Surgery, 2Carolinas Medical Center, 3The Oregon… Continue Reading
Regression of Anal and Scrotal Squamous Cell Carcinoma (HPV Related) with Imiquimod
F Andrew Morfesis, MD. Highsmith HospitalIndex patient is a 48 year old HIV positive homosexual man with anal-scrotal condylomas (AIN) initially resected in 2012, then treated with radiation in 2014 for recurrence. Recurred in 2016 with changes severe enough to "...consider diagnosis of invasive squamous cell carcinoma...". Patient elected trial of Imiquimod 5% cream three… Continue Reading
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Results of the Ovesco-Over-Overstitch Technique for Managing Bariatric Surgical Complications
Vamsi V Alli1, Andrew T Strong, MD2, Matthew T Allemang, MD2, Matthew Kroh, MD2, Eric M Pauli, MD1. 1Penn State - Milton S. Hershey Medical Center, 2Cleveland Clinic FoundationIntroduction: Endoscopic management of bariatric surgical complications is commonplace, including the management of leaks and fistulae. Large or complex full-thickness gastrointestinal (GI) tract defects often require multisession… Continue Reading
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Simultaneous Endoscopic Gastrostomy closure and PEG Replacement after Early Accidental Removal
Matthew Mayuiers, MD, Charles E Lucas, MD, Choichi Sugawa, MD. Wayne State University, Department of SurgeryIntroduction: Since 1980, the preferred method of enteral access has been the percutaneous endoscopic gastrostomy tube (PEG). Accidental removal is a common complication associated with excessive cost and possible significant morbidity. Removal prior to 14 days is considered "early removal."… Continue Reading
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Submucosal tunneling endoscopic resection of an esophageal leiomyoma
Julietta H Chang, MD, David Berger, MD, Ozanan Meirelez, MD. Massachusetts General HospitalSubmucosal tunneling endoscopic resection (STER) is modeled on the same principals as per-oral endoscopic myotomy. It uses the principles of creating a submucosal tunnel to reach a muscular target in order to maintain integrity of the esophageal lumen and prevent mediastinitis. STER has… Continue Reading
TRANSGASTRIC ENDOSCOPIC DRAINAGE OF A PERIPANCREATIC ABSCESS FROM A BBQ BRUSH BRISTLE GASTRIC PERFORATION
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryIntroduction: Oropharyngeal and Gastrointestinal (GI) perforations from BBQ brush bristles are being reported in the literature with increasing frequency. Media attention to this problem has increased awareness by the public. Most commonly, BBQ bristles lodged in the GI tract… Continue Reading
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