HYBRID TRANSGASTRIC APPROACH FOR THE TREATMENT OF PATHOLOGIES OF THE GASTROESOPHAGEAL JUNCTION
Cristians A Gonzalez, MD1, Jung-Myun Kwak, MD1, Federico Davrieux, MD1, Ryohei Watanabe, MD2, Jacques Marescaux, MD, FACS, HON, FRCS, HON, FJSES, HON, FASA2, Lee L Swanstrom, MD, FACS, FASGE, Hon, FRCS1. 1IHU-Strasbourg Institute for Image-Guided Surgery (Strasbourg, France), 2IRCAD, Research Institute against Cancer of the Digestive System (Strasbourg, France)INTRODUCTION: Flexible endoscopy has evolved to include… Continue Reading
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HYBRID ENDOLUMINAL STAPLED PYLOROPLASTY: AN ALTERNATIVE TREATMENT OPTION FOR GASTRIC OUTLET OBSTRUCTION SYNDROME
Cristians A Gonzalez, MD1, Jung-Myun Kwak, MD1, Federico Davrieux, MD1, Ryohei Watanabe, MD2, Jacques Marescaux, MD, FACS, HON, FRCS, HON, FJSES, HON, FASA2, Lee L Swanstrom, MD, FACS, FASGE, Hon, FRCS1. 1IHU-Strasbourg, Institute for Image-Guided Surgery (Strasbourg, France), 2IRCAD, Research Institute against Cancer of the Digestive System (Strasbourg, France)INTRODUCTION: Gastroparesis is a rapidly increasing problem… Continue Reading
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Gastric Band Erosion: Endoscopic Approach for Treatment
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Marcos Michelotti, MD, FACS, Keith R Scharf, DO, FACS, FASMBS. Loma Linda University HealthThe Fobi pouch gastric bypass technique was first performed in 1998 and includes a silastic banded gastric pouch. One complication of these prosthetic… Continue Reading
Feasibility of laparoscopic surgery using a flexible endoscopic surgery system: preliminary results from animal experiments.
Norihito Wada, MD, PhD, FACS1, Kyoko Okuda, MA1, Kazumi Kuboi, RN1, Hirofumi Tanaka2, Tetsushi Ito3, Takuya Miyazaki4, Yoshihiko Himura4, Yuko Kitagawa, MD, PhD, FACS1. 1Department of Surgery, Keio University School of Medicine, 2Kawasaki Heavy Industries, Ltd., 3Medicaroid Corporation, 4Top CorporationINTRODUCTION: Robot-assisted surgery allows surgeons to perform many types of complex laparoscopic surgical procedures. More and… Continue Reading
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ESOPHAGEAL SALVAGE USING STENTS AFTER FAILURE OF PRIMARY SURGICAL REPAIR OF PENETRATING TRAUMA
Kevin L Chow, MD, Hassan Mashbari, MD, Mohannad Hemdi, MD, Eduardo Smith-Singares, MD. University of Illinois at ChicagoIntroduction: Esophageal trauma represents an uncommon but potentially catastrophic injury with a reported overall mortality of up to 20%. The management of iatrogenic and spontaneous perforations have been previously described with well-established guidelines which have been mirrored in… Continue Reading
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Endosuture Revision of Gastrojejunostomy for Weight Regain and Late Dumping Syndrome Following Roux-en-Y Gastric Bypass Surgery
Keith J King, MD, Ragui Sadek, MD, FACS, Andrew M Wassef, BS, Adam Rizkalla, BS. Rutgers Robert Wood Johnson Medical SchoolAlthough Roux-en-Y gastric bypass (RYGB) surgery results in an excess weight loss reported between 65% and 85%, many studies have noted weight regain outside of 18-24 months postoperatively. One possible explanation is dilation of the… Continue Reading
Endoscopically Managing Complications Following Gastro-gastric Fistula Takedown
Ryan M Juza, MD, Vamsi Alli, Ann M Rogers, Eric M Pauli, MD. Penn State Hershey Medical CenterAdvanced endoscopic therapies and intraoperative fluoroscopy can be used in a multimodal fashion to effectively manage complications in revisional bariatric surgery. Our video demonstrates the use of a number of such therapies to manage the complex case of… Continue Reading
Endoscopic Sleeve Gastroplasty
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemEndoscopic sleeve gastrectomy (ESG) utilizes an endoscopic suturing device to plicate the greater curve of the stomach. This results in a residual tube-like stomach that resembles the anatomy of a laparoscopic sleeve gastrectomy. The procedure begins by marking lines on… Continue Reading
ENDOSCOPIC RETROFLEXED BALLOON DILATION OF THE GE JUNCTION
Andrew W White, MD, Carl Westcott, MD. Wake Forest Baptist Medical CenterINTRODUCTION: Endoscopic balloon dilation of the gastroesophageal junction (GEJ) is generally limited to 20mm in diameter. In many stenotic or spastic disorders of the GEJ 20mm is just not big enough. Larger balloon sizes are available (30 and 40mm), although these are deployed under… Continue Reading
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Endoscopic Resection of an Esophageal Submucosal Leiomyoma
Patrick B Schwartz, MD, Jacob A Greenberg, MD, EdM, Amber L Shada, MD. University of Wisconsin Hospitals and ClinicsThis is a case of a 62-year-old female with dysphagia and regurgitation for 3 years, referred from gastroenterology with endoscopic and radiographic imaging findings concerning for a submucosal esophageal leiomyoma versus gastrointestinal stromal tumor. Endoscopic ultrasound with… Continue Reading
Endoscopic Removal of Eroded Adjustable Gastric Band
Matthew T Allemang, MD, Andrew Strong, MD, Jeffrey L Ponsky, MD, Matthew Kroh, MD, Philip Schauer, MD, John Rodriguez, MD. Cleveland Clinic FoundationThe following is a presentation of 2 cases of eroded adjustable gastric bands for bariatric surgery. These were removed using a novel endoscopic only technique that is described and shown in the following… Continue Reading
ENDOSCOPIC MANAGEMENT OF A COMPLEX GASTROJEJUNAL AND PANCREATIC LEAK FOLLOWING PANCREATICODUODENECTOMY
Patrick J Sweigert, MD, Kamthorn Yollsuriyanwong, MD, Gerard Abood, MD, FACS, Bipan Chand, MD, FACS, FASMBS, FASGE. Loyola University Medical CenterBackground: Pancreaticoduodenectomy (PD) remains the mainstay of surgical treatment of malignant periampullary disorders. Despite technological advances, the procedure continues to be associated with relatively high complication rates, including leakage from the pancreaticojejunostomy (PJ) and resultant… Continue Reading
ENDOSCOPIC LUMINAL STENTS FOR TREATMENT OF COMPLICATIONS FOLLOWING BARIATRIC SURGERY
Aimal Khan, MD, Jason Howard, MD, Alfred Trang, MD, Renee Tholey, MD, Ramsey M Dallal, MD. Einstein Healthcare NetworkINTRODUCTION: Endoscopic stents have been used to treat bariatric surgery complications; however, data is lacking in the indications and efficacy. METHODS: A single institutional retrospective observational trial spanning 10 years of all bariatric surgery complications managed with… Continue Reading
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Endoscopic Guided Gastrojejunostomy Formation (EGG)
Lawrence E Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD, William Hsueh, MD, Kelly David, MD, David Borgstrom, MD, John Nasr, MD. West Virginia UniversityWe present a procedural video of what we believe is the first ever endoscopic guided gastrojejunostomy formation (EGG) in a patient that had previous Roux-en-Y gastric bypass surgery. The patient presented… Continue Reading
DUODENAL STENTING IS CLINICALLY EFFECTIVE FOR THE MANAGEMENT OF FISTULOUS OUTPUT AFTER COMPLEX PANCREATICODUODENAL TRAUMA: A MATCHED CASE-CONTROL STUDY
Hassan Mashbari, MD, Kevin L Chow, MD, Mohannad Hemdi, MD, Kirstie K Danielson, PhD, Eduardo Smith-Singares, MD. University of Illinois at ChicagoIntroduction: Complex pancreatic and duodenal injuries due to trauma continue to present a formidable challenge to the trauma surgeon with a described mortality of 5-30% and morbidity of 22-27%. Duodenal fistula formation subsequent to… Continue Reading
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