Laparoscopic Sleeve Gastrectomy in a Patient with Complete Situs Inversus
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaSitus inversus is a rare condition with an estimate incidence of 1 in 10000 people. This video demonstrates the feasibility of performing a longitudinal sleeve gastrectomy on a patient with situs inversus.… Continue Reading
Laparoscopic sleeve gastrectomy with concurrent splenectomy for massive splenomegaly
Pearl Ma, MD, Salim Abunnaja, MD, Ike Akusoba, MD, Ariel Shuchleib, MD, Daniel Swartz, MD, Keith Boone, MD, Kelvin Higa, MD. University of California-San Francisco FresnoSimultaneous laparoscopic sleeve gastrectomy with concurrent splenectomy presents a technical challenge to minimally invasive surgeons. We present a case of a 63 year old female who had a history of… Continue Reading
Laparoscopic total gastrectomy, take down of prior duodenojejunostomy and Roux-en-Y esophagojejunostomy
Tariq Almerey, MD, Javier Arreaza, MD, Horacio J Asbun, MD. Mayo Clinic FloridaIntroduction: Familiar adenomatous polyposis (FAP) is the most common inherited adenomatous polyposis syndrome and is caused by a germline mutation of the APC tumor suppressor gene. The average age of onset of polyposis in FAP is 16 years and is primarily characterized by… Continue Reading
- Topic:
- Foregut
Laparoscopic Transgastric ERCP: Double Wire Technique to Ease Biliary Cannulation
Gabriel Arevalo, MD, Jeffrey Marks, MDFACSFAGS. UH Cleveland Medical CenterOne of the known reasons for difficult biliary cannulation during ERCP is altered anatomy such as in RYGBP. One of the approaches to access the papilla in this group of patients is laparoscopic transgastric ERCP. Although a reliable and highly successful technique, there are several factors… Continue Reading
LAPAROSCOPIC TRANSGASTRIC SUBMUCOSAL DISSECTION
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Filippo Filicori, MD1, Ahmed M Zihni, MD, MPH1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Steven R DeMeester, MD, FACS2, Lee L Swanstrom, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicA case of a 68-yeay-old male with history of familial adenomatous polyposis… Continue Reading
LaparoThoracoscopic Esophagectomy, The Ivor Lewis Procedure
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Matthew Lange, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaWe present the case of a 57 year old man with PMH significant for progressive dysphagia (initially to solids and progressed to liquids) and esophagitis with esophageal stricture that was not amendable to… Continue Reading
- Topic:
- Foregut
Novel Combination technic of laparoscopic and left thoracoscopic for gastroesophageal junction cancer
Yo Kurashima, MD, PhD. Hokkaido UniversityIntroduction: The number of Gastroesophageal junction cancer has been increasing in recent years, however the consensus has not yet been reached on the range of optimal lymph node dissection. In addition, the approach to lower mediastinal lymph node dissection and reconstruction has some options as laparoscopic and thoracoscopic surgery for… Continue Reading
- Topic:
- Foregut
Optimizing Sleeve Gastrectomy Technique Using Near Infrared Camera and Lighted Bougie
David Kelly, MD, Salim Abunnaja, MD, Lawrence Tabone, MD, David Borgstrom, MD, Nova Szoka, MD. West Virginia UniversityThis video demonstrates how laparoscopic sleeve gastrectomy technique can be improved with the use of a near infrared camera and a lighted bougie. This is a novel technique, as the near infrared camera is used without concurrent indocyanine… 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
PARAESOPHAGEAL HERNIA ASSOCIATED WITH POSTERIOR SLIPPAGE OF GASTRIC BAND
William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon ClinicThis video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due… Continue Reading
- Topic:
- Foregut
Paraesophageal hernia repair pearls and pitfalls: early recurrence and how to avoid it.
L. Renee Hilton, MD1, Andrew J Duffy, MD, FACS2, Kurt E Roberts, MD, FACS2. 1Augusta University, 2Yale UniversityEarly recurrence of paraesophageal hernias following repair is an infrequent complication but can result in significant morbidity or even mortality when it occurs. When an early complication arises it is important to be able to recognize the signs… Continue Reading
- Topic:
- Foregut
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
Purely Laparoscopic Extended Right Hemihepatectomy for Hepatocellular carcinoma with Bile Duct Tumor Thrombus
Kil Hwan Kim, MD, YoungRok Choi, MD, Ho-Seong Han, MD, PhD, Yoo-Seok Yoon, MD, PhD, Jai Young Cho, MD, PhD. Seoul National University Bundang Hospital, KoreaBackground: Laparoscopic liver resection was first introduced in the 1990s and has been performed throughout the world. Since then, surgical techniques & instruments related with laparoscopic surgery have greatly advanced.… 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
Refractory Reflux and Weight Regain after Sleeve Gastrectomy: What Happens When Patient Does Not Want Conversion to Bypass?
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Keith R Scharf, DO, FACS, FASMBS, Marcos Michelotti, MD, FACS. Loma Linda University HealthWe present the case of a 49-year-old female who is status post sleeve gastrectomy presenting 2 years ago, now presented with de novo… Continue Reading