LAPAROSCOPIC PARAESOPHAGEAL HIATAL HERNIA REPAIR IN A 13 MONTH OLD INFANT
Amanda B Sosulski, MD1, Sathyaprasad Burjonrappa, MD, FACS2, Charles V Coren, MD, FACS1, Collin Brathwaite, MD, FACS2. 1NYU Winthrop, Stony Brook Medicine, 2NYU WinthropINTRODUCTION: Paraesophageal hiatal hernia (PHH), is an uncommon entity in infants with variable clinical presentation and symptomatology. Patients can be completely asymptomatic or more commonly have feeding difficulties or respiratory issues, rarely… Continue Reading
LAPAROSCOPIC LEFT HEPATECTOMY WITH DIRECT GLISSONIAN APPROACH IN A PATIENT WITH A PARTIALLY RUPTURED ADENOMA
Jose Julio R Monteiro Filho, MD, Paulo Jose M Macedo, MD. Private PracticeLaparoscopic hepatectomy is a new procedure with several technical options. We present a video showing our technique as we are doing it since 2007. In this case it's a 36 years old patient that presented with a subacute case of abdominal pain due… Continue Reading
Laparoscopic Heller Myotomy with Dor Fundoplication and Type III Hiatal Hernia Repair Can Be Performed Successfully in the Same Day Surgery Setting
Margaret Jackson, MD1, Farzaneh Banki2. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2McGovern Medical School at the University of Texas Health Science Center at Houston (UT Health). Memorial Hermann Southeast Esophageal Disease Center.Introduction: The reported length of stay after Heller myotomy is 1-4 days. The aim was to… Continue Reading
Laparoscopic Heller Myotomy for Pseudoachalasia after Failed Paraesophageal Hernia Repair
Julietta Chang, MD1, Ivy N Haskins, MD2, Arielle J Perez, MD3, Ajita S Prabhu, MD4, David M Krpata, MD4, Michael J Rosen, MD4. 1Massachusetts General Hospital, 2George Washington University, 3University of North Carolina, 4Cleveland Clinic FoundationAchalasia is a rare disease characterized by aperistalsis of the esophagus and incomplete relaxation of the lower esophageal sphincter due… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller myotomy for achalasia in a patient with cirrhosis and intra-abdominal varices as well as prior bowel resections for Crohn’s, what it is like to be in a mine-field.
Adrian Dobrowolsky, MD, Nikolai Bildzukewicz, MD. USC KeckWe Present to you a 55y M with h/o Crohn's disease who has undergone multiple bowel resections and Hepatitis C for 25 years and cirrhosis for 6 years and now esophageal varices who complains of worsening dysphagia over the last 6 months. Upper GI and manometry confirmed achalasia… Continue Reading
- Topic:
- Foregut
Laparoscopic Conversion of a Vertical Banded Gastroplasty to Sleeve Gastrectomy in a Morbidly Obese Patient with a Complicated Medical History
Cigdem Benlice, MD, Heath J Antoine, MD, Philip R Schauer, MD. Cleveland Clinic FoundationOur patient is a 58-year-old female with morbid obesity and a BMI of 41. Her past medical history was significant for hypertension, diabetes, and obstructive sleep apnea. She had initially undergone an open vertical banded gastroplasty and cholecystectomy in 2002 followed by… Continue Reading
- Topic:
- Foregut
Laparoscopic complete bursectomy with total gastrectomy for advanced gastric cancer at the posterior wall of stomach
Wei Wang, MD, Wenjun Xiong, MD, Lijie Luo, Yansheng Zheng, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineThe primary results of JCOG1001 had shown that bursectomy can be safely performed without increasing morbidity and mortality, but bursectomy can not improve 3-years survival for patients with advanced gastric cancer. However, the significance of bursectomy for advanced… Continue Reading
Intraluminal Zenker’s Diverticulectomy
Jessica Ardila-Gatas, MD, Matthew Allemang, MD, James Villamere, MD, Matthew Kroh, John Rodriguez, Jeffrey Ponsky. Cleveland ClinicIntroduction: Zenker's diverticulum is a false diverticulum in the upper esophagus. Symptoms include dysphagia, regurgitation of food and foul breath. Diagnosis is made with a barium swallowing exam and treatment is surgical. Open and endoscopic techniques have been described.… Continue Reading
INNOVATIVE APPROACH FOR THE REMOVAL OF A GIANT GASTRIC LIPOMA
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 50 year old obese female presenting with epigastric pain and UGI bleeding found to have a large… Continue Reading
HYBRID LAPARO-ENDOSCOPIC REMOVAL OF A MAGNETIC SPHINCTER AUGMENTATION DEVICE
Andrew T Strong, MD1, Michael Musso, DO2, Jonathon Wanta, BA3, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2OhioHealth Affinity Medical Center, 3Case Western Reserve University School of MedicineThis video describes a hybrid endoscopic and transgastric laparoscopic technique to remove a magnetic sphincter augmentation device discovered to be eroded into the lumen of the gastrointestinal tract at the… Continue Reading
- Topic:
- Foregut
HIATAL HERNIA CAUSING FAILURE TO THRIVE AFTER A SLEEVE GASTRECTOMY
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryThe repair of small hiatal hernias at the time of laparoscopic sleeve gastrectomy is controversial. Proponents of routine hiatal hernia repair do so to reduce the risk of gastroesophageal reflux disease in the post-operative period. We present a video… Continue Reading
- Topic:
- Foregut
EXPLORING SURGICAL OUTCOMES OR R4-5 THORACOSCOPIC SYMPATHECTOMY IN PRIMARY PALMAR HYPERHIDROSIS PATIENTS.
Isariya Jongekkasit, MD, Pornpeera Jitpratoom, MD, Angkoon Anuwong, MD, Soravith Vijitpornkul, MD, Warin Wachirapunyaukul, MD. Police General HospitalINTRODUCTION: Hyperhidrosis is a condition that result in body excessive and unpleasant sweating which mainly occurs on feet, hands, face, head, and underarms. Primary Hyperhidrosis (PH) carries serious implications for an individual’s quality of life. Thoracosopic Sympathectomy is… Continue Reading
Ex Vivo Bovine Model : A Diagnostic and Therapeutic Endoscopy Training Model
Jaspreet Sandhu, MD1, Carl Winkler, MD2, Xiaohong Yan, PhD2, Chandana Herath Mudiyanselage, PhD2, Vesna Cekic, RN2, Nipa Gandhi, MD2, Richard Whelan, MD2. 1Brookdale University Hospital Medical Center, 2Mount Sinai West HospitalIntroduction: Flexible endoscopy is an integral part of General and Colorectal Surgery. The American Board of Surgery (ABS) now mandates endoscopy training and successful completion… 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 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