Imaging through blood super-resolution based flexible micro-endoscope
Omer Wagner, PhD1, Asaf Shahmoon, PhD1, Zeev Zalevsky, Prof2. 1Z square, 2Bar Ilan UniversityObjective of the technology: The recent development of micro-endoscopic imaging tools opened a new door of medical modalities and opportunities of capturing images in a minimally invasive way. The main still remaining problem is that although the micro-endoscope can reach close to the… Continue Reading
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Endoscopic management of octopus food bolus causing esophageal obstruction
Marc Ong, MBBS, MRCS, FRCS1, Wei-Wen Ang, MBBS, MRCS1, Vishal G Shelat, MBBS, MRCS, FRCS2. 1Khoo Teck Puat Hospital, 2Tan Tock Seng HospitalA 55-year-old man presented with acute onset of dysphagia following a meal which consisted of rice and octopus. He reported vomiting immediately after congestion of food/liquid thereafter. No other symptoms or signs were… Continue Reading
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ENDOSCOPIC MANAGEMENT OF VENTRICULOPERITONEAL SHUNT EROSION INTO THE DUODENUM
Seyed A Arshad, MD, Andrew Christensen, MD, Edward Auyang, MD, MS, FACS, Jason Mckee, MD, FACS. University of New MexcioVentriculoperitoneal (VP) shunt placement is a common procedure performed for the management of hydrocephalus. Of the complications associated with this procedure, bowel perforation constitutes around 0.1%. [1] Colonic and gastric perforation is the most common, with… Continue Reading
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Drain Erosion: An Under-Reported Surgical Complication?
Megan Sippey, MD, Jeffrey Hardacre, MD, FACS, Jeffrey Marks, MD, FACS, FASGE. Case Western Reserve UniversityAbdominal drains are frequently used as a surgeon’s surveillance tool, with the benefit of serving a potential therapeutic role, for high risk anastomoses. Although rare, surgical drains can erode into nearby intraabdominal organs. We report two cases of abdominal surgical… Continue Reading
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ROLE OF WEERDA DIVERTICULOSCOPE FOR REMOVAL OF FOREIGN BODIES IMPACTED IN UPPER ESOPHAGUS: BACK TO RIGID?
Carlo Galdino Riva, Stefano Siboni, Davide Ferrari, Marco Sozzi, Alberto Aiolfi, Luigi Bonavina. IRCCS Policlinico San DonatoIntroduction: Foreign body removal is a common emergency procedure. The main location of impaction is the upper esophagus. In non-complicated cases, flexible endoscopy is the treatment of choice. Rigid endoscopy is not mentioned in most guidelines, but it provides… Continue Reading
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The impact of bowel diameter, injection method (sclerotherapy needle vs punctureless high pressure injection) and endoscope type (upper vs low, and different diameter) on endoscopic bowel wall injections for tattoo or mucosal lift.
Neil Mitra, MD1, Dasuni Niyagama Gamage, MD1, Xiaohong Yan, PhD1, Jaspreet Sandhu, MD2, Carl Winkler, MD1, Vesna Cekic, RN1, Hmc Shantha Kumara, PhD1, Richard L Whelan, MD1. 1Mount Sinai West Hospital, 2Brookdale University Hospital Medical CenterEndoscopic bowel wall injections are most commonly performed in order to tattoo the location of a lesion or to generate… Continue Reading
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Use of EUS-directed gastro-gastric lumen-apposing metal stents as a viable alternative for gastric remnant and biliary tree access in Roux-en-Y anatomy: A tertiary referral center experience.
Alvaro F Galvez, MD1, Alexa Pesce2, Dane Scantling, DO, MPH1, Lynsey Daniels, MD1, Elizabeth Renza, MD1, Anand Kumar, MD, MPH1, Neal Patel, MD1, Erkanda Ikonomi1. 1Hahnemann University Hospital, 2Drexel University College of MedicineObjectives: The anatomic challenges presented by Roux-en-Y gastric bypass (RYGB) are formidable. Access to the excluded gastric remnant or biliary tree is a common… Continue Reading
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Technique of esophagojejunostomy using OrVil after laparoscopy assisted total gastrectomy(LATG) for gastric cancer
S Sakuramoto, PhD, H Sugita, PhD, K Watanabe, MD, S Ishii, PhD, S Itou, MD, N Fujiwara, PhD, Y Miyawaki, PhD, H Sato, PhD, S Yamaguchi, PhD, I Koyama, PhD. Saitama Medical University, International Medical CenterINTRODUCTION: During esophagojejunostomy using a circular stapler after LATG, placement of the anvil head via the transabdominal approach proved difficult.… Continue Reading
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ACUTE APPENDICITIS DIAGNOSED DURING SCREENING COLONOSCOPY
Lucia Collar Yagas, MD, Joaquin J Estrada, MD, FACS, FACRS, Jan P Kaminski, MD, MBA. Advocate Illinois Masonic Medical CenterCase: A 63-year-old male presented for his first screening colonoscopy. On the day of the procedure, he was asymptomatic and physical examination was unremarkable. He underwent an uncomplicated colonoscopy. A 6 mm pink-tan, sessile, polypoid lesion… Continue Reading
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Development of a Proficiency-Based Skills Program for FES™ Competency: Determining Expert Performance Criteria on the Simbionix GI Endoscopy-Fundamental Skills Modules
Cheyenne C Sonntag, MD1, Katelin A Mirkin, MD1, John M Levenick, MD1, Jennifer L Maranki, MD1, Emmannuelle D Williams, MD1, Abraham Mathew, MD1, David B Stewart, MD2, Vamsi V Alli, MD1, Randy S Haluck, MD1, Eric M Pauli, MD1. 1Penn State Hershey Medical Center, 2University of ArizonaIntroduction:Passing the Fundamentals of Endoscopic Surgery (FES™) is a… Continue Reading
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Safety of Novel Submucosal Injection Agent to Perform Per-Oral Pyloromyotomy: Single Center Pilot Study
Andrew T Strong, MD, Joshua P Landreneau, MD, MSc, Kevin El-Hayek, MD, FACS. Section of Surgical Endoscopy, Department of General Surgery Cleveland ClinicIntroduction: Endoscopic submucosal tunneling techniques such as per-oral esophago-myotomy or per-oral pyloromytomy (POP) rely on gaining access to a submucosal plane in the gastrointestinal tract. A fluid lift technique is typically used to facilitate… Continue Reading
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SODIUM PHOSPHATE IS SUPERIOR TO POLYETHYLENE GLYCOL IN CONSTIPATED PATIENTS UNDERGOING COLONOSCOPY: A SYSTEMATIC REVIEW AND META-ANALYSIS
Jerry T Dang, MD, Muhammad Moolla, BSc, Thuc Nhi T Dang, MD, Ashley Shaw, MD, Chunhong Tian, PhD, Shahzeer Karmali, MD, MPH, Richard Sultanian, MD, MSc. University of AlbertaIntroduction: We performed a systematic review and meta-analysis to determine the optimal bowel preparation in constipated patients undergoing colonoscopy. Constipation is an important and highly prevalent predictor of… Continue Reading
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PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN AMYOTROPHIC LATERAL SCLEROSIS PATIENTS: OUTCOMES OF A DEDICATED SURGERY AND ANESTHESIA PROTOCOL
David J Morrell, MD1, Marvin H Chau, BS2, Vamsi V Alli, MD1, Elizabeth H Sinz, MD1, Sprague W Hazard, MD1, Zachary Simmons, MD1, Eric M Pauli, MD1. 1Penn State Health Milton S. Hershey Medical Center, 2The Pennsylvania State University College of MedicineIntroduction: Patients requiring percutaneous endoscopic gastrostomy (PEG) for amyotrophic lateral sclerosis (ALS) related dysphagia… Continue Reading
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PERIAMPULLARY DUODENAL DIVERTICULUM ERCP INCIDENTAL FINDING AND ASSOCIATION WITH DIFFICULT BILIARY CANNULATION. A CASE SERIES.
Carlos M Zavaleta, MD, Fernando A Quesada, MD. IntergastroIntroduction: A classification for Periampullary Duodenal Diverticulum (PAD) was proposed by Boix et al in three types based on location. These anatomical variants may require more expertise from endoscopist in charge to achieve a successful procedure as it has been reported as a factor associated with difficult biliary… Continue Reading
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Intraoperative Endoscopy; A Safe and Valuable Tool for the Diagnosis and Treatment of Midgut Pathology
Amanda Fazzalari, MD1, Shruthi Srinivas, BS1, Natalie Pozzi, MD2, Christopher Schlieve, MD1, Jonathan Green, MD1, Demetrius Litwin, MD, MBA, FACS1, David Cave, MD, PhD1, Mitchell Cahan, MD, MBA, FACS1. 1University of Massachusetts, 2Saint Mary's HospitalObjective: Intraoperative endoscopy (IOE) was first described in the late 1960s and is regarded as the gold standard for complete evaluation of… Continue Reading
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