OVER-THE-SCOPE CLIP MANAGEMENT OF NON-ACUTE, FULL-THICKNESS GASTROINTESTINAL DEFECTS
David J Morrell, MD1, Joshua S Winder, MD1, Ansh Johri, MS2, Vamsi V Alli, MD1, Eric M Pauli, MD1. 1Penn State Health Milton S. Hershey Medical Center, 2The Pennsylvania State University College of MedicineIntroduction: Given the morbidity of reoperation, endoscopic management of full-thickness gastrointestinal tract defects (FTGID) has become an attractive management strategy. We have… Continue Reading
Percutaneous Endoscopic Gastrojejunostomy Tube Placement: A Technique Using a Tapered Dilator within a Peel-away Sheath
Jaclyn Clark, MD, Lindsay O'Meara, CRNP, Jose J Diaz, MD. University of MarylandIn patients with gastric dysfunction who require nutritional support, jejunal feeding is a safe method for providing enteral nutrition. There are several approaches to place gastrojejunostomy (GJ) tubes, including percutaneous, open, radiologically-guided, endoscopic and various combinations of the above. It can often be… Continue Reading
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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POEM complications with delayed Laparoscopic Heller Myotomy
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Christopher A Marshall, MD, John J Kelly, MD. University of MassachusettsTwo major treatment modalities are available for patients with achalasia: a Heller Myotomy or a Per Oral Endoscopic Myotomy (POEM). The POEM was first discussed in the literature in 2009 and the steps for performing it were… Continue Reading
Post-POEM Reflux: Who’s at Risk?
Gabriel Arevalo, MD, Megan Sippey, MD, Jack He, MD, Ahmed Ali, MD, Luis Martin Del Campo, MD, Jeffrey Marks, MD, FACS, FASGE. Case Western Reserve UniversityIntroduction: Per Oral Endoscopic Myotomy (POEM) is a less invasive alternative to laparoscopic Heller myotomy for patients with achalasia. While a partial fundoplication is often performed concurrently with a laparoscopic… Continue Reading
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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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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Salvage therapy for postoperative residual chest pain due to esophageal achalasia
Chiaki Sato, MD, PhD, Yusuke Taniyama, MD, PhD, Tadashi Sakurai, MD, PhD, Makoto Hikage, MD, PhD, Kai Takaya, MD, PhD, Takuro Konno, MD, PhD, Ken Koseki, MD, Ryohei Ando, MD, Takeshi Naitoh, MD, PhD, Michiaki Unno, MD, PhD, Takashi Kamei, MD, PhD. Dept of surgery, Tohoku Univ HospitalIntroduction: Chest pain is a common symptom of… Continue Reading
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SIMETHICONE DECREASES BLOATING AND IMPROVES BOWEL PREPARATION EFFECTIVENESS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Muhammad Moolla, BSc, Jerry Dang, MD, Ashley Shaw, MD, Thuc Nhi T Dang, 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 if the addition of simethicone to bowel preparations prior to colonoscopy had an impact on bowel cleanliness and patient… 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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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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The Combined Bronchoscopic and Endoscopic Management of a Recurrent Tracheo-Esophageal Fistula
Samantha R Witte, MD1, Ryan M Juza, MD2, Mary C Santos, MD1, Peter W Dillon, MD1, Eric M Pauli, MD1. 1Penn State Health, 2Case WesternThis is a case presentation of the complex endoscopic and bronchoscopic management of a recurrent tracheoesophageal fistula in a pediatric patient. This case highlights the benefit of a multidisciplinary approach utilizing… Continue Reading
The endoluminal treatment of tumor obstruction of UGI.
Yerlan Abdirashev, MD, Nurken Abdiyev, Sholpan Izmagambetova, MD, Amir Uzhakhov, MD. JSC “National Scientific center of surgery named after A.N. Syzganov’s”Aims: The severe and complicated malignant stenosis of UGI show up a difficult problem. The purpose is retrospective analysis of SEMS inserting to UGI cancer obstruction. Methods: From 2014 to 2018 we analyzed of… Continue Reading
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The Endoscopic Management of a Chronic Gastric Leak: Surprising Fluoroscopic Findings
Samantha R Witte, MD, Amanda Lee, MD, Matthew Dixon, MD, Eric M Pauli, MD. Penn State HealthThis is a case presentation of the complex endoscopic management of a chronic gastric fistula. The real-time interpretation of fluoroscopic images directly impacted intraoperative decision making in this case, highlighting the importance of liberal use of fluoroscopy during these… Continue Reading