ERAS Following Per-Oral Pyloromyotomy (POP): A Comparison of Safety and Cost with Same-Day Discharge vs. Inpatient Recovery
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Jeffrey L Ponsky, MD1, Michael Cline, MD1, Matthew Kroh, MD2, John Rodriguez, MD1, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: While per-oral pyloromyotomy (POP) has shown promise as a novel endoscopic procedure to treat medically refractory gastroparesis, standardized care pathways are not well defined.… Continue Reading
Endoscopic Vacuum Assisted Closure for Management of Leak Post Collis-Nissen
Stephanie Kerlakian, MD, Amy Murphy, DO, Katherine Meister, MD, Kevin Tymitz. TrihealthThis is a case report discussing Endscopic Vacuum Assisted Closure (E-VAC) management of a patient who developed a leak after laparoscopic hiatal hernia repair with collis gastroplasty and nissen fundoplication. This case discusses the events leading up to her surgery, her postoperative course and… Continue Reading
Endoscopic Resection of a Large Mediastinal Esophageal Leiomyoma
Kelly R Haisley, MD, Kevin Reavs, MD, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Missy Desouza, MD, Christy Dunst, MD, Lee Swanstrom. Providence Portland Medical CenterIntroduction: In this video, we review a case of the complex endoscopic removal of a large esophageal leiomyoma by a submucosal resection technique extending into the mediastinum. Background: The patient is a… Continue Reading
Endoscopic rescue of diverse surgical gastro-intestinal complications using the over-the-scope Padlock clip
Alfonso Lapergola, MD, Bernard Dallemagne, MD, Antonio D'urso, MD, Ludovica Guerriero, Didier Mutter, MD, PhD, FACS, Jacques Marescaux, MD, FACS, HonFRCS, HonFJSES, Silvana Perretta, MD, PhD. Department of Digestive and Endocrine Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital; Institut de Recherche contre les Cancers de l’Appareil Digestif (IRCAD) - IHU, Institute of Image-Guided SurgeryIn recent… Continue Reading
Endoscopic placement of a GJ feeding tube as a one step procedure, a novel approach
Jason E Kuhn, DO, Robert Cunningham, MD, Jon Gabrielsen, MD, Anthony Petrick, MD, David Parker, MD. Geisinger Medical CenterGeisinger Medical Center is presenting a video submission for a novel endoscopic placement of a GJ feeding tube. Traditionally this tube is placed either in a two step endoscopic procedure, first with a PEG then removal after… Continue Reading
Endoscopic Mucosal Dissection for a Submucosal Gastric Mass
Kais A Rona, MD, Jamie Kaplan, Sarah Merkel, Christopher Ducoin, MD. Tulane University School of MedicineEndscopic mucosal dissection is an advanced endoscopic technique used in various subspecialties within surgery to perform endoscopic en-bloc resection of a mass lesion. This is a video presentation demonstrating the use of endoscopic submucosal dissection to resect a submucosal gastric… Continue Reading
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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ENDOSCOPIC MANAGEMENT OF RECURRENT ANASTOMOTIC LEAK FOLLOWING CHEMOTHERAPY AFTER COLORECTAL SURGERY
David J Morrell, MD, Kevin J Mckenna, MD, Evangelos Messaris, MD, PhD, Eric M Pauli, MD. Penn State Health Milton S. Hershey Medical CenterIntroduction: The standard therapy for free intraperitoneal anastomotic leaks consists of surgical revision, diversion, and drainage. We present a patient managed endoscopically utilizing the same surgical techniques of source control and drainage. Methods: Patient… Continue Reading
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 COMPLETE BOWEL OBSTRUCTION SECONDARY TO INGESTION OF WATER ABSORBING BEADS
Seyed A Arshad, MD, Andrew Christensen, MD, Edward Auyang, MD, MS, FACS, Jason Mckee, MD, FACS. University of New MexicoPediatric foreign body ingestion is a common issue with a reported 100,000 ingestions per year [1]. Most of these are accidental with a high majority being coins. A reported 50-90% of foreign bodies pass spontaneously, with… Continue Reading
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Endoscopic Diverticulopexy for Recurrent Dysphagia After Myotomy
Stephanie Novak, MS, Zachary Callahan, MD, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of two cases in which the patients undergo endoscopic intervention for recurrent diverticulum. The first patient is a 49-year-old male with a history of transoral endoscopic Zenker's diverticulostomy. He re-presented with dysphagia and was found to have a… Continue Reading
Effect of an Educational Intervention on Colonoscopy Quality Outcomes for Surgeons in St. John’s, NL
Bradley W Evans, MD, David Pace, MD, Mark Borgaonkar, MD, Matthew Miné-Goldring, Melissa Meng, Jane Brodie, Darryl Boone, Jerry Mcgrath. Memorial University of NewfoundlandIntroduction: We aimed to assess the effect of a colonoscopy skills improvement (CSI) course on quality indicators for surgeons at our institution. Methods: This retrospective cohort study was performed on nine surgeons… Continue Reading
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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DOES ROUTINE EGD PRIOR TO EUS REVEAL FINDINGS OF SIGNIFICANCE
Yuan Y Stevenson, MD, Nan Walsh, CRNP, Robert D Fanelli, MD, MHA, FACS, FASGE. Guthrie Robert Packer HospitalIntroduction: Side-viewing endoscopes used for endoscopic ultrasound (EUS) provide almost no view of the esophagus during insertion. Esophagogastroduodenoscopy (EGD) routinely is performed immediately prior to EUS to rule out obstructive lesions, stenoses, or to identify the location of… 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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