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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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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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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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
Modification of Child Pugh Score Improves Prognostication in Variceal Bleeding
Richard T Spence1, Jake Krige2, Marius Hoogerboord1, James Ellsmere1. 1Dalhousie University, 2University of Cape TownBackground: There is currently no consensus which specific risk factors or scores predict early rebleeding and early mortality after a major variceal bleed. The objective of this study was to investigate the relative predictive performances of the Child-Pugh and MELD scores for… 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
HEALTH ECONOMIC SAVINGS OF SINGLE USE FLEXIBLE ENDOSCOPES VS CURRENT RE-USABLE ENDOSCOPES AND DISPOSABLE SHEATH SYSTEMS
Deepak Kumar Sahu, MBA1, Giacomo Basadonna, MD, PhD2. 1Alira Health, 2University of Massachusetts Medical SchoolIntroduction: The transmission of endoscopy-associated infections is frequently linked to inadequate reprocessing. Regulatory organizations including FDA have published reprocessing guidelines resulting in an increase of associated time and costs. Flexible single use endoscopes represent the solution to complex re-processing procedures and… Continue Reading
THE RESULT OF PER-ORAL ENDOSCOPIC MYOTOMY(POEM) FOR A SIGMOID TYPE OF ACHALASIA
Shota Maruyama1, Yusuke Taniyama2, Tadashi Sakurai2, Makoto Hikage2, Chiaki Sato2, Kai Takaya2, Takuro Konno2, Takeshi Naitoh2, Michiaki Unno2, Takashi Kamei2. 1Hachinohe City Hospital, 2Tohoku University Graduate School of MedicineIntroduction: Achalasia is a rare esophageal motility disorder and the treatment of this disease is directed at lowering the lower esophageal sphincter (LES) pressure, with the aim… Continue Reading
Comparing Colonoscopy Screening Quality Indicators between Surgeons and Gastroenterologists in a Rural Healthcare System
Hunaiz A Patel, MD, Asadulla Chaudhary, MD, Theodor Kaufman, MD, Nicholas Hellenthal, MD, Jose Monzon, MD, Stephanie Oceguera, MD, James Bordley IV, MD. Bassett Medical CenterIntroduction: There is a significant shortage of physicians providing colonoscopy, especially in rural areas. Rural general surgeons often claim endoscopy as one of the cornerstones of their practice and as 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
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
Concomitant Laparoscopic Cholecystectomy and Antegrade Wire, Rendezvous Cannulation of the Biliary Tree May Reduce Post-ERCP Pancreatitis Events
Joshua S Winder, MD1, Ryan M Juza, MD2, Eric M Pauli, MD1. 1Penn State Milton S. Hershey Medical Center, 2University Hospitals Cleveland Medical CenterIntroduction: For patients with a gallbladder in situ, choledocholithiasis is a potentially challenging condition. Both two-session (Endoscopic Retrograde Cholangiopancreatography (ERCP) and subsequent cholecystectomy (CCY)) and single-stage (simultaneous CCY/ERCP) have been described. We… 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 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