Minimally Invasive Surgery: Colonoscopic Assisted Transanal Endoscopic Microsurgery for Local Resection of a Large Sigmoid Polyp
Kevin M Izquierdo, MD, Beverly Ng, MD, John H Marks, MD. Lankenau Medical CenterThis video demonstrates a novel approach to perform endoluminal surgery for a 3cm polyp in the distal sigmoid colon using a combined rigid and flexible endoscopic approach. The patient is a 56-year-old male who presented with symptoms of intermittent rectal bleeding for… Continue Reading
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
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
Thoracoscopic Visualization of a Long Endoscopic Esophageal Myotomy for Spastic Achalasia
Kelly Haisley, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case showing the thoracoscopic visualization of a long esophageal myotomy done through a per-oral endoscopic approach (POEM). Background: The patient is a 55 year old woman with chronic pain and debilitating diffuse… Continue Reading
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
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
Gastric Per Oral Pyloromyotomy for Post-Vagotomy Induced Gastroparesis Following Esophagectomy
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FASC, FASGE. Case Western Reserve UniversityIntroduction: Delayed gastric emptying occurs in approximately 15-30% of patients following thoracoabdominal esophagectomy. This is predominantly due to inherent vagotomy. Patients have a decreased quality of life secondary to persistent nausea and intolerance of oral intake. Management options include dietary modifications,… Continue Reading
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 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
Laparoscopic para-esophageal hernia repair including an anterior 180 degrees fundoplication & Mid-term outcomes in a single center
Anne-Sophie S Studer, MD, Teodoros Thomopoulos, MD, Michele Podetta, MD, Henri Atlas, MD, Ronald Denis, MD, Pierre Garneau, MD, Radu Pescarus, MD. Hopital Sacré Coeur de MontréalIntroduction: Surgical management of large paraesophageal hernias (PEH) remains challenging and may be associated with high morbidity. As an alternative to Nissen fundoplication, an anterior 180 degrees wrap has… Continue Reading
Pattern of Hiatal Hernia Repair: An Analysis of the National Inpatient Sample
Zhamak Khorgami, MD1, Guido M Sclabas, MD1, Jamin G Graham, MPH2, C. Anthony Howard, MD1, Geoffrey S Chow, MD1. 1University of Oklahoma, College of Medicine, Tulsa, USA, 2Trinity Medical Sciences UniversityIntroduction: Patients with symptomatic hiatal hernias undergo surgical repair as a primary operation or in conjunction with other gastric and esophageal operations. The purpose of… Continue Reading
Gastroparesis Cardinal Symptom Index Scoring does not predict Delayed Gastric Emptying in patients with GERD
Sarah Marowski, Yiwei Xu, Luke M Funk, Jacob A Greenberg, Anne O Lidor, Amber L Shada. University of Wisconsin School of Medicine and Public HealthGastroparesis (GP) causes nausea, vomiting, and reflux. These symptoms are also associated with gastroesophageal reflux disease (GERD), and it is often difficult to distinguish between the two. Currently, gastric emptying scans… Continue Reading
Laparoscopic distal pancreatectomy for giant pancreatic cystic neoplasms -Is the effort worthwhile?
Srikanth Gadiyaram, Dr, Yashas H Ramegowda, Dr, Gaurav Singh, Dr. Sahasra Hospitals, Center of Excellence for GastroenterologyBackground: Laparoscopic distal pancreatectomy with (LDPS) or without splenectomy for cystic tumors in the body and tail has become the standard of care. We herein report three patients with giant pancreatic cystic neoplasms (GPCN) who underwent a distal pancreatectomy… Continue Reading
OUR STYLIZED PROCEDURE IN LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MD, PhD, Kenta Kitamura, MD, Tomonori Matsumura, MD, Ayato Obana, MD, Norio Mizugichi, MD, Mayuko Nakayama, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MD, PhD, Yoshinobu Sato, MD, PhD, Ryuji Yoshida, MD, Hiroyuki Suzuki, MD, Shigeru Masamura, MD, PhD. Kashiwa Kousei General Hosp.Introduction: Laparoscopic techniques in anti-reflux surgery for GERD patients are still considered complicated… Continue Reading
Circumference Heller myotomy for achalasia with chest pain
Fumiaki Yano, MD, Nobuo Omura, Kazuto Tsuboi, Masato Hoshino, Se Ryung Yamamoto, Shunsuke Akimoto, Takahiro Masuda, Katsunori Nishikawa, Norio Mitsumori, Hideyuki Kashiwagi, Katsuhiko Yanaga. The Jikei University School of MedicineBackground/Aim: Although the typical complaint of patient with achalasia is dysphagia, nearly half of patients also experience chest pain, which in some cases may be intense… Continue Reading