Gastrointestinal Bleeding in Hiv Patients (5 Yr Study) – A Paradigm Shift in the Etiology
Introduction: Though gastrointestinal (GI) bleeding is rare in patients with HIV infection, it has been an important cause of mortality and morbidity in these patients. The course of human immunodeficiency virus (HIV) disease has changed dramatically since the development of antiretroviral therapy in the mid 1990s. There is a significant change in the pattern of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Synchronous Appendicitis and Umbilical Hernial Metastasis From Cecal Adenocarcinoma
Introduction: Cecal adenocarcinoma presenting as appendicitis , although rare is not unknown. The association of the two with umbilical hernial metastasis has not been reported before. Methods:A 61 year old lady presented with one day history of right lower quadrant pain. On exam, she had tenderness in the right iliac fossa and also an umbilical… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Minimally Invasive Management of Jejunal Perforation Due to Accidental Ingestion of Kebab Stick in Intoxicated Morbidly Obese Person
Abstract: Accidental ingestion of foreign bodies is common in patients with altered mental status. Course of these foreign bodies can range from spontaneous uncomplicated passage from GI tract to perforation of intestine. Intoxicated patients and Morbid obese patients with obstructive sleep apnea will have delay in realization of complications secondary to foreign body ingestion and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Treatment of Rectocele By Anterior Rectopexy
The patient is a 53 yo F with stage III symptomatic rectocele. 1. Installation/ PositioningThe patient is in gynecological position. We used 4 trocars. 2. Exposure to/of the operative fieldThanks to a pronounced Trendelenburg position the sigmoid loop is retracted appropriately. The uterus is fixed on the anterior abdominal wall.Findings: Douglas pouch is enlarged. Excces… Continue Reading
- Topic:
- Colorectal
Single Incision Laparoscopic Colectomy for Neoplasms of the Colon
Background: Single incision laparoscopic surgery is now getting performed for cosmetic reasons and is commonly used for cholecystectomy and appendectomy. We have performed right colectomies using single incision laparoscopic surgery in patients with benign adenoma and colon cancer.Patients and Method: We performed right colectomy with D1 lymph node dissection for a case of adenoma, and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Colectomy with Radical Lymph Node Dissection for Transverse Colon Cancer
Background and Aim: While use of laparoscopic colorectal surgery has spread in the last two decades, application of it to transverse colon cancer, particularly in cases requiring radical lymph node dissection, is still controversial. This study was designed to retrospectively investigate the feasibility of laparoscopic colectomy with radical lymph node dissection for transverse colon cancer.Patients… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Full Thickness Endoscopic Excision of a 3 Cm Leiomyoma with Endoclip Repair: A Case Report.
Background: Endoscopic removal of large submucosal masses is often met with perforation. Surgical resection has been the mainstay of treatment for these lesions, but significant morbidity still exists even in the era of laparoscopy. We present a case of a submucosal mass which was excised endoscopically, and the defect repaired using endoclips. Procedure: Our patient… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Mantle Cell Lymphoma of the Gastrointestinal Tract Presenting with Multiple Intussusceptions – Case Report and Review of Literature
BackgroundMantle cell lymphoma (MCL) is an aggressive type of B-cell non-Hodgkin's lymphoma that originates from small to medium sized lymphocytes located in the mantle zone of the lymph node. Extra nodal involvement is present in the majority of cases, with a peculiar tendency to invade the gastro-intestinal tract in the form of multiple lymphomatous polyposis.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
An Unusual Case of Intussusception Masquerading As Rectal Prolapse.
Case: A 30-year old previously well, nulliparous woman presented to Emergency complaining of a mass intermittently protruding from her anus. After confirming her story with a self-taken cellular phone picture of the mass, a provisional diagnosis of rectal prolapse was made. She also described a one-month history of intermittent rectal bleeding, left lower quadrant abdominal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Updated Results of Double Ta Transection Method in the Laparoscope-Assisted Anterior Resection of the Rectum
[Background] Transection and anastomosis of the rectum in the narrow pelvic cavity might be challenging in the laparoscopic colorectal surgery and we do not have easy, secure and consistent standard method to avoid post-operative complications. In fact, in the literatures published after the year of 2005, anastomotic leakage occurred in 6.4-13.5% of the patients. At… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Simultaneous Laparoscopy and Co2 Colonoscopy for Full-thickness Excision of a Submucosal Cecal Lesion
INTRODUCTION: Insufflation with carbon dioxide (CO2) instead of air during colonoscopy minimizes bowel distension therefore better enabling simultaneous colonoscopic and laparoscopic procedures. Precise localization of intestinal lesions permits more limited, safer resections. In the case presented, a benign-appearing submucosal lesion may have required a segmental colectomy with anastomosis, but use of a combined procedure allowed… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Does an Enlarged Extraction Site Affect Postoperative Outcomes After Laparoscopically Completed Intestinal Resection for Crohn\’s Disease?
BACKGROUND: Laparoscopic approach has gained acceptance in the surgical treatment of Crohn’s disease. In some cases a laparoscopically completed operation requires enlargement of the extraction site to exteriorize a large or inflamed specimen. The effects of this increase of incision length on perioperative outcomes have not been previously investigated. MATERIALS AND METHODS: Data from 266… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Preoperative Chemoradiation Followed By Laparoscopic Intersphincteric Resection for Low Rectal Cancer
Introduction: Transanal intersphincteric resection (ISR) was introduced and has been increasingly performed as an ultimate surgical treatment for extremely low rectal cancer. Preoperative chemoradiation therapy (CRT) for rectal cancer reduces local recurrence and increases anal sphincter preservation rate. On the other hand, laparoscopic surgery is accepted as minimally invasive treatment for rectal cancer. We considered… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of Short Term & Long Term Functional Outcomes After Laparoscopic Vs Open Surgery for Ulcerative Colitis – Restorative Proctocolectomy Ileal Pouch Anal Anastomosis
Background : Restorative proctocolectomy with ileal pouch anal anastomosis( RPC IPAA ) is gold stardard surgery for patients with ulcerative colitis. With advancement in laparoscopic surgery, now it is feasible & safe to perform RPC IPAA surgery laparoscopically. Aim: To evaluate & compare short term results & long term functional outcome after surgery for ulcerative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Incisional Hernia – Midline Vs Low Transverse Incision: What Is the Ideal Incision for Specimen Extraction/hals?
Purpose: This study was designed to compare the rates of incisional hernia associated with a standard midline laparotomy (open surgery), a midline incision of reduced length (laparoscopic/hand-assisted surgery) and a Pfannenstiel incision (hand-assisted surgery). Methods: A retrospective review of a prospectively maintained database was performed to identify and evaluate all patients undergoing a pure laparoscopic,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal