INTRODUCTION: Endoscopic Retrograde Cholagiopancreatography (ERCP) is an invasive, but sensitive means of diagnosing and treating biliary disease. Complications range from 5-10%. The most common complications of ERCP are acute pancreatitis and duodenal perforation; but esophageal, splenic and hepatic injury have been reported. Here we report such a splenic injury after ERCP. CASE REPORT: A 29 […]
INTRODUCTION: We hypothesized that GOALS (Global Operative Assessment of Laparoscopic Skills) would have construct validity for laparoscopic cases beyond cholecystectomy and appendectomy.METHOD: Attending surgeons at our institution use a web-based GOALS scoring sheet to evaluate PGY1 through PGY5 residents immediately after all operations. We reviewed all data entered from 7/04 to 5/08 for the following […]
Introduction: Usage of opioids for pain management in bariatric surgery patients requires special attention. Administration of narcotics to the obese patient carries the risk of respiratory suppression both due to the opioids and redistribution of the anaesthetics from the adipose tissue. We would like to share our experience in nasal administration of ketamine for post […]
Introduction: Although rare, some pediatric diseases may require diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). The choice of duodenoscope for pediatric ERCP is not well studied. This study investigated the hypothesis that a therapeutic adult duoenoscope can be utilized safely for pediatric ERCP. Methods: All patients under the age of 18 were included in this […]
IntroductionEvidence suggests that surgical performance is impaired by stress although there is little to directly quantify its effects on surgeons’ technical ability. Moreover, surgeons’ individual differences in managing stress have not been examined. The present study aims to establish a direct empirical link between stress and surgical performance and explore the relationship between trait Emotional […]