Objective: The purpose of this study is to investigate the effect of gastric electrical stimulation (GES) on solid phase gastric emptying, total symptom score (TSS), health-related quality of life (HRQOL), and patient satisfaction in patients with severe drug refractory gastroparesis. Design: Prospective single-center study Setting: Community hospital Patients: 40 consecutive patients presenting between 2002 and […]
BACKGROUND: Gastrointestinal stenting is most often utilized for end-stage palliation for unresectable malignancy. We propose the concept of gastrointestinal (non-biliary) stenting as a bridge to surgery for benign conditions, as well as, neoadjuvant stenting for malignant diseases. METHOD: All stents were placed in the operating room under general anesthesia, with endoscopic and fluoroscopic techniques. All […]
Laparoscopy provides excellent exposure of the distal esophagus, thus is an ideal approach for most epiphrenic diverticula. This study reviews our outcomes to support this statement, which is the largest laparoscopic series to date.Methods: From 1997 to 2008, we operated on 23 patients for epiphrenic diverticula. Of these, 18 had laparoscopic diverticulectomy, myotomy, and fundoplication […]
INTRODUCTION: We have been reported that analysis of systemic inflammatory indicators showed lower responses after laparoscopic assisted distal gastrectomy (LADG) compared with conventional open distal gastrectomy (ODG)(Hayashi et al., Surg. Endosc., 2005). In order to analyze factors contributed to the lower systemic inflammatory response in patients after LADG, both peritoneal and systemic immune response were […]
Objective: Impedance Planimery has been demonstrated as a useful technique for assessing the cross sectional area of hollow lumens in the gastrointestinal tract. EndoFLIP™ represents the first commercial implementation of this technique, and provides cross sectional area/diameter measurements at mutiple points along the tract simultaneously. This study presents the first accuracy evaluation of the EndoFLIP™ […]