Introduction: Percutaneous endoscopic gastrostomy (PEG) placement is commonly performed. The safety of this procedure is predicated on the ability to bring the anterior gastric wall in apposition to the abdominal wall, as confirmed by transillumination. Prior gastric resection, hepatomegaly, obesity, and intraabdominal adhesions can prohibit transillumination. The following reports the safety and efficacy of single […]
Background: Current option for patients with a tracheo-esophageal fistula are limited. Because of stent migration, newer stents have been developed to prevent movement, but stents placed high in the esophagus continue to migrate.Methods: This video describes the procedure of placing an esophageal stent with two different fixation techniques. The first technique involves the use of […]
It is estimated that approximately 250,000 cases of appendicitis occur annually in the United States, with a lifetime risk of over 8% in males and 6% in females. Since the first description of laparoscopic appendectomy by Semm in 1983, multiple studies have validated its use in the treatment of acute appendicitis. The most common complication […]
Introduction: The role of resection of adrenal metastases (mets) in the laparoscopic (Lap) era is controversial. The purpose of this study was to review our results with adrenalectomy for mets in a series of consecutive patients.Methods: The records of all patients who underwent adrenalectomy for suspected adrenal metastasis at our institution from 1993-2007 were reviewed […]
Introduction: This is a case report of a 61 y/o male with a gangliocytic paraganglioma with focal carcinoid features of the appendix. A literature search was done and this appears to be the second reported case of gangliocytic paraganglioma of the appendix in the modern literature. A previous similar case report in 1999 was described […]