Background: The amount of laparoscopic training provided to surgical residents varies widely from institution to institution. Consequently, the ability to safely perform complex laparoscopic procedures also likely varies. Nonetheless, graduating residents are expected to perform laparoscopic procedures independently without additional training. The extent to which residents are adequately trained for such procedures is unclear. Methods: […]
Introduction: Although NOTES research has shown substantial progress in recent years, some technical challenges remain. Among them is the suboptimal spatial orientation of the flexible endoscope within the peritoneal cavity. Due to the endoscope’s lack of rigidity, the ability to retroflex, and, more importantly, the coupling of the image source to the end effector instruments, […]
Introduction: Morbid obesity is a major health concern for the United States affecting over 15 million people. Despite its associated comorbidities, less than 1% of patients seek surgical intervention. The need for less costly, minimally invasive procedures that reduce complication rates and result in faster recovery would be a valuable adjunct in the treatment of […]
GASTRIC POUCH AND STOMA REDUCTION USING A NOVEL ENDOSCOPIC DEVICE: THE ENDOSURGICAL OPERATING SYSTEM (EOS) DK Mullady1, D Herron2, D Lautz1, D Birkett3, and CC Thompson11Division of GastroenterologyBrigham and Women’s Hospital, Boston, MA2Mount Sinai Hospital, New York, NY3Lahey Clinic, Burlington, MA Introduction: Roux-en-Y gastric bypass is an effective treatment for severe obesity. However, many patients […]
Background: Following Roux-en-Y gastric bypass (RYGB), hyperglycemia dramatically improves in obese patients with Type II diabetes (T2D). For many patients, hypoglycemic agents and insulin are discontinued after RYGB. However, the exact mechanisms of this process are unknown. This unique study attempts to identify differences in gene expression profiles between pre- and post-operative T2D patients following […]