INTRODUCTION: Upper endoscopy (UE) is essential in the diagnosis and treatment of complications after Roux-en-Y gastric bypass (RYGB). Patients who have undergone RYGB present with a variety of functional (nausea, pain, and reflux) as well as obstructive (vomiting and dysphagia) symptoms. The primary aim of this study was to correlate symptoms and endoscopic findings with […]
Introduction: Mandatory repair of paraesophageal hernias is no longer standard of care with a reported risk of strangulation of 1% per year. Methods of repair vary with regard to surgical approach and technique. We report our experience with laparoscopic paraesophageal hernia repair, using a variety of techniques for repair based on patient comorbidities, age, crural […]
Background: We have previously shown that laparoscopic (LAP) colectomy can be accomplished safely for the curative treatment of benign and malignant colorectal disease. Hand-assisted (HA) laparoscopic surgery appears to be an effective treatment for colorectal disease as well. Here, we perform a comparative analysis of clinical outcomes for open, LAP, and HA segmental colonic resection.Study […]
Introduction: Upper gastrointestinal (GI) leaks are one of the most important postoperative complications following bariatric surgery. Standard treatment has been a combination of surgical or percutaneous drainage, parenteral nutrition and antibiotics. The endoscopic approach using flexible stents has been recently proposed as an alternative of treatment. Methods and procedures: Restrospective analysis of all patients who […]
Percutaneous endoscopic gastrostomy (PEG) tubes have revolutionized patient care. The procedure has relatively few complications and can provide an incredible benefit for patients. However, complications may arise and cause severe morbidity and sometimes mortality. We present a case of a 39 year old male who came to our institute after suffering severe head trauma from […]