Learning Theme: Acute Care

Acute Complications: Endoscopic Management of Bleeding – Staple Line and Anastomotic

Presented by Thadeus Trus, MD at the SAGES 2014 Meeting; Panel – Endoscopic Management of Bariatric Complications definitions–23 sec epidemiology with citations–51 sec http://www.ncbi.nlm.nih.gov/pubmed/?term=18629595 http://www.ncbi.nlm.nih.gov Keyword(s): active oozing, acute bleed, acute complications, acute post op bleeding, acute post op hemorrhage, acute SBO, adherent clot, afferent limb, air tight, ambulatory, American Journal of Gastroenterology, American Journal […]

Staple Line Leak after Sleeve Gastrectomy – 2

This video shows the view of an acute, proximal staple line leak following a sleeve gastrectomy. The patient had a fever on POD 1, and endoscopy revealed a staple line insufficency in the proximal sleeve. Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): endoscopy, fever, SG, staple line […]

Small Bowel, Benign Conditions, Marginal Ulcer with Visible Vessel and Acute Bleeding

This video demonstrates a marginal ulcer with a visible vessel and acute bleeding at this site Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD Keyword(s): acute bleeding, benign conditions, marginal ulcer, SB

Stomach, Abnormal Post Surgical Anatomy, Gastric Ulcers Following Acute Early PEG Removal

This video demonstrates gastric ulcerations at a previous PEG site. The area appears to be indurated and slightly cratered with mucosal breaks. Digital pressure being placed along the anterior abdominal wall at the previous PEG site can be seen during the video. No stigmata of recent bleeding is noted. Video donated to the SAGES Video […]

Stomach, Abnormal Post Surgical Anatomy, Acute Ugib Following PEG

This video demonstrates stigmata of recent bleeding status post PEG placement. No evidence of active bleeding is noted, but bloody fluid is seen in the dependent fundus and clot is seen in the pre-pyloric area. The PEG site is carefully inspected for signs of active bleeding, visusualizing the PEG site with insufflation as well as […]

Stomach, Abnormal Post Surgical Anatomy, Acute Gastric Ulcer from Pod 2 PEG Removal

This video demonstrates a PEG site as well as an area of ulceration near the previous PEG site. There is no suggestion of ongoing acitve bleeding. No bloody fluid or clot is seen in the areas inspected. A cherry red spot, however, can be appreciated at the area of ulceration examined, suggesting that this is […]

Laparoscopic Treatment for Appendicular Phlegmon

Open appendectomy has traditionally been the treatment for acute appendicitis. Beneficial effects of laparoscopic appendectomy for the treatment of appendicular phlegmon are still controversial. Keyword(s): lap appy, lap tx, plastron apendicular

Laparoscopic cholecystectomy after cholecystostomy

In some cases of acute cholecystitis, safe dissection could not be performed due to marked inflammation obscured the anatomic relation of critical structures. In such situation, cholecystostomy is the safest operation. Laparoscopic cholecystectomy after cholecystostomy is demonstrated in this video. Keyword(s): acute cholecystitis, adhesions, cholecystostomy, inflammation, lap chole

The Gravity of Acute Appendicitis in Pregnancy – Evaluation, management and compilations

Presented by Janey S.A. Pratt, MD at the SAGES 2013 Annual Meeting; MIS in Pregnancy outline–17 sec demographics–51 sec presentation–1:33 presenting symptoms–2:23 lab data–3:25 imaging–4:17 differential dx–5:54 surgical management–6:29 lap appy–7:29 lap port placemen Keyword(s): 2nd trimester, 3rd trimester, abdominal pain, abdominal wall, abruptio placenta, acute appendicitis, American College of Radiologists, anorexia, antibiotics, appendiceal perf, […]

Acute Pancreatitis

Laparoscopic view: Acute Pancreatitis. video doesn’t exist Keyword(s): acute pancreatitis, lap view