Endoscopic Resection of an Esophageal Submucosal Leiomyoma
Patrick B Schwartz, MD, Jacob A Greenberg, MD, EdM, Amber L Shada, MD. University of Wisconsin Hospitals and ClinicsThis is a case of a 62-year-old female with dysphagia and regurgitation for 3 years, referred from gastroenterology with endoscopic and radiographic imaging findings concerning for a submucosal esophageal leiomyoma versus gastrointestinal stromal tumor. Endoscopic ultrasound with… Continue Reading
Endoscopic Sleeve Gastroplasty
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemEndoscopic sleeve gastrectomy (ESG) utilizes an endoscopic suturing device to plicate the greater curve of the stomach. This results in a residual tube-like stomach that resembles the anatomy of a laparoscopic sleeve gastrectomy. The procedure begins by marking lines on… Continue Reading
Transluminal Endoscopic Drain Repositioning for Postoperative Gastrointestinal Leaks: A Practical NOTES Application
Ryan M Juza, MD, Karima Fitzgerald, MD, Eric M Pauli, MD. Penn State Hershey Medical CenterBackground: Gastrointestinal leak is a serious complication following abdominal surgery. Consequences of persistent leak may necessitate formal surgical intervention in a hostile abdomen. In select situations, we have utilized natural orifice transluminal endoscopic surgery (NOTES) methods to enter the abdominal… Continue Reading
Laparoscopic Transgastric ERCP: Double Wire Technique to Ease Biliary Cannulation
Gabriel Arevalo, MD, Jeffrey Marks, MDFACSFAGS. UH Cleveland Medical CenterOne of the known reasons for difficult biliary cannulation during ERCP is altered anatomy such as in RYGBP. One of the approaches to access the papilla in this group of patients is laparoscopic transgastric ERCP. Although a reliable and highly successful technique, there are several factors… Continue Reading
OVER-THE-SCOPE CLIP-ASSISTED ENDOSCOPIC FULL-THICKNESS RESECTION OF DUODENAL BULB NEUROENDOCRINE TUMOR
Cheyenne C Sonntag, MD, Ryan M Juza, MD, Eric M Pauli, MD. Penn State Milton S Hershey Medical CenterEndoscopic full-thickness resection (EFTR) of GI tract lesions permits accurate diagnosis and definitive management while avoiding more complex surgical procedures. Traditionally the full-thickness resection is performed first, followed by closure of the defect with clips or endoscopic suture. More recently over-the-scope… Continue Reading
Put a Stent in it: Alternative Techniques in Endoscopic Stenting
Yael Marks, MD, Julio Teixeira, MD. Lenox Hill HospitalIntroduction: Although endoscopic stenting for leaks after sleeve gastrectomy can often be easily accomplished by fluoroscopic guidance, anatomoy, strictures, adhesions and other factors can significantly impact the ease and efficiency of stent placement. This video demonstrates alternative techniques of endoscopic stent placenement in complex situations including fluoroscopic… Continue Reading
Per Oral Endoscopic Pyloromyotomy after Esophagectomy
S. Julie-Ann Lloyd, MD, PhD, Matthew T Allemang, MD, Kevin M El-Hayek, MD, Jeffrey L Ponsky, MD, Matthew D Kroh, MD, John H Rodriguez, MD. Section on Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OhioIntroduction: Endoluminal surgery is an innovative and rapidly evolving field, gaining wider acceptance in the treatment of multiple gastrointestinal… Continue Reading
Intraluminal Zenker’s Diverticulectomy
Jessica Ardila-Gatas, MD, Matthew Allemang, MD, James Villamere, MD, Matthew Kroh, John Rodriguez, Jeffrey Ponsky. Cleveland ClinicIntroduction: Zenker's diverticulum is a false diverticulum in the upper esophagus. Symptoms include dysphagia, regurgitation of food and foul breath. Diagnosis is made with a barium swallowing exam and treatment is surgical. Open and endoscopic techniques have been described.… Continue Reading
Real-time Diagnosis of Barrett’s Esophagus: A Prospective, Multicenter Trial Comparing Confocal Laser Endomicroscopy with Conventional Histology for the Identification of Intestinal Metaplasia in Novice Users
Cory Richardson, MD1, Paul Colavita, MD2, Christy Dunst, MD3, John Bagnato, MD4, Peter Billing, MD5, Kurt Birkenhagen, MD6, Francis Buckley, MD7, William Buitrago, MD8, Joseph Burnette, MD4, Phil Leggett, MD8, Howard McCollister, MD9, Kurt Stewart, MD5, Thomas Wang, MD8, Alvin Zfass, MD10, Paul Severson, MD9. 1Northwest Institute for Digestive Surgery, 2Carolinas Medical Center, 3The Oregon… Continue Reading
Multicenter collaborative retrospective review of peroral endoscopic myotomy for esophageal achalasia; examination of more than 1,300 cases at 8 facilities in Japan
Hironari Shiwaku1, Haruhiro Inoue2, Manabu Onimaru2, Hitomi Minami3, Hiroki Sato4, Chiaki Sato5, Shinwa Tanaka6, Ryo Ogawa7, Norihiko Okushima8. 1Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, 2Digestive Diseases Center, Showa University Koto-Toyosu Hospital, 3Department of Gastroenterology and Hepatology, Nagasaki University Hospital, 4Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, 5Division of… Continue Reading
Impact of Full-spectrum endoscopy on pathological lesion detection in different regions of the colon: randomised controlled trial.
Artur Pasternak, MD, PHD, Miroslaw Szura, MD, PhD, Solecki Rafal, MD, PhD, Pawel Bogacki, MD. Jagiellonian University Medical CollegeColonoscopy is crucial to detect and localize pathological lesions within the colon. Its quality is defined by a number of parameters such as cecal intubation rate (CIR), withdrawal time, adenoma detection rate (ADR) and polyp detection rate… Continue Reading
Outcome of endoscopic naso-jejunal tube stenting in early postoperative jejunal limb obstruction after gastrectomy
Chadin Tharavej, Worawit Kattipatanapong, Supaut Pungpapong, Suthep Udomdaweangsup, Krit Kittisin, Patpong Navicharern. Chulalongkorn UniversityIntroduction: Early postoperative afferent/efferent limb obstruction is a rare complication following reconstruction of total or partial gastrectomy. The condition is mainly attributed to kinking of the jejunal limbs or gastro-jejunal or jejunojeunal anastomosis. Less was known regarding the treatment outcome of endoscopic… Continue Reading
Long Term Outcomes following POEM for Non-Achalasia Motility Disorders of the Esophagus.
Filippo Filicori, MD, Christy M Dunst, MD, Ahmed Sharata, MD, Walaa F Abdelmoaty, MD, MBA, Ahmed M Zihni, MD, MPH, Steven R Demeester, MD, Lee L Swanstrom, MD. Portland Providence Medical CenterINTRODUCTION: Per-Oral Endoscopic Myotomy (POEM) is now a well accepted treatment for esophageal achalasia. Optimal treatment for symptomatic patients with non-achalasia motility disorders (NAD)… Continue Reading
MYOTOMY STARTING POINT AND LENGTH INFORMED BY HIGH-RESOLUTION ESOPHAGEAL MANOMETRY (HREM) RESULTS IN IMPROVED PER-ORAL ENDOSCOPIC MYOTOMY (POEM) OUTCOMES
Erica D Kane, MD, MPH, Erin M Thompson, MD, Vikram Budhraja, MD, David J Desilets, MD, PhD, John R Romanelli, MD. University of Massachusetts Medical School-Baystate Medical CenterINTRODUCTION: High-resolution esophageal manometry (HREM) is essential in characterizing achalasia subtype and the extent of affected segment in order to plan the starting point of the myotomy during… Continue Reading
Per Oral Pyloromyotomy (POP) for Delayed Gastric Emptying after Sleeve Gastrectomy
Matthew J Davis, MD, Camila B Ortega, MD, Alfredo D Guerron, MD. Duke University Health CenterWe present a patient status post sleeve gastrectomy who developed delayed gastric emptying. Per oral pyloromyotomy was performed with resolution of her symptoms. The video presents the case and describes our technique.Presented at the SAGES 2017 Annual Meeting in Houston,… Continue Reading