ACUTE APPENDICITIS DIAGNOSED DURING SCREENING COLONOSCOPY
Lucia Collar Yagas, MD, Joaquin J Estrada, MD, FACS, FACRS, Jan P Kaminski, MD, MBA. Advocate Illinois Masonic Medical CenterCase: A 63-year-old male presented for his first screening colonoscopy. On the day of the procedure, he was asymptomatic and physical examination was unremarkable. He underwent an uncomplicated colonoscopy. A 6 mm pink-tan, sessile, polypoid lesion… Continue Reading
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Comparing Colonoscopy Screening Quality Indicators between Surgeons and Gastroenterologists in a Rural Healthcare System
Hunaiz A Patel, MD, Asadulla Chaudhary, MD, Theodor Kaufman, MD, Nicholas Hellenthal, MD, Jose Monzon, MD, Stephanie Oceguera, MD, James Bordley IV, MD. Bassett Medical CenterIntroduction: There is a significant shortage of physicians providing colonoscopy, especially in rural areas. Rural general surgeons often claim endoscopy as one of the cornerstones of their practice and as a… Continue Reading
Concomitant Laparoscopic Cholecystectomy and Antegrade Wire, Rendezvous Cannulation of the Biliary Tree May Reduce Post-ERCP Pancreatitis Events
Joshua S Winder, MD1, Ryan M Juza, MD2, Eric M Pauli, MD1. 1Penn State Milton S. Hershey Medical Center, 2University Hospitals Cleveland Medical CenterIntroduction: For patients with a gallbladder in situ, choledocholithiasis is a potentially challenging condition. Both two-session (Endoscopic Retrograde Cholangiopancreatography (ERCP) and subsequent cholecystectomy (CCY)) and single-stage (simultaneous CCY/ERCP) have been described. We… Continue Reading
Control of a Bleeding Dieulafoy Ulcer at the Gastroesophageal Junction with a Full Thickness Over the Scope Suturing Device
Stephanie M Novak, MS, Zachary Callahan, MD, Rod Avitia, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of an endoscopic repair of a Dieulafoy Ulcer. The patient is a 73-year-old Hispanic female who presented multiple times with GI bleeding. She has a history of end-stage renal disease and is on hemodialysis. Her… Continue Reading
Development of a Proficiency-Based Skills Program for FES™ Competency: Determining Expert Performance Criteria on the Simbionix GI Endoscopy-Fundamental Skills Modules
Cheyenne C Sonntag, MD1, Katelin A Mirkin, MD1, John M Levenick, MD1, Jennifer L Maranki, MD1, Emmannuelle D Williams, MD1, Abraham Mathew, MD1, David B Stewart, MD2, Vamsi V Alli, MD1, Randy S Haluck, MD1, Eric M Pauli, MD1. 1Penn State Hershey Medical Center, 2University of ArizonaIntroduction:Passing the Fundamentals of Endoscopic Surgery (FES™) is a… Continue Reading
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DOES ROUTINE EGD PRIOR TO EUS REVEAL FINDINGS OF SIGNIFICANCE
Yuan Y Stevenson, MD, Nan Walsh, CRNP, Robert D Fanelli, MD, MHA, FACS, FASGE. Guthrie Robert Packer HospitalIntroduction: Side-viewing endoscopes used for endoscopic ultrasound (EUS) provide almost no view of the esophagus during insertion. Esophagogastroduodenoscopy (EGD) routinely is performed immediately prior to EUS to rule out obstructive lesions, stenoses, or to identify the location of… Continue Reading
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Drain Erosion: An Under-Reported Surgical Complication?
Megan Sippey, MD, Jeffrey Hardacre, MD, FACS, Jeffrey Marks, MD, FACS, FASGE. Case Western Reserve UniversityAbdominal drains are frequently used as a surgeon’s surveillance tool, with the benefit of serving a potential therapeutic role, for high risk anastomoses. Although rare, surgical drains can erode into nearby intraabdominal organs. We report two cases of abdominal surgical… Continue Reading
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Effect of an Educational Intervention on Colonoscopy Quality Outcomes for Surgeons in St. John’s, NL
Bradley W Evans, MD, David Pace, MD, Mark Borgaonkar, MD, Matthew Miné-Goldring, Melissa Meng, Jane Brodie, Darryl Boone, Jerry Mcgrath. Memorial University of NewfoundlandIntroduction: We aimed to assess the effect of a colonoscopy skills improvement (CSI) course on quality indicators for surgeons at our institution. Methods: This retrospective cohort study was performed on nine surgeons… Continue Reading
Endoscopic Diverticulopexy for Recurrent Dysphagia After Myotomy
Stephanie Novak, MS, Zachary Callahan, MD, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of two cases in which the patients undergo endoscopic intervention for recurrent diverticulum. The first patient is a 49-year-old male with a history of transoral endoscopic Zenker's diverticulostomy. He re-presented with dysphagia and was found to have a… Continue Reading
ENDOSCOPIC MANAGEMENT OF COMPLETE BOWEL OBSTRUCTION SECONDARY TO INGESTION OF WATER ABSORBING BEADS
Seyed A Arshad, MD, Andrew Christensen, MD, Edward Auyang, MD, MS, FACS, Jason Mckee, MD, FACS. University of New MexicoPediatric foreign body ingestion is a common issue with a reported 100,000 ingestions per year [1]. Most of these are accidental with a high majority being coins. A reported 50-90% of foreign bodies pass spontaneously, with… Continue Reading
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Endoscopic management of octopus food bolus causing esophageal obstruction
Marc Ong, MBBS, MRCS, FRCS1, Wei-Wen Ang, MBBS, MRCS1, Vishal G Shelat, MBBS, MRCS, FRCS2. 1Khoo Teck Puat Hospital, 2Tan Tock Seng HospitalA 55-year-old man presented with acute onset of dysphagia following a meal which consisted of rice and octopus. He reported vomiting immediately after congestion of food/liquid thereafter. No other symptoms or signs were… Continue Reading
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ENDOSCOPIC MANAGEMENT OF RECURRENT ANASTOMOTIC LEAK FOLLOWING CHEMOTHERAPY AFTER COLORECTAL SURGERY
David J Morrell, MD, Kevin J Mckenna, MD, Evangelos Messaris, MD, PhD, Eric M Pauli, MD. Penn State Health Milton S. Hershey Medical CenterIntroduction: The standard therapy for free intraperitoneal anastomotic leaks consists of surgical revision, diversion, and drainage. We present a patient managed endoscopically utilizing the same surgical techniques of source control and drainage. Methods: Patient… Continue Reading
ENDOSCOPIC MANAGEMENT OF VENTRICULOPERITONEAL SHUNT EROSION INTO THE DUODENUM
Seyed A Arshad, MD, Andrew Christensen, MD, Edward Auyang, MD, MS, FACS, Jason Mckee, MD, FACS. University of New MexcioVentriculoperitoneal (VP) shunt placement is a common procedure performed for the management of hydrocephalus. Of the complications associated with this procedure, bowel perforation constitutes around 0.1%. [1] Colonic and gastric perforation is the most common, with… Continue Reading
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Endoscopic Mucosal Dissection for a Submucosal Gastric Mass
Kais A Rona, MD, Jamie Kaplan, Sarah Merkel, Christopher Ducoin, MD. Tulane University School of MedicineEndscopic mucosal dissection is an advanced endoscopic technique used in various subspecialties within surgery to perform endoscopic en-bloc resection of a mass lesion. This is a video presentation demonstrating the use of endoscopic submucosal dissection to resect a submucosal gastric… Continue Reading
Endoscopic placement of a GJ feeding tube as a one step procedure, a novel approach
Jason E Kuhn, DO, Robert Cunningham, MD, Jon Gabrielsen, MD, Anthony Petrick, MD, David Parker, MD. Geisinger Medical CenterGeisinger Medical Center is presenting a video submission for a novel endoscopic placement of a GJ feeding tube. Traditionally this tube is placed either in a two step endoscopic procedure, first with a PEG then removal after… Continue Reading