Efficacy and Safety in Pediatric ERCP By a Surgical Endoscopist
Introduction: Pediatric endoscopic rertograde cholagiopancreatography (ERCP) is not routinely performed by most therapeutic endoscopists. The challenges of a pediatric anatomy, pediatric physiology, rare indications, and the need for side viewing endoscope preclude this procedure from becoming popular by pediatric gastroenterologist or laparoendoscopic surgeons. This investigation studied the hypothesis that pediatric ERCP can be performed by… Continue Reading
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- Posters
Endoscopic Findings in Patients with Upper Gi Symptoms After Roux-en-Y Gastric Bypass
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… Continue Reading
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- Posters
Splenic Injury After Therapeutic ERCP
INTRODUCTION: Endoscopic Retrograde Cholagiopancreatography (ERCP) is an invasive, but sensitive means of diagnosing and treating biliary disease. Complications range from 5-10%. The most common complications of ERCP are acute pancreatitis and duodenal perforation; but esophageal, splenic and hepatic injury have been reported. Here we report such a splenic injury after ERCP. CASE REPORT: A 29… Continue Reading
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- Posters
Duodenoscope Choice in Pediatric ERCP
Introduction: Although rare, some pediatric diseases may require diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). The choice of duodenoscope for pediatric ERCP is not well studied. This study investigated the hypothesis that a therapeutic adult duoenoscope can be utilized safely for pediatric ERCP. Methods: All patients under the age of 18 were included in this… Continue Reading
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- Posters
Esophageal Ulcers At a Large Urban Emergency Hospital: A Seventeen Year Experience
OBJECTIVE: In this study, we report the incidence, common etiologies, endoscopic and pathologic findings and clinical outcomes of patients with esophageal ulcers (EU) in our urban population over a seventeen year period. METHODS: This is a retrospective chart review of all upper endoscopies (EGD) performed by a single surgical endoscopist at an urban emergency hospital… Continue Reading
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- Posters
The Predictive Value of Pet/ct Findings Suspicious for Colorectal Cancer in Patients with Non-gastrointestinal Malignancies
Introduction:Positron Emission Tomography/Computed Tomography (PET/CT) performed in the staging and follow-up of patients with non-GI malignancies will occasionally detect a second primary tumor in the GI tract. The purpose of this study was to determine the ability of PET/CT to predict the presence of occult colorectal malignancy in patients already diagnosed with a non-GI cancer.… Continue Reading
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- Posters
Accessing the Gastric Remnant After Roux-en-Y Gastric Bypass
INTRODUCTION: A minimally invasive method for accessing the gastric remnant to intervene on the biliary and pancreatic system after Roux-en-Y gastric bypass (RYGB) has not been well described. This is a retrospective review describing two surgeons’ complete experience with laparoscopic trans-gastric (LaTG) ERCP for biliary and pancreatic duct management.METHODS AND PROCEDURES: Twelve patients underwent LaTG-ERCP.… Continue Reading
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- Posters
Esophageal Dilatation for Corrosive Stricture of the Esophagus
Less was known regarding outcome of dilatation in corrosive stricture of the esophagus. The aim of this study was to report the treatment outcome of dilatation for corrosive esophageal stricture.Methods: Medical records of twenty-three patients with corrosive esophageal stricture who underwent esophagal dilatations were reviewed. All dilatations were performed under general anesthesia using Savary-Gillard dilator… Continue Reading
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- Posters
Endoscopic Ultrasound-guided Gastrostomy After Roux-en-Y Gastric Bypass: A Novel Approach
Objective: Gastrostomy tube (GT) placement after Roux-en-Y gastric bypass can be challenging. Novel, minimally invasive approaches are needed to access the gastric remnant in these patients. Our objective is to present an innovative method of endoscopic ultrasound (EUS)-guided GT placement.Procedure Description: A 55 year-old morbidly obese female underwent reoperative, open retrocolic Roux-en-Y gastric bypass, and… Continue Reading
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- Posters
Single Incision Experience At San Diego: The Evolution of Clear Imaging
Objective: Classic laparoscopic surgery is based on the ability to triangulate instrumentation to have good exposure and working space. This is done with multiple trans-abdominal ports. Decreasing the number of ports may be beneficial in decreasing pain. In addition elimination of port sites eliminates the risk of herniation at those sites and provides a definite… Continue Reading
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- Posters
Dilation of Anastomotic Strictures After Transhiatal Esophagectomies
Objective: Anastomotic stricture presenting with dysphagia after transhiatal esophagectomy is a common problem. We have reviewed our experience with esophageal dilatations after transhiatal esophagectomies. Methods: We retrospectively reviewed the medical records of all patients who underwent esophageal dilatation after transhiatal esophagectomies. Demographic data, number and methods of dilatations, time between dilatations, and time between surgery… Continue Reading
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- Posters
Endoscopic Tissue Fusion for Weight Regain After Gastric Bypass: Does It Help?
Background: Gastric bypass results in significant weight loss in the morbidly obese population. There is however, an incidence of weight regain associated with the procedure. One theory for the weight regain is pouch dilation. StomaphyX is a device which addresses pouch dilation by endoscopically plicating the gastric pouch, resulting in a decreased pouch size. This… Continue Reading
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- Posters
40th Anniversary of the First Endoscopic Retrograde Pancreatogram
2008 marks the 40th anniversary of endoscopic retrograde cholangiopancreatography (ERCP). In 1968, a group of physicians from the George Washington University Medical Center published the first report that documented the initial clinical application of ERCP.The successful procedure was performed by Drs. McCune, Shorb, and Moscovitz and was predicated on hours of canine research followed by… Continue Reading
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- Posters
Preoperative Endoscopy in the Evaluation of Patients Before Bariatric Surgery
BACKGROUND: This study evaluates the diagnostic yield of esophago-gastroduodenoscopy (EGD) before bariatric surgery and its influence on the planned surgery. METHODS: Endoscopy reports of all patients having undergone an EGD at our endosurgical unit were reviewed. We identified a non-consecutive series of morbidly obese patients that had an endoscopic evaluation before their primary bariatric procedure… Continue Reading