ROLE OF WEERDA DIVERTICULOSCOPE FOR REMOVAL OF FOREIGN BODIES IMPACTED IN UPPER ESOPHAGUS: BACK TO RIGID?
Carlo Galdino Riva, Stefano Siboni, Davide Ferrari, Marco Sozzi, Alberto Aiolfi, Luigi Bonavina. IRCCS Policlinico San DonatoIntroduction: Foreign body removal is a common emergency procedure. The main location of impaction is the upper esophagus. In non-complicated cases, flexible endoscopy is the treatment of choice. Rigid endoscopy is not mentioned in most guidelines, but it provides… Continue Reading
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The impact of bowel diameter, injection method (sclerotherapy needle vs punctureless high pressure injection) and endoscope type (upper vs low, and different diameter) on endoscopic bowel wall injections for tattoo or mucosal lift.
Neil Mitra, MD1, Dasuni Niyagama Gamage, MD1, Xiaohong Yan, PhD1, Jaspreet Sandhu, MD2, Carl Winkler, MD1, Vesna Cekic, RN1, Hmc Shantha Kumara, PhD1, Richard L Whelan, MD1. 1Mount Sinai West Hospital, 2Brookdale University Hospital Medical CenterEndoscopic bowel wall injections are most commonly performed in order to tattoo the location of a lesion or to generate… Continue Reading
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SIMETHICONE DECREASES BLOATING AND IMPROVES BOWEL PREPARATION EFFECTIVENESS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Muhammad Moolla, BSc, Jerry Dang, MD, Ashley Shaw, MD, Thuc Nhi T Dang, MD, Chunhong Tian, PhD, Shahzeer Karmali, MD, MPH, Richard Sultanian, MD, MSc. University of AlbertaIntroduction: We performed a systematic review and meta-analysis to determine if the addition of simethicone to bowel preparations prior to colonoscopy had an impact on bowel cleanliness and patient… Continue Reading
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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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Intraoperative Endoscopy; A Safe and Valuable Tool for the Diagnosis and Treatment of Midgut Pathology
Amanda Fazzalari, MD1, Shruthi Srinivas, BS1, Natalie Pozzi, MD2, Christopher Schlieve, MD1, Jonathan Green, MD1, Demetrius Litwin, MD, MBA, FACS1, David Cave, MD, PhD1, Mitchell Cahan, MD, MBA, FACS1. 1University of Massachusetts, 2Saint Mary's HospitalObjective: Intraoperative endoscopy (IOE) was first described in the late 1960s and is regarded as the gold standard for complete evaluation of… Continue Reading
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PERIAMPULLARY DUODENAL DIVERTICULUM ERCP INCIDENTAL FINDING AND ASSOCIATION WITH DIFFICULT BILIARY CANNULATION. A CASE SERIES.
Carlos M Zavaleta, MD, Fernando A Quesada, MD. IntergastroIntroduction: A classification for Periampullary Duodenal Diverticulum (PAD) was proposed by Boix et al in three types based on location. These anatomical variants may require more expertise from endoscopist in charge to achieve a successful procedure as it has been reported as a factor associated with difficult biliary… Continue Reading
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PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN AMYOTROPHIC LATERAL SCLEROSIS PATIENTS: OUTCOMES OF A DEDICATED SURGERY AND ANESTHESIA PROTOCOL
David J Morrell, MD1, Marvin H Chau, BS2, Vamsi V Alli, MD1, Elizabeth H Sinz, MD1, Sprague W Hazard, MD1, Zachary Simmons, MD1, Eric M Pauli, MD1. 1Penn State Health Milton S. Hershey Medical Center, 2The Pennsylvania State University College of MedicineIntroduction: Patients requiring percutaneous endoscopic gastrostomy (PEG) for amyotrophic lateral sclerosis (ALS) related dysphagia… Continue Reading
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SODIUM PHOSPHATE IS SUPERIOR TO POLYETHYLENE GLYCOL IN CONSTIPATED PATIENTS UNDERGOING COLONOSCOPY: A SYSTEMATIC REVIEW AND META-ANALYSIS
Jerry T Dang, MD, Muhammad Moolla, BSc, Thuc Nhi T Dang, MD, Ashley Shaw, MD, Chunhong Tian, PhD, Shahzeer Karmali, MD, MPH, Richard Sultanian, MD, MSc. University of AlbertaIntroduction: We performed a systematic review and meta-analysis to determine the optimal bowel preparation in constipated patients undergoing colonoscopy. Constipation is an important and highly prevalent predictor of… Continue Reading
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Safety of Novel Submucosal Injection Agent to Perform Per-Oral Pyloromyotomy: Single Center Pilot Study
Andrew T Strong, MD, Joshua P Landreneau, MD, MSc, Kevin El-Hayek, MD, FACS. Section of Surgical Endoscopy, Department of General Surgery Cleveland ClinicIntroduction: Endoscopic submucosal tunneling techniques such as per-oral esophago-myotomy or per-oral pyloromytomy (POP) rely on gaining access to a submucosal plane in the gastrointestinal tract. A fluid lift technique is typically used to facilitate… Continue Reading
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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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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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Use of EUS-directed gastro-gastric lumen-apposing metal stents as a viable alternative for gastric remnant and biliary tree access in Roux-en-Y anatomy: A tertiary referral center experience.
Alvaro F Galvez, MD1, Alexa Pesce2, Dane Scantling, DO, MPH1, Lynsey Daniels, MD1, Elizabeth Renza, MD1, Anand Kumar, MD, MPH1, Neal Patel, MD1, Erkanda Ikonomi1. 1Hahnemann University Hospital, 2Drexel University College of MedicineObjectives: The anatomic challenges presented by Roux-en-Y gastric bypass (RYGB) are formidable. Access to the excluded gastric remnant or biliary tree is a common… Continue Reading
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Giant Rectal ESD With Tissue Retraction: A Unique Approach
Sam K Sharma, James E East, Adam A Bailey. Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, U.K.INTRODUCTION: Hypothesis: The use of a novel endoscopic tissue retraction device was 1) feasible and 2) facilitated effective and efficient dissection of giant colonic polyps. Giant colonic polyps (>4cm diameter) are often treated by surgical resection. Endoscopic treatment options… 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
Management of various rectal lesions by using TAMIS.
Pramod Nepal, MD, Shinichiro Mori, MD, PhD, Yoshiaki Kita, MD, PhD, Kan Tanabe, MD, PhD, Kenji Baba, MD, PhD, Yasuto Uchikado, MD, PhD, Hiroshi Kurahara, MD, PhD, Takaaki Arigami, MD, PhD, Masahiko Sakoda, MD, PhD, Kosei Maemura, MD, PhD, Shoji Natsugoe, MD, PhD. Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine,… Continue Reading