Transluminal Endoscopic Drain Repositioning for Postoperative Gastrointestinal Leaks: A Case Series
Ryan M Juza, MD, Karima Fitzgerald, Niraj Gusani, MD, Ann M Rogers, MD, Eric M Pauli, MD. Penn State Hershey Medical CenterIntroduction: Leak is an uncommon but serious complication of gastrointestinal surgery. When identified post-operatively, percutaneous drains are used to manage abscesses and prevent further peritoneal contamination. If drain position is suboptimal, however, the consequences… Continue Reading
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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
TRANSRECTAL STENT PLACEMENT FOR THE DEBRIDEMENT OF A PRESACRAL PHLEGMON
Michelle Ganyo, MD, Robert Lawson, MD. Naval Medical Center San DiegoINTRODUCTION: A presacral phlegmon is a contained collection of infected fluid and inflammation within the bony pelvis, posterior to the rectum and anterior to the sacrum, that usually arises as a complication of surgery, malignancy, inflammatory bowel disease, ischemic colitis or perforated viscous. Symptoms include… Continue Reading
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Wide-angle colonoscopy for colorectal cancer prevention: randomised controlled trial
Miroslaw Szura, MD, PhD1, Artur Pasternak, MD, PhD1, Rafal Solecki, MD1, Tomasz Gach, MD2. 1Jagiellonian University Medical College, 2St John Grande Hospital, Krakow, PolandBackground: Colonoscopy is the most commonly performed endoscopic examination worldwide and is considered the gold standard for colorectal cancer screening. The quality of examination and endoscopic treatment is affected by a number… Continue Reading
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