POEM complications with delayed Laparoscopic Heller Myotomy
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Christopher A Marshall, MD, John J Kelly, MD. University of MassachusettsTwo major treatment modalities are available for patients with achalasia: a Heller Myotomy or a Per Oral Endoscopic Myotomy (POEM). The POEM was first discussed in the literature in 2009 and the steps for performing it were… Continue Reading
Thoracoscopic Visualization of a Long Endoscopic Esophageal Myotomy for Spastic Achalasia
Kelly Haisley, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case showing the thoracoscopic visualization of a long esophageal myotomy done through a per-oral endoscopic approach (POEM). Background: The patient is a 55 year old woman with chronic pain and debilitating diffuse… Continue Reading
Endoscopic Resection of a Large Mediastinal Esophageal Leiomyoma
Kelly R Haisley, MD, Kevin Reavs, MD, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Missy Desouza, MD, Christy Dunst, MD, Lee Swanstrom. Providence Portland Medical CenterIntroduction: In this video, we review a case of the complex endoscopic removal of a large esophageal leiomyoma by a submucosal resection technique extending into the mediastinum. Background: The patient is a… Continue Reading
The Combined Bronchoscopic and Endoscopic Management of a Recurrent Tracheo-Esophageal Fistula
Samantha R Witte, MD1, Ryan M Juza, MD2, Mary C Santos, MD1, Peter W Dillon, MD1, Eric M Pauli, MD1. 1Penn State Health, 2Case WesternThis is a case presentation of the complex endoscopic and bronchoscopic management of a recurrent tracheoesophageal fistula in a pediatric patient. This case highlights the benefit of a multidisciplinary approach utilizing… Continue Reading
Crural Blowout Years After Laparoscopic Repair of Recurrent Paraesophageal Hernia
Michael A Antiporda, MD1, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Steven R Demeester, MD2, Christy M Dunst, MD2, Daniel Davila Bradley, MD2, Lee L Swanstrom, MD3, Kevin M Reavis, MD2. 1Providence Portland Medical Center, 2The Oregon Clinic, Portland, Oregon, 3Institute for Image Guided Surgery (IHU-Strasbourg), Strasbourg, FranceIntroduction: Paraesophageal hernia (PEH) repair is associated with… Continue Reading
- Topic:
- Foregut
Laparoscopic Redo Paraesophageal Hernia Repair, Takedown of Low Nissen Fundoplication with Conversion to Toupet, and Pyloroplasty
Amy L Holmstrom, MD, Ryan J Campagna, MD, Stephen F Chiu, MD, Ezra N Teitelbaum, MD, MEd. Northwestern Memorial HospitalThe patient is a 61 year old woman who had undergone a robotic converted to open paraesophageal hernia repair with Nissen fundoplication at an outside hospital in 2016. Following this surgery, she experienced severe epigastric pain,… Continue Reading
- Topic:
- Foregut
Paraoesophageal Hernia Repair After Laparoscopic Sleeve Gastrectomy
Charlotte Horne, MD, Alisan Fathalizadeh, MD, John Rodriguez, MD, Kevin El-Hayek, MD, Jeffrey Ponsky, MD. Cleveland ClinicThis case presentation involves a 52-year-old female that underwent a laparoscopic sleeve gastrectomy in 2011. At this time, she was also noted to have a hiatal hernia but this was not repaired. Her medical comorbidities include diabetes mellitus, pulmonary… Continue Reading
- Topic:
- Foregut
RECURRENT EPIPHRENIC DIVERTICULUM
Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEpiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure.… Continue Reading
- Topic:
- Foregut
LINX in GERD. The evolution of the technique. From none to full dissection of the crura
Rebeca V Dominguez, MD, Arielle M Lee, MD, Tokio Matsuzaki, MD, Kai Neki, Ryan C Broderick, Robert Cubas, Joslin N Cheverie, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UCSDWe present a video with 4 different scenarios, that represent the continuous evolution of this technique. Starting with the performing… Continue Reading
- Topic:
- Foregut
Laparoscopic Pyloroplasty and Sleeve Gastrectomy for Gastroparesis, after failed Per Oral endoscopic Pyloromyotomy (POP).
Michel Gagner, MD, FRCSC, FACS, FASMBS, Maxime Lapointe-Gagner. Clinique Michel Gagner MD, Inc.Gastroparesis, defined as a delay in gastric empting without clear obstruction, is increasing in incidence mainly due to a recent diabetes epidemic. The use of laparoscopic sleeve gastrectomy alone to treat gastroparesis is still controversial, as results have been inconsistent. This video is… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC RESECTION OF ESOPHAGEAL LEIOMYOMA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEsophageal leiomyoma are benign tumors that arise from smooth muscles. It is present in the distal third of the esophagus 60% of the time, 30% in the middle and 10% in the upper esophagus. Barium swallow shows a smooth a filling defect within… Continue Reading
- Topic:
- Foregut
Intraoperative Endoflip: Real-time Assessment of Myotomy Adequacy
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, David C Kunkel, MD, Santiago Horgan, MD. UC San DiegoDysphagia following foregut surgery often presents a challenge in management.… Continue Reading
- Topic:
- Foregut
Single Port Laparoscopic Trans-gastric Removal of Eroded Gastric Band
Amanda Roberts, MD, Abdelrahman Nimeri, MD, FACS, FASMBS, Keith Gersin, MD, FACS, FASMBS, Timothy Kuwada, MD, FACS, FASMBS. Carolinas Weight ManagementLap bands gained popularity and were very commonly used in the treatment of morbid obesity in the early 2000s. While it has been found to be a very safe procedure, the lap band has unique risks,… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic revision of RYGB complicated by large symptomatic gastrogastric fistula.
Matthew D Burstein, MD, PhD, Essa M Aleassa, MBBS, MSc, Philip R Schauer, MD. Cleveland Clinic FoundationA 32 YO F with prior LRYGB complicated by large symptomatic gastrogastric fistula, who underwent laparoscopic revision of her GJ anastomosis with GGF takedown.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95603Program Number: V147Presentation Session: Revisional Bariatrics/Foregut… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass
Melissa M Beitner, MBBS, Jinlin Lin, MBBS, FRCS, George H Hopkins, MBBS, FRACS. Royal Brisbane and Women's Hospital, AustraliaThis video shows a conversion to laparoscopic Roux-en-Y gastric bypass with handsewn gastrojejunostomy and on table endoscopy in a patient with failed weight loss after endoscopic sleeve gastroplasty.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
- Topic:
- Metabolic / Obesity