Introduction: The objective of this study is to determine if annual colonoscopy volume of endoscopists is related to the risk of adverse events, patient comfort, and the amount of sedation used. There is some debate about whether these factors are related to the experience of the endoscopist.
Methods: A retrospective cohort study was performed on 3235 patients who underwent colonoscopy in the city of St. John’s, NL between January and June 2012. Using the electronic medical record system, in
Introduction
Covered Stents are increasingly used for treatment of postoperative or ulcer-caused gastro-intestinal leaks. Covered stents used for these treatments carry a risk of migration that potentially can create grave clinical situations. It may be assumed that the shape and mechanical properties of the stent together with the geometrical response of the stent to bowel movements will affect the probability of migration. These factors have not yet been studied due to lack of adequate models
Introduction: Endoscopically placed, self-expandable stents have become an increasingly accepted technique for the management of anastamotic complications. The objective of our study was to determine the success of endoscopically stents in patients with anastomotic, staple line leaks, fistulas and strictures.
Methods: A retrospective review of patients who had undergone endoscopic stent placement for the management of complications after various foregut procedures was conducted. All stents were
Introduction: Increased interest in surgeon-performed ERCP has prompted surgical endoscopy fellowships to incorporate ERCP into their training. In 2007, SAGES published guidelines for training in diagnostic and therapeutic ERCP. Since then, our institution has established an ERCP training program for select residents and fellows and has reported on the completion of this program and acquisition of independent credentialing by the conclusion of fellowship. Presented here is a curriculum showing t
The management of traumatic esophageal injury is highly controversial in the literature, especially management after a delayed presentation. We report a case of a 25-year-old male who presented to the ER as a Level 1 trauma with multiple gun shot wounds to the left and right chest, as well as several extremity wounds. Initial upright CXR revealed a right hemothorax and a right chest tube was placed with 900cc bloody output. Vital signs were stable and the patient underwent a CT of his chest to i