We are presenting a Video Abstract of a patient who presented wit a tight Lower common bile duct stricture who underwent multiple failed attempts of ERCP-guided dilations and stents placement. Roux-en-Y Choledochojejunostomy was also not an applicable option secondary to intense abdominal wall and interloop bowel adhesions.
A 41-year-old morbidly obese female patient referred for having an intractable lower CBD stricture. She initially presented 4 years back to the GI service with jaundice and
We present a case of emergent thoracoscopic management of volvulus of the gastric conduit following minimally invasive Ivor-Lewis esophagectomy. The patient is a 69 year old caucasian male with a history of adenocarcinoma of the lower third of the esophagus. Initial presentation was dysphagia with solid foods, which progressed in severity until he was unable to swallow anything. EUS demonstrated a partially obstructing mass at 33cm, biopsy revealed poorly differentiated adenocarcinoma, stage T3N
Introduction: achalasia of the esophagus is a primary esophageal motility disorder of uncertain etiology. Aperistalsis of the esophagus and lack of relaxation of the lower esophageal sphincter in response to swallow are characteristic of this disease. Esophageal manometry is the diagnostic test and the gold standard treatment is the esophageal myotomy. An extended myotomy is mandatory to achieve relief of the dysphagia.
Description of contents: 15-year-old man who presented to another instituti
Introduction: Although early recovery after surgery (ERAS) program has been shown to enhance postoperative recovery in several surgical fields, there have been no well-designed study in laparoscopic gastric surgery. This study aimed to evaluate the efficacy of ERAS program after totally laparoscopic distal gastrectomy (TLDG) in context of a prospective randomized controlled trial.
Methods: Between Oct 2012 and Aug 2014, 106 patients who had gastric cancer for which TLDG was indicated and rando
Background: The duodenal switch is currently the best operation in terms of weight loss. However, it has suffered from the perception that it is too difficult to perform and has undesirable side effects of multiple daily bowel movement, malnutrition and foul smelling flatulence.
Methods: A historical comparison study was conducted. All patients who presented for a duodenal switch between September 2011 and May 2013 received a standard duodenal switch (SDS) and those who presented between June 2