INTRODUCTION
Zenker’s diverticulum (ZD) is rare upper esophageal pathology that is most prevalent in the 6th and 7th decade. It is thought to be caused by a lack of coordination between the contractions of the pharynx and the upper esophageal sphincter. Three different therapeutical options are available (1) open transcervical approach, (2) rigid endoscopy and (3) flexible endoscopy. Our hypothesis is that a free handed endoscopic cricomyotomy represents a safe and effective treatment of ZD a
Introduction: Advanced endoscopic techniques are rapidly evolving and providing clinicians with novel ways to address issues that were historically treated with surgical interventions. The Ovesco over the scope clipping (OTSC™) system (Ovesco Endoscopy AG, Tübingen, Germany) has recently been shown to be effective at endoscopic closure of gastrointestinal(GI) defects including acute perforations, leaks, and fistulae. We hypothesize that by following classic principles of fistula management that
INTRODUCTION:
Anastomotic complications after esophagectomy are frequent. The use of self expanding removable covered metal stents has been shown to be an effective initial treatment for esophagogastric anastomotic leaks after esophagectomy, but there is a paucity of literature regarding their long term sequelae. The aim of this study is to review the long term outcomes of anastomotic stenting after esophagectomy with cervical esophagogastric reconstruction, focusing on the safety and efficacy
Introduction: Upper intestinal leaks and perforations are associated with high morbidity and mortality rates. Despite the experience with endoscopically placed stents the treatment of these leaks and perforations remain a challenge. Endoluminal vacuum (E-Vac) therapy is a novel treatment that has already been successfully used in Germany to treat upper intestinal leaks and perforations. There currently are no reports on its use in the U.S.
Methods: This is a retrospective study summarizing our
Introduction: This study aims to evaluate the utility of a second endoscope during Per-Oral Endoscopic Myotomy (POEM) to ensure adequate dissection onto the gastric cardia. Since its introduction in 2010, POEM has offered an alternative to laparoscopic Heller myotomy (LHM) for the treatment of achalasia. A recent study by Teitelbaum et al. demonstrated a significant improvement in gastroesophageal junction (GEJ) distensibility with a gastric myotomy length of at least 3cm. During POEM, however,