INTRODUCTION: As a new bariatric surgery procedure, LSG is rapidly gaining adepts and establishing as a stand-alone surgery for morbid obesity. It is also considered a safe procedure as compared to other bariatric surgical techniques. However, there exists the risk of potentially fatal complications. We report the case of an esophageal-pleural fistula that after conservative […]
Introduction: Commonest type of Gastro esophageal junction growth in our region is type III with involvement of the cardia. After resection with adequate margin, the length of the stomach tube might not reach the neck. In such situations Ivor-Lewis Esophago- Gastrectomy with intra thoracic anastamosis is a good alternative. Methods: A retrospective analysis of 13 […]
We present a video of a laparoscopic resection of a 6cm hamartomatous polyp arising from the 3rd part of the duodenum and intraoperative endoscopy in a 15 year old female with Peutz-Jeghers syndrome. The patient has a history of multiple small hamartomatous polyps removed endoscopically. She now presents with symptoms of intermittent postprandial abdominal pain. […]
Introduction: The growing evidence has verified the survival benefit of combined treatment of the chemotherapy followed by the surgery for advanced thoracic esophageal cancer. The endoscopic surgery for thoracic esophageal cancer has been shown to facilitate the early resumption of daily activity of the patients in the postoperative course, but is considered technically difficult especially […]
Introduction: NOTES represents a potentially less invasive alternative to conventional laparoscopy. By traversing the gastric or colonic wall to gain access to the peritoneal cavity, the traditional percutaneous route is avoided. However, breach of the gut wall raises the specter of intra-peritoneal infection. Various anti-microbial techniques have been employed—sterile saline rinse, intravenous and topical antibiotics, […]