INTRODUCTION: Splenic artery aneurysm affects 0.1% of population. They are often an incidental radiological finding. A spontaneous rupture may be fatal. Intervention is indicated when they reach 2 cm in diameter, are symptomatic, increasing in size, in pregnant patients or in women of child-bearing age. Small splenic artery aneurysm under 4 cm could be treated […]
INTRODUCTION: In Colorectal cancer, the increasing evidence in the literature shows improved outcome following laparoscopic surgery. However, the evidence and outcome on laparoscopic gastric surgery is limited. The purpose of this study was to assess our initial experience with laparoscopic gastric surgery for malignancy. METHODS AND PROCEDURES: Between Sept 2003 to Aug 2007 there were […]
Introduction: The purpose of this study is to evaluate the primary and overall success rate for laparoscopic, endoscopic and open pancreatic cystgastrostomy for pancreatic pseudocysts.Methods: Records of 83 patients (M:F, 46:37) undergoing laparoscopic (LAP; n=16), endoscopic (ENDO; n=45) and open (OPEN; n=22) pancreatic cystgastrostomy from 3/99-8/07 were analyzed on an intention-to-treat basis from an IRB-approved […]
IntroductionGastrointestinal stromal tumors are the most common mesenchymal neoplasm of the GI tract, and 60% of GISTs occur in the stomach. The mainstay of treatment for GI stromal tumors is surgical resection with negative margins, with use of Gleevac reserved for metastatic or unresectable disease. Tumors located at the gastroesophageal junction have traditionally been problematic […]
Background: Previous investigators have demonstrated the ability to perform an esophageal myotomy via a natural orifice translumenal endoscopic surgery (NOTES) approach. To date, no one has performed a NOTES myotomy including both gastric and esophageal musculature.Objective: Our objective was to perform a complete cardiomyotomy via a trans-esophageal route using the self-approximating translumenal access technique (STAT).Methods: […]