INTRODUCTION: Tissue apposition and fixation is an important component in traditional endoscopic and NOTES procedures. Current devices for endoscopic tissue fixation may migrate through the mucosal lining, may leak, create tissue damage through pressure necrosis, and may not stimulate tissue adhesion over time. There is a need for tissue anchors that safely appose tissues without […]
Introduction: Acute pancreatitis in an uncommon complication after elective laparoscopic cholecystectomy for gallstone disease. The purse of the study is to determine the incidence of acute pancreatitis after elective laparoscopic cholecystectomy and to postulate potential ways to avoid this complication. METHODS and Procedure: A retrospective study of 4,101 consecutive elective laparoscopic cholecystectomies at a single […]
INTRODUCTION: Spontaneous retroperitoneal hemorrhage can present as a rare life-threatening event. We present the first spontaneous retroperitoneal haematoma due to bleeding from lumbar artery without history of trauma, instrumentation or anticoagulation. Prompt diagnosis and proper management of this condition is essential to improve survival. METHODS AND PROCEDURES: A 84-year old female admitted to hospital for […]
Introduction: Median arcuate ligament (MAL) syndrome is a rare condition caused by abnormally low insertion of the median arcuate ligament or diaphragmatic muscle resulting in external compression of the celiac trunk. This leads to postprandial epigastric pain, nausea, vomiting, and weight loss. Conventional surgical treatment of this condition involves a release of MAL via a […]
Purpose: Although screening colonoscopy has significantly reduced the incidence of colorectal cancer due to removal of clinically significant adenomatous polyps, the clinical benefit of removing micro adenomas is of unclear benefit. As a result basing the value of increasing withdrawal time on adenoma detection rate may not be a good surrogate quality indicator for colonoscopic […]