SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases.
Conclusion. Abdominal incisional hernias can be repaired via single incision with a mesh application in experienced centers. PMID: 21845023 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Diagnosis and management of cystic lesions of the pancreas.
Authors: Jani N, Bani Hani M, Schulick RD, Hruban RH, Cunningham SC Abstract Pancreatic cysts are challenging lesions to diagnose and to treat. Determining which of the five most common diagnoses-pancreatic pseudocyst, serous cystic neoplasm (SCN), solid pseudopapillary neoplasm (SPN), mucinous cystic neoplasm (MCN), and intraductal mucinous papillary neoplasm (IPMN)-is likely the correct one requires the careful integration of many historical, radiographic, laboratory, and other factors, and management is markedly different depending on the type of cystic lesion of the pancreas. Pseudocysts are generally ...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Learning curve in a Western training center of the circumferential en bloc esophageal endoscopic submucosal dissection in an in vivo animal model.
Conclusion. ECE-ESD training is feasible in canine models for postgraduate endoscopy fellows. PMID: 21976950 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Long-Term Results of Radiofrequency Energy Delivery for the Treatment of GERD: Results of a Prospective 48-Month Study.
Authors: Dughera L, Navino M, Cassolino P, De Cento M, Cacciotella L, CisarĂ² F, Chiaverina M Abstract Since 2000, radiofrequency (RF) energy treatment has been increasingly offered as an alternative option to invasive surgical procedures for selected patients with gastroesophageal reflux disease (GERD). Out of 69 patients treated since June 2002 to December 2007 with the Stretta procedure, 56 of them reached by the end of 2010 a 48-month followup. RF treatment significantly improved heartburn scores, GERD-specific quality of life scores, and general quality of life scores at 24 and 48 months in 52 out of ...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Dilation of malignant strictures in endoscopic ultrasound staging of esophageal cancer and metastatic spread of disease.
Conclusions. Dilation of malignant strictures for EUS staging of esophageal cancer does not appear to lead to higher rates of distant metastases. PMID: 22203779 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Training in EUS-Guided Fine Needle Aspiration: Safety and Diagnostic Yield of Attending Supervised, Trainee-Directed FNA from the Onset of Training.
Conclusions. When initiated at the onset of EUS training, attending-supervised, trainee-directed FNA is safe and has comparable performance characteristics to attending FNA. PMID: 22203780 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Inadvertent Percutaneous Endoscopic Gastrostomy Tube Placement through the Transverse Colon to the Stomach Causing Intractable Diarrhea: A Case Report.
Authors: Burke DT, Geller AI, Carayannopoulos AG, Goldstein R Abstract Background. Among patients with chronic disease, percutaneous endoscopic gastrostomy (PEG) tubes are a common mechanism to deliver enteral feedings to patients unable to feed by mouth. While several cases in the literature describe difficulties with and complications of the initial placement of the PEG, few studies have documented the effects of a delayed diagnosis of a misplaced tube. Methods. This case study reviews the hospitalization of an 82 year old male with an inadvertent placement of a PEG tube through the transverse colon. Pho...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Propofol sedation for ERCP procedures: a dilemna? Observations from an anesthesia perspective.
Authors: Garewal D, Waikar P Abstract Propofol sedation for endoscopic retrograde cholangiopancreatography (ERCP) procedures is a popular current technique that has generated controversy in the medical field. Worldwide, both anesthetic and nonanesthetic personnel administer this form of sedation. Although the American and Canadian societies of gastroenterologists have endorsed the administration of propofol by nonanesthesia personnel, the US Food and Drug Administration (FDA) has not licensed its use in this manner. There is some evidence for the safe use of propofol by nonanesthetic personnel in patients ...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Pancreaticopleural fistula: revisited.
Authors: Machado NO Abstract Pancreaticopleural fistula is a rare complication of acute and chronic pancreatitis. This usually presents with chest symptoms due to pleural effusion, pleural pseudocyst, or mediastinal pseudocyst. Diagnosis requires a high index of clinical suspicion in patients who develop alcohol-induced pancreatitis and present with pleural effusion which is recurrent or persistent. Analysis of pleural fluid for raised amylase will confirm the diagnosis and investigations like CT. Endoscopic retrograde cholangiopancreaticography (ECRP) or magnetic resonance cholangiopancreaticography (MRCP...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

The valuable role of endoscopy in inflammatory bowel disease.
Authors: Hamilton MJ Abstract Endoscopy is a valuable clinical tool for the clinician who takes care of patients with inflammatory bowel disease (IBD). The role of endoscopy in the diagnosis, management, and treatment of IBD is discussed in this review. The central role that colonoscopy plays in screening for colon cancer in patients with longstanding IBD is also addressed. PMID: 22474403 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Detectability of colon polyp using computed virtual chromoendoscopy with flexible spectral imaging color enhancement.
Authors: Kiriyama S, Matsuda T, Nakajima T, Sakamoto T, Saito Y, Kuwano H Abstract The aim of this pilot study was to assess the feasibility of using computed virtual chromoendoscopy with the flexible spectral imaging color enhancement (FICE) for colon neoplasia screening. A modified back-to-back colonoscopy using FICE and white light in the right-sided colon was conducted prospectively for the consecutive patients attending for the postoperative (sigmoidectomy or anterior resection) follow-up colonoscopy. Histopathology of detected lesions was confirmed by evaluation of endoscopic resection or biopsy spec...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Efficacy of the new double-layer stent for unresectable distal malignant biliary obstruction: a single-center retrospective study.
Conclusion. The new DLS is efficient and safe and may be considered the first choice for unresectable distal malignant obstruction in cases with short life expectancy. PMID: 22496603 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Endoscopic Evaluation of Symptomatic Patients following Bariatric Surgery: A Literature Review.
Authors: Subhani M, Rizvon K, Mustacchia P Abstract Obesity is an epidemic in our society, and rates continue to rise, along with comorbid conditions associated with obesity. Unfortunately, obesity remains refractory to behavioral and drug therapy but has shown response to bariatric surgery. Not only can long-term weight loss be achieved, but a majority of patients have also shown improvement of the comorbid conditions associated with obesity. A rise in the use of surgical therapy for management of obesity presents a challenge with an increased number of patients with problems after bariatric surgery. It i...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Rinsability of orthophthalaldehyde from endoscopes.
We examined this possibility by means of a zone-of-inhibition test, and also a test to extract residues of orthophthalaldehyde with acetonitrile, from sections of endoscope insertion tube materials, to measure the presence of alkaline glutaraldehyde, or glutaraldehyde plus 20% w/w isopropanol, or ortho-phthalaldehyde that remained on the endoscope materials after exposure to these disinfectants followed by a series of rinses in water, or by aeration overnight. Zones of any size indicated the disinfectant had not been rinsed away from the endoscope material. There were no zones of inhibition surrounding endoscope materials ...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Comparison of two entry methods for laparoscopic port entry: technical point of view.
Authors: Toro A, Mannino M, Cappello G, Di Stefano A, Di Carlo I Abstract Laparoscopic entry is a blind procedure and it often represents a problem for all the related complications. In the last three decades, rapid advances in laparoscopic surgery have made it an invaluable part of general surgery, but there remains no clear consensus on an optimal method of entry into the peritoneal cavity. The aim of this paper is to focus on the evolution of two used methods of entry into the peritoneal cavity in laparoscopic surgery. PMID: 22761542 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research