Tag Archives: Endoscopic

General Surgery, Print Release

Laparoscopic-Assisted Takedown of a Gastrocutaneous Fistula

Laparoscopic-Assisted Takedown of a Gastrocutaneous Fistula
Victoria J. Grille, MD1; Eric M. Pauli, MD, FACS, FASGE2
1Jersey Shore University Medical Center
2Penn State Milton S. Hershey Medical Center

A gastrocutaneous fistula is an abnormal connection between the stomach and skin, most commonly occurring after removal of a gastrostomy feeding tube. This video demonstrates the surgical technique of laparoscopic takedown of a gastrocutaneous fistula, performed in conjunction with upper endoscopy. The patient is a pediatric patient with a history of gastrostomy tube placement and Nissen fundoplication for reflux during infancy. Despite removal of the tube, the fistula persisted. Prior endoscopic interventions, including over-the-scope clip placement, were unsuccessful. Due to ongoing drainage and patient preference for definitive closure, surgical intervention was pursued.

General Surgery, Print Release

PUBLISHED: Peroral Endoscopic Myotomy (POEM) for Achalasia

Peroral Endoscopic Myotomy (POEM) for Achalasia

Daniel Hashimoto; Ozanan R Meireles, MD; David Rattner, MD
Massachusetts General Hospital

Impaired transit of food and liquid from the esophagus to the stomach results in symptoms of dysphagia, regurgitation, retrosternal fullness/pain, and weight loss. Symptoms can be managed with a range of medical or procedural therapy. However, the best results are obtained from surgical management with myotomy. Here, Drs. Rattner, Meireles, and Hashimoto at MGH perform and demonstrate a peroral endoscopic myotomy (POEM), which emerged as a less invasive manner through which to perform a myotomy and provides relief of dysphagia comparable to laparoscopic Heller myotomy – the current standard of surgical therapy for achalasia.

Otolaryngology, Print Release

PUBLISHED: Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy

Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy

Seth M. Cohen, MD, MPH1; David Straka, MD1; Blaine D. Smith, MD1; Douglas O’Connell, MSc2; C. Scott Brown, MD1

1Duke University Medical Center
2College of Osteopathic Medicine, Touro University California

In this case, a patient with a symptomatic Zenker’s diverticulum is treated with an endoscopic staple-assisted diverticulotomy. The clinical presentation, diagnostic criteria, surgical procedure, and postoperative care are highlighted.

Otolaryngology, Preprint Release

PREPRINT RELEASE: Functional Endoscopic Sinus Surgery (Cadaveric): Maxillary, Ethmoid, Sphenoid

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Functional Endoscopic Sinus Surgery (Cadaveric): Maxillary, Ethmoid, Sphenoid
Duke University School of Medicine
David W Jang, MD
Assistant Professor of Surgery
C. Scott Brown, MD
Resident Physician

Dr. Jang instructs a cadaver lab to educate the residents at Duke University on the steps and technical aspects of various endoscopic sinus surgery procedures.