Tag Archives: endoscopy

General Surgery, Print Release

PUBLISHED: Esophagogastroduodenoscopy (EGD) with Placement of a Bravo Probe for pH and GERD Symptom Monitoring

Esophagogastroduodenoscopy (EGD) with Placement of a Bravo Probe for pH and GERD Symptom Monitoring
Charu Paranjape, MD, FACS
Newton-Wellesley Hospital

Accurate diagnosis and monitoring of GERD are crucial for appropriate patient management and treatment selection. This demonstration highlights the advantages of the Bravo wireless system over traditional catheter-based methods for pH monitoring. The procedure proves particularly valuable in post-bariatric surgery patients, as illustrated in this case of a patient with previous sleeve gastrectomy, where GERD symptoms frequently require thorough evaluation. The extended 96-hour monitoring period provides comprehensive data regarding reflux patterns and symptom correlation, facilitating evidence-based decisions about medical or surgical management.

Otolaryngology, Print Release

PUBLISHED: Functional Endoscopic Sinus Surgery: Maxillary, Ethmoid, and Sphenoid (Cadaver)

Functional Endoscopic Sinus Surgery: Maxillary, Ethmoid, and Sphenoid (Cadaver)
C. Scott Brown, MD; David W. Jang, MD
Duke University School of Medicine

Functional endoscopic sinus surgery (FESS) is a minimally-invasive technique involving the use of an endoscope to visualize and access the paranasal sinuses, allowing for precise and targeted removal of diseased tissue. The cadaveric video on FESS presented here offers a detailed and comprehensive guide to maxillary, ethmoid, and sphenoid sinus dissection. The step-by-step approach, coupled with the emphasis on anatomical considerations, makes this video an essential resource for healthcare professionals involved in the management of sinonasal disorders.

Announcement, Otolaryngology, Preprint Release

PREPRINT RELEASE: Zenker’s Diverticulectomy (Endoscopic)


Zenker’s Diverticulectomy (Endoscopic)
Duke University Medical Center

Seth M. Cohen, MD, MPH
Associate Professor of Surgery
Division of Head and Neck Surgery & Communication Sciences

David Straka, MD
Resident Physician
Division of Head and Neck Surgery & Communication Sciences

C. Scott Brown, MD
Resident Physician
Division of Head and Neck Surgery & Communication Sciences

A patient presented to an Otolaryngology clinic with symptoms of dysphagia and frequent regurgitation of undigested food. Workup revealed a large Zenker’s diverticulum. In this video, Dr. Seth Cohen instructs one of the residents in the techniques of an endoscopic staple diverticulectomy for treatment of this condition.

Announcement, General Surgery, Preprint Release

PREPRINT RELEASE: Distal Gastrectomy (Open)

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Distal Gastrectomy (Open)
John T. Mullen, MD
Director, General Surgery Resident Program
Massachusetts General Hospital

 

An 80-year-old patient with anemia undergoes an upper endoscopy that reveals inflammation in the distal stomach. Biopsies identify it as an early intramucosal adenocarcinoma while an endoscopic ultrasound shows the tumor invading the muscle of the stomach. Given that there are no signs of metastasis, the patient presents for a potentially curative gastrectomy where Dr. John Mullen removes the distal two-thirds of the stomach, performs a D1 lymph node dissection and a partial D2 lymph node dissection, and reconstructs in a Billroth II fashion.