Fistula and Perforation Closure
Fig. 1 Through the scope endoclips come in a variety or configuartions. They can be usefull for very acute closures Several brands of clips are commercially available. These include the…
GASTOINESTINAL SURGERY
Cholangioscopy
Fig. 1 Peroral video cholangioscopy. a white-light imaging, b narrow-band imaging Cholangioscopic Findings in Benign and Malignant Lesions Several investigators have identified characteristic cholangioscopic findings in various biliary-tract diseases (Table 1)….
Widefield Endoscopic Mucosal Resection
Fig. 1 Schematic of Paris classification of superficial neoplasia and corresponding endoscopic images examples of common AMN morphologies encountered. Lesions are broadly divided into polypoid (0-I) and flat (0-II) morphologies…
of the Small Bowel and Colon
VCE device Manufacturer Year introduced FDA approved Dimensions Angle of view Max images per second Single/dual optical dome Battery life Small bowel Pillcam SB I (M2A) Given Imaging LTD,…
Treatment of Obesity
Fig. 1 The ReShape Medical ReShape Duo Balloon inflated in the stomach Table 1 Characteristics of intragastric balloons evaluated in humans Name Company Design Fill Placement/retrieval ORBERA (formerly Bioenterics Intragastric…
Manometry and Assessment of Esophageal Reflux
Fig. 1 The concept of esophageal high-resolution manometry (HRM). In contrast to conventional manometry, HRM requires multiple sensors 1 cm apart on an esophageal motility catheter (a) that generate multiple recordings…
Submucosal Dissection
Conventional indications for endoscopic resection High probability for en bloc resection Tumor histology Differentiated type adenocarcinoma Intramucosal cancer No lymphovascular invasion Tumor size and morphology ≤ 20 mm elevated lesion without ulceration…
Pathology of Gastric Cancer
Fig. 4.1 H. pylori and Epstein–Barr virus infection associated gastric adenocarcinoma. a An adenocarcinoma arises in association with active chronic gastritis with H. pylori organisms identified on immunohistochemical stain (…
Laparoscopic Methods of Resection and Reconstruction for Subtotal and Total Gastrectomy with D2 Lymphadenectomy
Fig. 15.1 a Operation setup and port placement for laparoscopic distal gastrectomy. b Actual operation setup Fig. 15.2 Dissection of greater curvature side of the stomach. Dissection of left gastroepiploic…
