Image enhanced endoscopy is extremely useful to detect non-polypoid neoplasia and is now recommended by the AGA, the British Society for Gastroenterology and the Australian Cancer Council. However, video descriptions of imageenhanced endoscopy
for detection of IBD-related neoplasia are rare. We present several illustrative examples. The detection, diagnosis and treatment of all dysplasia – polypoid and non-polypoid – is important in patients with IBD. Early detection can save lives. The video learn more provides important information on the recommended technique to screen for dysplasia in patients with IBD and, more importantly, examples of the difficult to find flat and depressed neoplasms. “
“In the article, “Comparison of Hospital Performance in Emergency Versus
Elective General Surgery Operations at 198 Hospitals,” by Angela M Ingraham, MD, Mark E Cohen, PhD, Mehul V Rahal, MD, Clifford Y Ko, MD, MS, MSHS, FACS, and Avery B Nathens, MD, MPH, PhD, FACS, which appeared in the January 2011 issue of the Journal of the American College of Surgeons, volume 212, pages 20-28, Figure 1 and Figure 2 were incorrect, due to an editorial error. The correct figures and legends are: “
“Migration of fully covered self-expandable metal stents (FCSEMS) remains a significant limitation, especially in benign diseases. The lack of a stricture (leaks, fistulae) can further increase the migration rates of Sunitinib in vivo FCSEMS. Hemostatic clips are notoriously poor at securing SEMS in place. We describe the use of an over-the-scope clipping (OTSC) device (Ovesco, Tübingen, Germany) to secure the proximal end of FCSEMS [23mm X 155mm Wallflex stent, Boston Scientific, Natick, MA, (case1) and 18mm x 60mm Niti-S stent, Taewoong, Ureohydrolase Seoul, Korea, Case 2,3)] to prevent migration. Data was collected prospectively on 3 patients who underwent placement of an OTSC device to secure FCSEMS in place from 8/2012 to 11/12. Case 1: 40 YM developed a
leak 2 weeks after a vertical sleeve gastrectomy, unsuccessfully treated with an OTSC, FCSEMS and PCSEMS, that migrated. Therefore the proximal end of FCSEMS was secured in place with an OTSC for 10 weeks, leading to closure of the leak. The OTSC was easily cut with argon plasma coagulator (APC) and removed with the SEMS. Case 2: 73 YM developed a retrocardiac abscess after an esophagectomy for esophageal adenocarcinoma. After migration of a FCSEMS, he was treated with a naso-sinus drain and a FCSEMS secured in place with an OTSC which has resulted in resolution of the abscess, removal of naso-sinus drain and is pending stent removal in 4 weeks. Case 3: 79 YF developed a high-grade refractory (to dilations) anastomotic stricture 3 months after esophagectomy for esophageal adenocarcinoma .