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Large Colon Polyps - When to Snare & When to Walk Away- St. Louis Course
5

Large Colon Polyps - When to Snare &...

Gottumukkala Raju

This is the presentation from a course in St. Louis on large colon polyps.

views: 1693 comments: 0

Laparoscopic Hartmann Reversal

Premkumar Balachandran

This video demonstrates a laparoscopic reversal of Hartmanns procedure.

views: 208 comments: 0

Piece-meal EMR in Cecum

Melki Ziad

A 20 mm lesion in the cecum behind a fold, watch how it is easier to perform a piece-meal EMR only by rotating the scope and exposing the lesion at 6 O'clock position. Closure of the submucosal bed after...

views: 557 comments: 0

Laparoscopic Nissen Fundoplication

Premkumar Balachandran

This video demonstrates Laparoscopic Nissen Fundoplication.

views: 329 comments: 0

Laparoscopic Pancreatic Pseudocystojejunostomy

Premkumar Balachandran

This video demonstrates a laparoscopic roux en y pancreatic pseudocystojejunostomy.

views: 192 comments: 0

Robotic Choledochal Cyst Excision

Premkumar Balachandran

This video demonstrates a da vinci robotic assisted choledochal cyst excision with roux en y hepaticojejunostomy

views: 162 comments: 0

Thoraco-Laparoscopic Oesophagectomy

Premkumar Balachandran

This video demonstrates a thoracolaparoscopic oesophagectomy with gastric pull through and cervical oesophagogastrostomy.

views: 337 comments: 3

Median Arcuate Ligament Release

Premkumar Balachandran

This video demonstrates a laparoscopic median arcuate ligament release for median arcuate ligament syndrome.

views: 313 comments: 0

Colonoscopy: Cecal Cancer

Gottumukkala Raju

Middle aged patient underwent colonoscopy and was found to have a cecal mass; biopsies revealed tubulovillous adenoma with high grade dysplasia, with some distorted glands. The patient came for a second...

views: 600 comments: 0

Colonoscopy: IC valve and cecum flat lesion...

Gottumukkala Raju

Middle aged patient with an IC valve polyp came in for endoscopic mucosal resection. The endoscopy report was confusing regarding the extent of the lesion. It is important to provide a detailed report...

views: 302 comments: 0

Colonoscopy: Transverse Colon Large EMR

Gottumukkala Raju

This video presents a resection of multiple sessille serrated adenomas in the transverse colon of middle aged patient

views: 395 comments: 0

Colonoscopy: Polyposis

Gottumukkala Raju

A video showing extensive polyposis from cecum to descending colon

views: 330 comments: 0

Colonoscopy: IC Valve Lesion Resection

Gottumukkala Raju

Following video presents a resection of an IC valve lesion. Procedure was technically challenging to perform because of fibrosis in the middle of the polyp

views: 257 comments: 0

Colonoscopy: Transverse colon EMR of a subtle...

Gottumukkala Raju

This video presents a resection of a subtle LST-NG lesion in the transverse colon in middle age patient. The procedure was conducted in general anesthesia. Piecemeal resection was focussed on the margin...

views: 269 comments: 0

Colonoscopy: Transverse Colon - Subtle Lesion

Gottumukkala Raju

Take time to carefully examine wall of the colon. Flat lesions are easy to miss as this one. During the initial exam, it was not seen until a detailed exam of the wall was made to detect subtle changes...

views: 252 comments: 0

ERCP: Needle Knife Sphincterotomy for Impacted...

Monzur Ahmed

During a recent ERCP I had to “deliver" a tricky biliary stone and to do so I had to perform a “biliary episiotomy.” Background: an 87 year old man with Alzheimer’s disease...

views: 218 comments: 0

Colonoscopy: EMR of a Rectal Cancer in an...

Gottumukkala Raju

A case of a middle aged patient with multiple colon cancers in the past, diagnosed with rectosigmoid polyp - notice the flat area suspicious for cancer (previous biopsies were benign). The lesion was...

views: 472 comments: 0

Colonoscopy: Ascending Colon Flat Lesion...

Gottumukkala Raju

A video presenting a resection of a flat lesion in ascending colon of elderly patient.

views: 328 comments: 0

Colonoscopy: Transverse Colon Flat Lesion...

Gottumukkala Raju

A procedure performed in an elderly patient. A flat lesion in transverse colon was removed by EMR. APC was used to prevent recurrence of the lesion and clips to prevent delayed bleeding

views: 443 comments: 0

Colonoscopy: First Webcast

Gottumukkala Raju

A first webcast by Gottumukkala S. Raju from his office, 13th floor, Pickens Tower, at the University of Texas MD Anderson Cancer Center.

views: 261 comments: 0

Colonoscopy: Ascending Colon Polyp - Large...

Gottumukkala Raju

Video presents a resection of 40 mm LST-G polyp. The procedure consisted of EMR, hemostasis, APC and clip closure. At first polyp was injected with 22 ml of saline with Methylene Blue and 6 ml of Epi,...

views: 296 comments: 0

Colonoscopy: Ascending Colon EMR - 2 hour...

Gottumukkala Raju

The following video shows a EMR of an ascending colon polyp. Whole procedure took 2 hours, video was edited to 30 minutes

views: 194 comments: 0

Colonoscopy: Rectum - Large Polyp Resection...

Gottumukkala Raju

This video presents a resection of large rectal polyp. Instruments: Half of the resection with an adult colonoscope and half with an EGD scope. Resection: Piecemeal EMR followed by hot biopsy avulsion...

views: 239 comments: 0

Colonoscopy: Descending Colon Polyp Resection...

Gottumukkala Raju

You can see the movement from diaphragm making the lesion move and consequently difficult to resect or apply APC precisely. In such cases, intubation and use of a short acting paralytic agent helps to...

views: 257 comments: 0

Colonoscopy: Rectosigmoid Giant Polyp Resection

Gottumukkala Raju

Middle aged patient was referred for endoscopic resection as an alternative to surgery. In his rectosigmoid colon a polyp with 5-6 cm head and a broad 2-3 cm stalk was found. The lesion was resected with...

views: 230 comments: 0

Colonoscopy: Sigmoid Colon Pedunculated...

Gottumukkala Raju

Patient: Middle aged patient was referred for endoscopic resection as an alternative to surgery. During colonoscopy a large pedunculated polyp in the sigmoid colon was found. Its volume was reduced by...

views: 246 comments: 0

Upside Down ERCP After Polya Gastrectomy

Monzur Ahmed

A 91 year old well preserved lady presented with two recent episodes of jaundice +/- cholangitis. MRCP showed several stones in the gall bladder and two further stones in the CBD. She was therefore referred...

views: 337 comments: 2

Colonoscopy: Cecal Polyp Hot Biopsy Avulsion

Gottumukkala Raju

Elderly patient underwent serial colonoscopies every year for the last years with incomplete resection and APC of the cecal polyp (SSA), which resulted in tethering of the polyp and failure to lift with...

views: 313 comments: 0

Colonoscopy: Cecum EMR

Gottumukkala Raju

Video presented above shows a procedure of a cecal polyp resection.

views: 346 comments: 0

Colonoscopy: Cecal Flat Lesion EMR

Gottumukkala Raju

An elderly patient who survived sigmoid colon cancer underwent first surveillance colonoscopy. Cecum revealed a flat lesion that was removed by EMR + APC + Clip closure. Pathological examination showed...

views: 256 comments: 0

Colonoscopy: Cecal EMR - APC - Clips - Details

Gottumukkala Raju

A patient with medical history of a bladder cancer was dianosed with 3 cm cecal polyp. Patient was reffered to colonoscopy to avoid colon surgery. The procedure consisted of piecemeal resection followed...

views: 274 comments: 0

Colonoscopy: Large Rectal Polyp Resection

Gottumukkala Raju

A middle aged patient was referred to surgical department for low anterior resection. However, the lesionwas resected using endoscopic mucosal resection to avoid surgery.

views: 94 comments: 0

Colonoscopy: Rectosigmoid Colon Giant Polyp...

Gottumukkala Raju

A giant polyp occupying the whole rectosigmoid lumen was identified in a healthy person, who has neither symptoms nor family history of colon cancer, during screening colonoscopy. Polyp was resected...

views: 341 comments: 0

Colonoscopy: Ascending Colon EMR - Large...

Gottumukkala Raju

This video shows an EMR of a large sessile serrated adenoma in ascending colon of middle aged patient. At first, polyp was elevated by the injection, then the snare resection was performed. The APC was...

views: 210 comments: 0

Colonoscopy: IC valve flat lesion hot biopsy...

Gottumukkala Raju

During this procedure an IC valve polyp was resected. Snare resection turned out too difficult, even after injection, because of hard access to the lesion. Finally polyp was removed with hot biopsy avusion...

views: 189 comments: 0

Colonoscopy: Cecum Flat Lesion Resection

Gottumukkala Raju

This video presents resection of a flat polyp in cecum. The patient was turned during procedure to reveal the lesion submerged under the fluid. 15 mm snare was used to cut the lesion, followed by control...

views: 232 comments: 0

The Fishy ERCP

Monzur Ahmed

An 86 year old man was investigated for haematuria 18 months ago. The abdominal CT scan did not show any renal abnormalities but there was “incidental” massive dilatation of the entire pancreatic duct....

views: 759 comments: 1

Leech in the Larinx

Habil Huseynov

This video presents leech in the larinx.

views: 629 comments: 0

Colonoscopy: Cecum - EMR of a Subtle Flat...

Gottumukkala Raju

The following video presents a resection of a subtle flat lesion in the cecum. The main difficulty during procedure was injection of dye because of fluid, though rotating the patient to make the lesion...

views: 637 comments: 0

Colonoscopy: Giant Sigmoid Colon Polyp Resection

Gottumukkala Raju

A giant sigmiod colon polyp was referred for resection as an alternative to surgery During procedure multiple steps were involved: 1. Epinephrine volume reduction (inject epinephrine into the head and...

views: 503 comments: 0

Colonoscopy: Cecum - Subtle lesion - Sessile...

Gottumukkala Raju

Take time to examine as subtle serrated adenomas can be hiding in the cecum near the appendix in a pool of fluid as you see in this case.

views: 404 comments: 0

Colonoscopy: Transverse Colon Inflammatory...

Gottumukkala Raju

This video presents an excision of polyp with classic endoscopic features to suspect inflammatory polyp. Diagnosis was confirmed on histology

views: 290 comments: 0

Colonoscopy: Examination of Rectal EMR scar...

Gottumukkala Raju

Examination of large piecemeal EMR takes time - one needs to scan bit by bit for any subtle residual polyp using white light, NBI, and chromoendoscopy.

views: 262 comments: 0

Colonoscopy: Cecal EMR - Prior Failed Colonoscopy

Gottumukkala Raju

A colonoscopy performed in middle aged patient who had undergone CT colography after prior failed colonoscopy due to pelvic surgeries. Endoscope: Pediatric colonoscope failed to go above sigmoid colon;...

views: 278 comments: 0

Colonoscopy: Piecemeal EMR for management...

Gottumukkala Raju

This video shows a short presentation on the topic of piecemeal EMR for management of colon polyps

views: 295 comments: 0

ESD Esophagus

Melki Ziad

A 52 years old patient, history of uvula cancer treated with radiotherapy and surgery, Upper endoscopy: flat 0-IIb esophageal lesion between 20 and 23 cm from the incisors. Enjoy!

views: 453 comments: 0

Safe Extraction of an Impacted Open Safety...

jayavant deore

 Safe Extraction of an Impacted Open Safety Pin from the Esophagus: Dr. Deore Jayyavant. Foreign body ingestion is a common problem in children. An infrequent ingested item is an open safety pin (SP),...

views: 853 comments: 3

Removal of an Impacted Foreign Body from...

jayavant deore

Removal of an Impacted Foreign Body from the Esophagus - Dr. Jayavant Deore

views: 695 comments: 1

Removing Anisakis Simplex

The video shows gastroscopic treatment of anisakiasis caused by Anisakis simplex. Anisakiasis is a human parasitic infection of the gastrointestinal tract caused by the consumption of raw or undercooked...

views: 955 comments: 0

Difficult ESD – Recurrent Rectal Adenoma

Michał Spychalski

Recurrent adenoma (after multiple polypectomies and EMRs). ESD was performed using Fujinon FlushKnife 1,5. En block resection was achieved. Pathological report revealed high grade dysplasia with R0 resection.

views: 781 comments: 0