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Monthly publications

#January 2011
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Collis Nissen fundoplication in a patient with Barrett's esophagus
This video demonstrates a laparoscopic Collis esophageal lengthening procedure in a 65-year-old man with a 15-year history of typical GERD symptoms and Barrett’s esophagus. The identification and surgical management of the short esophagus are discussed as well as the technical steps required for a Collis gastroplasty. Given that the most common mode of failure of a laparoscopic Nissen fundoplication is herniation of the fundoplication into the chest, as our experience increases, we recognize that reduction of the gastroesophageal junction below the diaphragmatic hiatus without tension is problematic and foreshortening of the esophagus is a real entity. Patients who have Barrett’s esophagus must be considered at risk for having a short esophagus.
B Dallemagne, S Perretta, J Marescaux
Surgical intervention
7 years ago
3384 views
87 likes
0 comments
17:25
Collis Nissen fundoplication in a patient with Barrett's esophagus
This video demonstrates a laparoscopic Collis esophageal lengthening procedure in a 65-year-old man with a 15-year history of typical GERD symptoms and Barrett’s esophagus. The identification and surgical management of the short esophagus are discussed as well as the technical steps required for a Collis gastroplasty. Given that the most common mode of failure of a laparoscopic Nissen fundoplication is herniation of the fundoplication into the chest, as our experience increases, we recognize that reduction of the gastroesophageal junction below the diaphragmatic hiatus without tension is problematic and foreshortening of the esophagus is a real entity. Patients who have Barrett’s esophagus must be considered at risk for having a short esophagus.
Extended endoscopic endonasal approach for intra- and supra-sellar retroinfundibular and ventricular craniopharyngioma
Craniopharyngiomas are challenging tumors that most frequently occur in the sellar or suprasellar region. The microscopic or endoscopic transsphenoidal approach is the preferred approach for sellar lesion with or without suprasellar extension. Recently, the extended endoscopic endonasal transsphenoidal approach has been proposed as an alternative route to transcranial approach for supradiaphragmatic lesion with or without ventricular extension. We are reporting a case of an intra- and supra-sellar retroinfundibular and ventricular craniopharyngioma that was treated using an extended endonasal endoscopic approach.
S Froelich, C Debry
Surgical intervention
7 years ago
2516 views
44 likes
0 comments
06:41
Extended endoscopic endonasal approach for intra- and supra-sellar retroinfundibular and ventricular craniopharyngioma
Craniopharyngiomas are challenging tumors that most frequently occur in the sellar or suprasellar region. The microscopic or endoscopic transsphenoidal approach is the preferred approach for sellar lesion with or without suprasellar extension. Recently, the extended endoscopic endonasal transsphenoidal approach has been proposed as an alternative route to transcranial approach for supradiaphragmatic lesion with or without ventricular extension. We are reporting a case of an intra- and supra-sellar retroinfundibular and ventricular craniopharyngioma that was treated using an extended endonasal endoscopic approach.
Endoscopic removal of accidentally swallowed dentures
Foreign body ingestion occurs more commonly in children with a peak incidence in the age group of 6 months to 3 years. In adults, it occurs mostly in edentulous patients, prisoners and psychiatric patients.
80-90% of the foreign bodies that reach the gastrointestinal tract will pass spontaneously; 10-20 % will have to be removed endoscopically and unfortunately, 1% requires surgery.
The decision and timing of endoscopic intervention depends on the patient’s age, clinical condition, size, shape and classification of ingested material, anatomical location, risk of aspiration and/or perforation and technical abilities of the endoscopist.
Accidentally swallowed dentures can lead to severe complications in the gastrointestinal tract, such as perforation that needs surgical intervention.
In this video, we present the endoscopic removal of a fixed four-dental prosthesis accidentally swallowed and blocked in the prepyloric zone.

Reference:
Management of foreign bodies of the upper gastrointestinal tract: update. William A. Webb Gastrointestinal Endoscopy, Vol 41, No.1, 1995.
Gf Donatelli, P Dhumane, C Callari, B Dallemagne, J Marescaux
Surgical intervention
7 years ago
1584 views
4 likes
0 comments
02:39
Endoscopic removal of accidentally swallowed dentures
Foreign body ingestion occurs more commonly in children with a peak incidence in the age group of 6 months to 3 years. In adults, it occurs mostly in edentulous patients, prisoners and psychiatric patients.
80-90% of the foreign bodies that reach the gastrointestinal tract will pass spontaneously; 10-20 % will have to be removed endoscopically and unfortunately, 1% requires surgery.
The decision and timing of endoscopic intervention depends on the patient’s age, clinical condition, size, shape and classification of ingested material, anatomical location, risk of aspiration and/or perforation and technical abilities of the endoscopist.
Accidentally swallowed dentures can lead to severe complications in the gastrointestinal tract, such as perforation that needs surgical intervention.
In this video, we present the endoscopic removal of a fixed four-dental prosthesis accidentally swallowed and blocked in the prepyloric zone.

Reference:
Management of foreign bodies of the upper gastrointestinal tract: update. William A. Webb Gastrointestinal Endoscopy, Vol 41, No.1, 1995.