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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
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Subcutaneous Endoscopy in Plastic and Reconstructive Surgery.

Bharatendu Swain1

  • 1Department of Plastic Surgery, Aakar Asha Hospital, Hyderabad, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|October 20, 2021
PubMed
Summary
This summary is machine-generated.

Subcutaneous endoscopic reconstructive surgery offers a solution for minimizing scars, a common concern for patients. This technique, utilizing a single port, achieved high patient satisfaction with minimal complications in a case series.

Keywords:
endoscopyminimal accessplastic and reconstructive surgery

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Area of Science:

  • Plastic Surgery
  • Minimally Invasive Surgery
  • Endoscopic Techniques

Background:

  • Scar visibility is a significant barrier for patients considering reconstructive surgery.
  • Endoscopic surgery provides solutions for scar concealment and improved surgical access.
  • Subcutaneous endoscopic surgery addresses diverse reconstructive challenges.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of subcutaneous endoscopic surgery in a variety of reconstructive procedures.
  • To assess the feasibility of a single-port technique for lone practitioners.

Main Methods:

  • A single-port endoscopy technique was employed using a 4-mm, 30-degree telescope.
  • Case records of 53 endoscopic surgical episodes (2003-2013) were retrospectively reviewed.
  • Data collected included access incisions, operative outcomes, complications, and patient satisfaction.

Main Results:

  • The single-port technique was successfully utilized in most of the 53 cases.
  • One case required a peroperative change in access site.
  • Complications were minimal, including one instance of transient nerve palsy with full recovery; patient satisfaction was high.

Conclusions:

  • Subcutaneous endoscopy is a versatile approach for a broad spectrum of reconstructive surgery.
  • The technique effectively minimizes scar visibility and leads to high levels of patient satisfaction.
  • The single-port approach simplifies the procedure, potentially reducing the need for extensive assistance.