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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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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 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.
During an EGD, the endoscope can be used to:
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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.
Patient...
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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
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Colonial Wig Pancreaticojejunostomy
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How i do it: microscope augmented pancreaticojejunostomy.

Christopher Seng Hong Lim1, Anubhav Mittal2,3,4,5, Jaswinder Singh Samra2,3,4

  • 1Department of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia. chrislsh85@gmail.com.

Langenbeck'S Archives of Surgery
|August 23, 2023
PubMed
Summary
This summary is machine-generated.

This study highlights that a secure pancreatic anastomosis, especially duct-to-mucosa, is crucial for preventing post-operative pancreatic fistula (POPF) after pancreatoduodenectomy. A specific technique using magnification and an external stent is detailed.

Keywords:
MicroscopePancreatic anastomosisPancreatic fistulaPancreatic stentPancreaticojejunostomy

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Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Digestive System Surgery

Background:

  • Post-operative pancreatic fistula (POPF) is a significant complication following pancreatoduodenectomy.
  • Current strategies to prevent POPF yield conflicting results, lacking a definitive superior technique.

Purpose of the Study:

  • To emphasize the importance of a robust pancreatic anastomosis for reducing POPF.
  • To present a specific technique for pancreatojejunostomy aimed at achieving a secure anastomosis.

Main Methods:

  • Description of a pancreatojejunostomy technique utilizing a 10x surgical microscope.
  • Incorporation of an external pancreatic stent for high-risk anastomoses.
  • Accompanying technical description with a video demonstration.

Main Results:

  • The study focuses on the technical aspects of creating a secure pancreatic anastomosis.
  • The presented method aims to improve tissue apposition, particularly in the duct-to-mucosa connection.

Conclusions:

  • A meticulous and robust pancreatic anastomosis, focusing on duct-to-mucosa approximation, is key to minimizing POPF.
  • The described surgical technique offers a method to achieve this secure anastomosis in high-risk cases.