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Showing posts from April, 2023

Percutaneous Endoscopic Gastrostomy

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Percutaneous Endoscopic Gastrostomy (PEG) is a medical procedure that allows patients who cannot swallow or eat normally to receive nutrition through a tube that is inserted directly into their stomach. The PEG procedure is a minimally invasive alternative to traditional surgical feeding tube placement, and it is often recommended for patients who need long-term feeding support. PEG involves the use of an endoscope, a long, thin, flexible tube with a camera and light at the end. The endoscope is passed through the mouth and into the stomach, allowing the surgeon to see the area where the tube will be inserted. Once the surgeon has located the optimal location for the PEG tube, a small incision is made in the skin on the abdomen, and a special needle is inserted through the incision and into the stomach. Next, a guidewire is threaded through the needle and into the stomach, and the needle is removed. A small incision is made in the stomach, and the endoscope is passed through the mouth...

Types of Gastric Revisions | North Shore Digestive Medicinepc

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Gastric revisions refer to surgical procedures that are performed to modify or revise previous bariatric surgeries, particularly gastric bypass and sleeve gastrectomy. These revisions are typically done to address complications or inadequate weight loss following the initial surgery. In this article, we will explore the different types of gastric revisions, their indications, and outcomes. Types of Gastric Revisions There are several types of gastric revisions, and the type of revision performed depends on the patient's individual circumstances and the initial bariatric surgery performed. Some of the most common types of gastric revisions include: Conversion from Gastric Band to Gastric Sleeve or Gastric Bypass Gastric banding, or Lap-Band, is a restrictive weight loss surgery that involves placing an adjustable band around the upper part of the stomach. However, gastric banding has fallen out of favor due to its high rate of complications, including band erosion and slippage. Ther...

ERCP (Endoscopic Retrograde Cholangiopancreatography)

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ERCP (Endoscopic Retrograde Cholangiopancreatography) is a medical procedure that allows healthcare providers to examine the pancreatic and bile ducts. It involves the use of an endoscope, a flexible tube with a camera and light attached to it, which is inserted through the mouth and down the esophagus to the small intestine. During the procedure, a contrast dye is injected into the ducts to make them more visible on X-rays. This allows doctors to identify and treat various conditions, such as gallstones, tumors, inflammation, and blockages. Indications for ERCP: ERCP is primarily used to diagnose and treat conditions related to the bile and pancreatic ducts, such as: Gallstones: These are small, hard deposits that can form in the gallbladder or bile ducts and cause pain, inflammation, and infection. Biliary obstruction: This occurs when the bile ducts are blocked, either by a stone, tumor, or scar tissue. It can lead to jaundice, abdominal pain, and liver damage...

ORBERA Balloon | North Shore Digestive Medicine

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Obesity is one of the most challenging health problems that affect millions of people worldwide. It's a condition that can lead to a wide range of serious health issues, including diabetes, high blood pressure, and heart disease. For many people, losing weight is an uphill battle, and traditional weight-loss methods such as dieting and exercising alone may not always work. That's where the ORBERA Balloon comes in. In this article, we'll explore what the ORBERA Balloon is, how it works, and how it can help you lose weight. What is the ORBERA Balloon? The ORBERA Balloon is a non-surgical weight loss solution designed to help people who are struggling with obesity. The device consists of a soft, silicone balloon that is inserted into the stomach through the mouth using an endoscope. Once the balloon is inside the stomach, it is inflated with a sterile saline solution, which helps to reduce the amount of space available for food. This means that patients feel fuller quicker, a...