Latest Updates

Endoscopic Ultrasonography

Nitkin Kumar, MD, Marvin Ryou, MD
    • Pancreatic necrosis complicates approximately 20% of cases of acute pancreatitis. Traditional treatment has been surgical débridement or percutaneous drainage. Necrotic tissue can mature to form well-defined, discrete collections of walled-off pancreatic necrosis. Endoscopic ultrasonography (EUS)-guided endoscopic necrosectomy is safe and efficacious and should be considered in symptomatic, infected, or especially large collections. A novel EUS-guided lumen-apposing self-expanding metal stent has been developed to facilitate access and drainage.

Quality of Life Following Management of Localized Prostate Cancer

Louis A Aliperti, MD, Christopher P Filson, MD, MS, Martin G Sanda, MD
    • We review specific characteristics of validated instruments measuring health-related quality of life
    • Impact of radical prostatectomy, radiation therapy, and brachytherapy on sexual and urinary function
    • Quality-of-life following surveillance of men with prostate cancer with either watchful waiting and active surveillance

Endoscopic Management of Postbariatric Fistulae and Leaks

Yana Cavanagh, MD, Sohail N. Shaikh, MD

    Endoscopic Techniques for Obtaining Enteral Access

    Marvin Ryou, MD, Sanjay Salgado, MD
      • DPEJ tubes should be considered when percutaneous endoscopic gastrostomy (PEG) tubes are not feasible or are contraindicated.
      • Postpyloric feeding (percutaneous gastrostomy with a jejunal extension or direct percutaneous jejunostomy should be considered in severely ill patients (especially those with an APACHE II score over 20).
      • In patients with dementia, PEG tube placement does not enhance mortality, prevent aspiration pneumonia, improve nutritional status, or improve quality of life.

    Video Capsule Endoscopy and Deep Enteroscopy 

    Veronica Baptista, MD, David Cave, MD, PhD, Joseph Charpentier, DO, Neil Marya, MD, Anupam Singh, MD

      Transplantation for the General Surgeon: History of Transplantation, End-organ Disease, Organ Donation and Allocation, and Transplantation Regulation and Ethics

      Matthew Goldshore, MD, PhD, Meera Gupta, MD, MSCE, Jasmine Hwang, BS, MS, Susanna M Nazarian, MD, PhD
        • Immunosuppression: its history, current practice and rationale for alternative therapies, side effects, induction versus maintenance
        • Transplantation policy evolution, including history of organ sharing, development of national policies, ongoing refinements in allocation practice, ethical considerations
        • Living donation, including ethical considerations, workup and selection of potential living donors, surgical technique, risk to donors

      Peripartum Cardiomyopathy

      Michael R Foley, MD, Kendra M Gray, DO
        • A multidisciplinary team approach in the treatment of peripartum cardiomyopathy is essential in improving maternal outcomes.
        • The epidemiologic profile of patients with peripartum cardiomyopathy is complex and multifactorial.
        • Aggressive treatment of heart failure is the mainstay of treatment.
        • Stabilization of the mother is the priority in the management of peripartum cardiomyopathy in pregnancy.

      Evaluation and Treatment of Monogenic Forms of Inflammatory Bowel Diseases 

      Dror S Shouval, MD, MMSc
        • Advanced genetic platforms have identified more than 50 different monogenic disorders causing inflammatory bowel disease.
        • A monogenic cause of inflammatory bowel disease should be suspected in patients with atypical or severe IBD phenotypes.
        • The diagnosis of monogenic defects is made through a combination of functional immunologic studies and DNA sequencing (whole exome sequencing).
        • Monogenic IBDs usually present in the first years of life, but several diseases manifest adolescence or adulthood.
        • Identifying a monogenic form of inflammatory bowel disease can lead to tailored specific therapy (eg, stem cell transplantation) and have major impact on patient’s care.
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