My lessons

An educational program developed by the Institute of Image-Guided Surgery of Strasbourg, University of Strasbourg and in partnership with IRCAD.

1.
Gerd - Hiatal Hernia
2.
Esophageal Motility Disorders
3.
Neoplasms
4.
Bariatric
5.
Colon
1.
Gerd - Hiatal Hernia
2.
Esophageal Motility Disorders
3.
Neoplasms
4.
Bariatric
5.
Colon

Digestive


In Module Two, we approach the “Digestive System” in 4 parts: the esophagus, stomach, small bowel, and colon. An additional chapter will focus on bariatrics. For each, we discuss the unique anatomy, pathology, surgical and endoscopic knowledge and the complications involved. We will cover diagnostic EGD, surveillance and treatment of Barrett’s esophagus (including advanced imaging techniques) and therapeutic basics such as biopsy, tissue resection and ablation – for esophagus and stomach as well. From there we address enteral access and the unique diagnostic and therapeutic issues in the colon and rectum...

Introduction


Presentation

In Module Two, we approach the “Digestive System” in 4 parts: the esophagus, stomach, small bowel, and colon. An additional chapter will focus on bariatrics. For each, we discuss the unique anatomy, pathology, surgical and endoscopic knowledge and the complications involved. We will cover diagnostic EGD, surveillance and treatment of Barrett’s esophagus (including advanced imaging techniques) and therapeutic basics such as biopsy, tissue resection and ablation – for esophagus and stomach as well. From there we address enteral access and the unique diagnostic and therapeutic issues in the colon and rectum. Special interests and focus also include advanced therapeutic endoscopy, comprehensive open and laparoscopic surgical care for complex laparoscopic foregut surgery, inflammatory bowel disease surgical care, colorectal and anorectal surgery, surgical care for gastrointestinal malignancies using evidence-based practice guidelines.

We will then revisit the stomach in regard to bariatrics, first discussing endoscopic management of failures and complications after primary surgery. Finally we cover the rapidly evolving area of primary endoscopic bariatric and metabolic procedures.

30 lessons

18 speakers

16:45 hours

90 followers

Course directors


Silvana Perretta

Silvana Perretta

B. Dallemagne

Bernard Dallemagne

Alberto Arezzo

Alberto Arezzo

Objectives

  • Safely and effective access the upper and lower GI tract with a variety of endoscopes.
  • Recognize and manage abnormal findings of the GI tract, with an understanding of the pertinent anatomy, pathology and imaging.
  • Recognize and understand how to evaluate post-surgical anatomy of the GI tract, with an understanding normal versus abnormal postoperative findings.
  • Recognize and treat surgical and endoscopic complications in the digestive tract.
  • Be able to perform basic upper and lower GI diagnostic and therapeutic procedures, including:
    • Tissue biopsy
    • Ablation
    • Hemostasis
    • Dilation of stenoses
    • Endoscopic enteral access
    • Placement of stents for palliation of management of complications
  • Understand the advanced endoscopic techniques for treatment of GERD, Barrett’s esophagus, achalasia and obesity.

Gerd - Hiatal Hernia


Upper gastrointestinal endoscopy and gastro-esophageal reflux disease

Upper Gastro-intestinal endoscopy is key in the diagnosis and classification of gastro-esophageal reflux disease (GERD). In the near future endoscopy may play an important therapeutic role with several endoscopic antireflux techniques that have been developed.

28 min Bernard Dallemagne

Laparoscopic Antireflux Surgery for GERD

Surgical treatment of gastroesophageal reflux disease was described 50 years ago. Laparoscopic anti-reflux procedures were introduced 20 years ago.

35 min Bernard Dallemagne

Ablative and Resective therapies for Barrett esophagus

Barrett's esophagus (BE), a condition of intestinal metaplasia of the esophagus, develops as a consequence of chronic gastroesophageal reflux disease and is associated with an increased risk of esophageal adenocarcinoma.

15 min Brian Dunkin

Esophageal Motility Disorders


Achalasia diagnosis and treatment

The last three decades have witnessed a progressive evolution in the surgical treatment of esophageal achalasia, with a shift from open to a minimally invasive Heller myotomy.

42 min Silvana Perretta

POEM overview and equipment

This lecture describes in details the technical aspects of the POEM procedure and provides useful tips and tricks to overcome potential complications.
The preoperative patient’s preparation and the OR setting are also covered.

25 min Lee Swanström

Strictures: endoscopy is the answer

Treatment of strictures of the GI tract is an integral part of flexible endoscopy. It is critical to determine the cause of the stricture and eliminate it if possible. Different etiologies and anatomies dictate the type of dilator used (bougie vs balloon).

23 min Lee Swanström

Leaks and fistulas

Leaks and fistulas can be acute or chronic, well tolerated or physiologically devastating. Increasingly they are treated with the help of flexible endoscopy, although many times the definitive resolution requires a multimodality approach with percutaneous and surgical approaches often required.

29 min Lee Swanström

Neoplasms


TNM classification of esophageal and gastric cancers

TNM cancer staging has provided a common language that permits description of the anatomic extent of a cancer. TNM staging aids treatment planning, prognostication, treatment evaluation, communication and exchange of information.

20 min Bernard Dallemagne

Bariatric


Morbid obesity procedures

This presentation is an introduction to endoscopy for patients who are candidates for obesity surgery or requiring endoscopy after obesity surgery. Different surgical techniques currently used are presented.

Each procedure is explained and the interest of the endoscopy mentioned.

15 min Michel Vix

Endoscopic treatment to CBD stones after gastric bypassbariatric surgery

Roux-en-Y gastric bypass (RYGB) remains the most commonly performed surgical laparoscopic procedure worldwide to treat morbid obesity. The incidence of biliary stones formation after bariatric surgery is higher than in the overall population due to the rapid weight loss.

9 min Gianfranco Donatelli

Bariatric endoscopy: anatomy

Although medical therapy is an effective intervention, weight loss surgery has been associated with the greatest reduction in obesity-related complications.

25 min Manoel Galvao Neto

Bariatric endoscopy and Gastric Band

Although medical therapy is an effective intervention, weight loss surgery has been associated with the greatest reduction in obesity-related complications.

24 min Manuel Galvao Neto

Bariatric endoscopy: Sleeve gastrectomy

Although medical therapy is an effective intervention, weight loss surgery has been associated with the greatest reduction in obesity-related complications.

64 min Manoel Galvao Neto

Endoscopic procedures for bariatric and metabolic patients: DMR

Experimental evidence demonstrates that intestinal bypass surgery has direct effects on glucose metabolism, highlighting the importance of the small intestine, particularly the duodenum, in the physiology and pathophysiology of glucose homeostasis .

18 min Manoel Galvao Neto

Colon