Tag Archives: endoscopy

Large Colorectal Polyp Morphology Predicts Endoscopic Management Patterns

As techniques and technology have rapidly advanced over the past decade, endoscopy has had a large impact on how many gastrointestinal (GI) conditions are treated. “One of the biggest shifts we have made clinically in terms of the number of patients treated is endoscopic resection of large colorectal polyps,” says John Levenick, M.D., Penn State Hershey Gastroenterology and Hepatology. In the past, these would have been automatically referred for open or laparoscopic resection. However, not all large polyps exhibit the same clinical features and some pose relatively greater challenges and risks during resection. Levenick and colleagues determined how well an endoscopic approach performed for management across polyp types based on gross morphology. Continue reading

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Endoscopic Suturing Device Offers Minimally Invasive Treatment for Conditions that Otherwise Require Surgery

Endoscopic suturing offers a minimally invasive, incisionless repair of gastrointestinal perforations and fistulas which often occur in critically ill patients in an emergent setting. “With the new generation endoscopic suturing device that is available, the possibilities using an endoscopic approach have dramatically broadened; we can be much more aggressive with endoscopic treatments that used to be limited by traditional suturing methods,” says Abraham Mathew, M.D., Penn State Hershey Gastroenterology and Hepatology.

Physicians at Penn State Hershey Medical Center have been using the Apollo OverStitch™ (Apollo Endosurgery, Inc., Austin, Texas) since it became available in the U.S. They have noted large gains in their ability to use an endoscopic approach for a wider range of indications, including closure of GI fistulas, perforations of the GI lumen and suturing of endoscopic stents in place to avoid migration. Patients whose stomach pouches open widely after gastric bypass surgery can have it reduced using this device. The future holds endoscopic alternatives for laparoscopic sleeve gastrectomies and gastric bypass surgeries. A video of a procedure in which Mathew and his colleagues used the suturing device was shown during the 2015 Digestive Disease Week (May 16-19, Washington, District of Columbia). Continue reading

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Penn State Hershey Medical Group in State College Expands

Penn State Hershey Medical Group has made significant inroads establishing a strong clinical presence in State College, Pennsylvania, now offering a wide-range of primary care, specialty, and diagnostic services at five outpatient locations.

The Medical Group is part of the new University Park Regional Campus of Penn State College of Medicine, with a long-term goal of providing more diverse, multi-disciplinary medical and surgical practices that will also fulfill an important teaching role for medical students. To this end, Joel Haight, M.D., who joined the University Park Regional Campus in 2011, has established a gastroenterology and hepatology practice at Penn State Hershey Medical Group—Colonnade, and has been instrumental in developing and implementing an outpatient endoscopy center adjacent to that Medical Group.    Continue reading

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