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Volume 7, Issue 6 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X
Page 48
December 07-08, 2017 Madrid, Spain
&
13
th
International Conference on Clinical Gastroenterology & Hepatology
2
nd
International Conference on Digestive Diseases
CO-ORGANIZED EVENT
forceps and was inflated to block the colonic lumen with a suitable pressure inside the balloon (Fig. 1-A). The distal colon cavity
was irrigated with normal saline solution and disinfected with a 0.1% povidone-iodine solution. A disinfected endoscope with
a transparent cap mounted at the tip of it was used. To ensure a smooth advance of the endoscope and the accuracy in spatial
identification in the peritoneal cavity, the Trendelenburg’s position is suggested. After sub mucosal saline injections, a 2 cm
incision was made on the anterior rectal wall 15-20 cm from the anus by hook and IT knives. The endoscope was advanced into
the pelvic cavity, and an incision was made on the peritoneum by hook knife to enable the flexible endoscope pass through into
the peritoneal cavity, and then the endoscope was advanced upward into the upper peritoneal cavity with liver and gallbladder
identified. A 1.5cm longitudinal incision was made on the gallbladder wall and the bile was aspirated out. The endoscope was
inserted into the gallbladder cavity, and stones and/or polyps were found inside the gallbladder. Stone extractor and biopsy
forceps were used for removing the stones from the gallbladder. The polyps were coagulated and removed by electric biopsy
forceps and were sent for biopsy at once. The muscular and adventitial layers of the gallbladder were closed successfully layer
by layer with endoclips. Peritoneal cavity lavage was performed with normal saline till the drainage turned clean. The rectal
incision was closed with endoclips and endoloops tightly. At the end of the procedure, the balloon was pulled out after being
deflated. The colonic mucosa at the site of balloon blockage was endoscopicallynormal
Results:
All the operations were performed successfully. The mean operation time was 180.5 min. (89-467 min.). 6 hours after
anesthesia, the patients could drink water, and liquid diet was resumed 24 hours later. Postoperatively, 4 out of the 41 patients
felt mild abdominal distention which disappeared within 12 hours when they were able to get off the bed. All the patients were
discharged without any adverse events and all felt good during the follow-ups.
Conclusion:
In conclusion, minimally invasive surgery is now playing an important role in the fields of surgery and
gastroenterology. We believe, along with the innovations in new instruments and techniques, as well as our ceaseless
explorations of new things, more and more new approaches and procedures of gastroenterological endoscopy will come up
and be widely used in various clinical practices.
Recent Publications
1. Harper C (2009) The neuropathology of alcohol-related brain damage. Alcohol and Alcoholism 44(2):136-140.
2. Heilig M and Egli M (2006) Pharmacological treatment of alcohol dependence: Target symptoms and target
mechanisms. Pharmacology and Therapeutics 111(3):855-876.
3. LiX, Schwacha M G, Chaudry I H and Choudhry M A (2008) Acute alcohol intoxication potentiates neutrophil-
mediated intestinal tissue damage after burn injury. Shock 29(3):377-383.
4. Room R, Babor T and Rehm J (2005) Alcohol and public health. Lancet 365(9458):519-530.
5. Sullivan E V and Zahr N M (2008) Neuroinflammation as a neurotoxic mechanism in alcoholism: Commentary on
increased MCP-1 and microglia in various regions of human alcoholic brain. Experimental Neurology 213(1):10-17.
Biography
Bingrong Liu is Doctor of Medicine. He is a President of the GI Hospital, The First Affiliated Hospital of Zhengzhou University. He initiated the painless
gastroenteroscopy examinations in 2002 in the three northeast provinces. He has been engaged in the work of interventional treatment of liver cancer and achieved
a good result. He and his team has initiated and completed a series of pioneering techniques in the world in recent years. Every year since 2010, he has shown
himself at different international conferences as a speaker, and has been invited by many countries to carry out academic reports and demonstrations. He enjoys
a high reputation both at home and in abroad. In 2015, the Transrectal Gallbladder-Preserving Cholecystolithotomy via pure notes won the eightieth American
Digestive Association (ACG) video contest champion.
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