Endoscopic Removal of an Eroded LINX® Device Using a Mechanical Biliary Lithotriptor

2021 ◽  
pp. 263451612110488
Author(s):  
Brett C. Parker ◽  
Fazel Dinary ◽  
Vivek Kumbhari ◽  
Brian E. Louie
Keyword(s):  
Management System ◽  
Erosion Rate ◽  
Paraesophageal Hernia ◽  
Gastric Erosion ◽  
Magnetic Sphincter Augmentation ◽  
Endoscopic Removal ◽  
Foreign Body Removal ◽  
History Of ◽  
Unique Approach ◽  
Biliary Lithotripsy

Background: Magnetic sphincter augmentation (MSA) via the surgical placement of a LINX® device (LINX® Reflux Management System, Torax Medical, Shoreview, MN, USA) is an increasingly performed minimally invasive outpatient anti-reflux procedure with a low erosion rate. The most common initial approach to eroded LINX® devices is endoscopic removal. Often endoscopy centers do not have specialized devices to cut through the newer, more durable LINX® systems. In this paper we describe a unique approach for removal of a LINX® with intraluminal erosion using a commonly stocked mechanical biliary lithotripsy device. Case description: A 63-year-old male with a history of GERD and symptomatic type III paraesophageal hernia (PEH) underwent a robotic PEH repair with magnetic sphincter augmentation (1.5T, 17 bead) at an outside hospital. He developed an acute recurrence of his PEH, and subsequent upper endoscopy and contrast esophagram four weeks postoperatively revealed a gastric erosion of the LINX device, which had migrated 6 cm onto the stomach. Attempted endoscopic LINX® removal using the OVESCO remove DC Cutter device was unsuccessful. Using principles of prior endoscopic bariatric lap band foreign body removal, the entire LINX® device was successfully removed with the described biliary lithotriptor technique. Conclusion: Using a common biliary mechanical lithotriptor device and a guidewire to transect the newer 1.5T LINX® Reflux Management System is a safe, effective and familiar technique for endoscopic removal of an eroded MSA device.

scholarly journals Giant Fibrovascular Polyp as an Unusual Cause of Globus Pharyngeus

2021 ◽  
pp. 014556132110039
Author(s):  
Jelena Sotirović ◽  
Ljubomir Pavićević ◽  
Stanko Petrović ◽  
Saša Ristić ◽  
Aleksandar Perić
Keyword(s):  
Differential Diagnosis ◽  
Asymptomatic Patient ◽  
Histopathological Examination ◽  
Complete Resection ◽  
Airway Compromise ◽  
Endoscopic Removal ◽  
Globus Sensation ◽  
Fibrovascular Polyp ◽  
History Of ◽  
Fatal Complications

Differential diagnosis of globus sensation in an otherwise asymptomatic patient should include hypopharyngeal fibrovascular polyp to avoid potentially fatal complications like airway compromise following regurgitation. We present a case of a 74-year-old man with a 13-cm long hypopharyngeal fibrovascular polyp with 9 months history of globus sensation. A narrow stalk of the giant polyp allowed endoscopic removal and complete resection with the CO2 laser. Histopathological examination was conclusive for the fibrovascular polyp.

scholarly journals Endoscopic Removal of a Press-Through Pack from the Anal Canal

2021 ◽  
pp. 137-141
Author(s):  
Ayaka Takasu ◽  
Takashi Ikeya ◽  
Katsuyuki Fukuda
Keyword(s):  
Small Intestine ◽  
Anal Canal ◽  
Large Intestine ◽  
Digital Rectal Examination ◽  
Anal Pain ◽  
Endoscopic Removal ◽  
Mild Dementia ◽  
Anal Fissures ◽  
History Of ◽  
Pass Through

The incidence of press-through pack (PTP) ingestion has been increasing. In many cases, the ingested PTP is lodged in the esophagus. Here, we report a case of endoscopic removal of a PTP from the anal canal. An 89-year-old man with mild dementia presented with a 3-day history of anal pain. On digital rectal examination, we felt a hard and sharp object, which could not be manually removed due to its shape. Therefore, it was removed endoscopically. We inserted an endoscope with a large-caliber soft oblique cap and observed the PTP in the anal canal. It was successfully removed using grasping forceps. The patient was stable, with only mild anal fissures, and no serious complications such as perforation and bleeding were observed. It is generally recognized that a PTP that reaches the large intestine is naturally expelled. Even if a PTP could pass through the pylorus or the small intestine, it could still be difficult to discharge naturally from the anus without discomfort or pain, as in this case.

Accounting Institute: on the Genesis and Impact of Management Revolutions

2021 ◽  
Vol 12 (3) ◽  
pp. s243-s261
Author(s):  
Nataliia Semenyshena ◽  
Nadiya Khorunzhak ◽  
Inna Lazaryshyna ◽  
Oleksandr Yurchenko ◽  
Yuliia Ostapenko
Keyword(s):  
Management System ◽  
Accounting System ◽  
System Transformation ◽  
Historical Method ◽  
Empirical Generalization ◽  
History Of ◽  
Characteristic Features ◽  
Management Approaches ◽  
Logical Dependence ◽  
The Impact

The aim of the study is to establish the presence of a causal relationship between the historical development of the accounting system (its modification) with management revolutions, identification of new characteristic features and accounting functions arising from changes in management approaches and requirements for accounting information for management purposes. Achieving the goal of the study involves identifying opportunities for further improving the accounting system based on the experience of its genesis under the influence of managerial revolutions. The methodological basis of the study is the dialectical method of cognition. The use of the historical method allowed to establish the logical dependence of the evolution of accounting on the requirements of the management system. Analytical and systematic methods were used to identify and form descriptions of the relationship of the accounting system in budgetary institutions with the processes of management system transformation and management revolutions. The impact of managerial revolutions on the accounting system in Ukraine and their consequences are established on the basis of an empirical generalization of historical archival and literary descriptions, as well as a critical analysis of the regulatory regulation of accounting, its norms and practices. The existence of a direct influence of managerial revolutions on the content, requirements, principles and methods of accounting is justified. The above result is based on the results of the analysis of the historical content of accounting, its evidence (accounting documents), as well as the assessment of the functions of the persons who carried out the accounting. The study of works on the history of accounting made it possible to assess the genesis of the introduction of the institutional approach and accounting as the basis for its transformational changes aimed at strengthening compliance with management needs. The study showed that accounting is changing under the influence of transformations in management, changes in its requests, determined by the existing needs of management. 

scholarly journals Discourses of Institutionalization of Zakat Management System in Contemporary Indonesia: Effect of the Revitalization of Islamic Economics

2018 ◽  
Vol 3 (1) ◽  
pp. 25-35 ◽  
Author(s):  
Mari Adachi
Keyword(s):  
Community Development ◽  
Poverty Alleviation ◽  
Management System ◽  
Social Roles ◽  
Administrative Reform ◽  
Theory And Practice ◽  
Financial Inclusion ◽  
Top Down ◽  
History Of

In Indonesia, zakat management was trying restructured in a top-down form based on the system followed in Malaysia and, in 1999, a related law was enacted. Although many previous studies have been conducted on zakat for its fundamental spiritual aspects and social roles, macroscopic research on its history of both theory and practice aspects is lacking. The transformation in the administrative reform of zakat, which focuses on not only the discourse of Islamic intellectuals but also the tone of the emerging Islamic economy and attitude of the management organization's practitioners and players, is important to understand the growth of Islam in Indonesia. This paper discusses how the zakat practice, which was an individual practice, expanded to include new objectives such as community development or financial inclusion without losing its original spiritual significance. Further, the paper clarifies how an institutionalized approach to zakat management helps in the development of new theoretical intervention areas and contributes to community development and empowerment, without compromising the original poverty alleviation programs. Keywords: Zakat management, Indonesia, Islamic economics

Management of surgical instruments with radio frequency identification tags

2016 ◽  
Vol 29 (2) ◽  
pp. 236-247 ◽  
Author(s):  
Kaori Kusuda ◽  
Kazuhiko Yamashita ◽  
Akiko Ohnishi ◽  
Kiyohito Tanaka ◽  
Masaru Komino ◽  
...  
Keyword(s):  
Radio Frequency ◽  
Radio Frequency Identification ◽  
Management System ◽  
Surgical Instruments ◽  
Rfid Tags ◽  
Surgical Instrument ◽  
Content Type ◽  
History Of ◽  
Frequency Identification ◽  
Identification Tags

Purpose – To prevent malpractices, medical staff has adopted inventory time-outs and/or checklists. Accurate inventory and maintenance of surgical instruments decreases the risk of operating room miscounting and malfunction. In our previous study, an individual management of surgical instruments was accomplished using Radio Frequency Identification (RFID) tags. The purpose of this paper is to evaluate a new management method of RFID-tagged instruments. Design/methodology/approach – The management system of RFID-tagged surgical instruments was used for 27 months in clinical areas. In total, 13 study participants assembled surgical trays in the central sterile supply department. Findings – While using the management system, trays were assembled 94 times. During this period, no assembly errors occurred. An instrument malfunction had occurred after the 19th, 56th, and 73th uses, no malfunction caused by the RFID tags, and usage history had been recorded. Additionally, the time it took to assemble surgical trays was recorded, and the long-term usability of the management system was evaluated. Originality/value – The system could record the number of uses and the defective history of each surgical instrument. In addition, the history of the frequency of instruments being transferred from one tray to another was recorded. The results suggest that our system can be used to manage instruments safely. Additionally, the management system was acquired of the learning effect and the usability on daily maintenance. This finding suggests that the management system examined here ensures surgical instrument and tray assembly quality.

scholarly journals 15 cm long impacted chewing wood stick in stomach: Endoscopic removal

2016 ◽  
Vol 07 (04) ◽  
pp. 148-149
Author(s):  
Surender Sultania ◽  
Vidhyadhar Singh Nitar ◽  
Sandeep Nijhawan ◽  
Gaurav Gupta
Keyword(s):  
Foreign Body ◽  
Psychiatric Illness ◽  
Endoscopic Removal ◽  
Accidental Ingestion ◽  
History Of ◽  
Radiolucent Foreign Body ◽  
Percutaneous Ultrasonography

AbstractWe report a case of long rigid radiolucent foreign body “chewing wood stick (datun)” impacted in the stomach of a 50-year-old man. He was literate, without any history of psychiatric illness and had been using “datun” to clean his teeth for last 15 years. He presented with a history of accidental ingestion of “datun” 3 months back, it was found impacted in the stomach on percutaneous ultrasonography and was removed with endoscopy using rat tooth forceps and snare.

Fluoroscopic and Endoscopic Localization of an Esophagobronchial Fistula in a Dog

2003 ◽  
Vol 39 (3) ◽  
pp. 257-261 ◽  
Author(s):  
Michael A. Nawrocki ◽  
Andrew J. Mackin ◽  
Ron McLaughlin ◽  
H. Dan Cantwell
Keyword(s):  
Soft Tissue ◽  
Surgical Removal ◽  
Contrast Study ◽  
Endoscopic Removal ◽  
Esophageal Diverticulum ◽  
Foreign Material ◽  
Intact Male ◽  
Esophagobronchial Fistula ◽  
History Of ◽  
Endoscopic Localization

A 10-month-old, intact male Chihuahua presented for a 7-month history of regurgitation and coughing. Survey radiographs revealed a soft-tissue opacity within the distal esophagus. A contrast study confirmed the presence of an esophagobronchial fistula. Endoscopic removal of foreign material within the esophagus allowed for visualization of an esophageal diverticulum. Bronchoscopic examination revealed the presence of an abnormal opening in a right caudal tertiary bronchus. Passage of a cardiac guidewire was accomplished, confirming the presence of the fistula and aiding its subsequent surgical removal.

Laryngo-tracheo-bronchial foreign bodies in children

1988 ◽  
Vol 102 (11) ◽  
pp. 1029-1032 ◽  
Author(s):  
Amit Banerjee ◽  
K. S. V. K. Subba Rao ◽  
S. K. Khanna ◽  
P. S. Narayanant ◽  
B. K. Gupta ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Bronchial Tree ◽  
Endoscopic Removal ◽  
Diagnosis And Management ◽  
Respiratory Passage ◽  
History Of ◽  
The Right

AbstractInhalation of a foreign body into the respiratory passage can be a serious and sometimes fatal childhood accident. In this paper we analyze the management of 223 children with laryngo-tracheo-bronchial foreign bodies. Children below three years of age were found to be the most vulnerable. The majority of the patients were boys. Over a quarter of the patients did not present with a history of inhalation. Only 52 per cent reported within 24 hours of inhalation. Endoscopic removal was possible in all but nine cases. One hundred and fort eight (66.4 per cent) of the recovered foreign bodies were organic in origin, the majority of them being peanuts. In one hundred and five (47.1 per cent) the objects found their way into the right bronchial tree. There were two deaths. The modalities of diagnosis and management are discussed.

An Essay on the History and Hermeneutics of Naslhat al-Muluk by Ghazali, Abu HamidMuhammad Ibn Muhammad Al-Tusi: semic analysis

Servis plus ◽  
10.12737/6463 ◽  
2014 ◽  
Vol 8 (4) ◽  
pp. 21-29 ◽  
Author(s):  
Марклен Конурбаев ◽  
Marklen Konurbaev ◽  
Салават Конурбаев ◽  
Salavat Konurbaev
Keyword(s):  
Methodological Approach ◽  
Roland Barthes ◽  
Literary Critic ◽  
Plain Language ◽  
History Of ◽  
Unique Approach ◽  
Formation And Evolution ◽  
Theological Study ◽  
History Of Formation

The series of articles entitled «An Essay on the History and Hermeneutics ofphilosophy ofFalsafa» is dedicated to the studies of Abu Hamid Muhammad Ibn Muhammad Al- TusT´s work «NasihatAl-Muluk». The Persian philosopher of lth century Al-Ghazali went down in history as one of the brightest representatives of medieval Muslim apologetics. The study of his works allows turning to different aspects of life of the medieval Muslim East. One of´his mostfamousworks, «NasihatAl-Muluk», which is part of his fundamental theological study «The Elixir of Bliss», belongs to the genre of medieval Arabic-Muslim literature — so-called «Mirrors for princes» which are simplified retellings of fundamental philosophical views on state and politics of a certain thinker in plain language. These retellings help to comprehend in practice the essence of government by series of allegories and narratives. The conducted hermeneutical analysis of«Nasihat Al-Muluk» reveals the unique approach of a brilliant Persian philosopher to determination of complicated ethical questions that underlie the art of governing. The methodological approach of the French philosopher and literary critic Roland Barthes was taken as the analysis basis. The first and the second part of the essay contain the history of formation and evolution ofphilosophy ofFalsafa and the exposition of the fundamentals of the hermeneutical teaching of Roland Barthes which underlies the instrumental basis of the analysis.

Synergising total productive maintenance elements with ISO 9001:2008 standard based quality management system

2014 ◽  
Vol 26 (6) ◽  
pp. 534-549 ◽  
Author(s):  
N.M. Sivaram ◽  
S.R. Devadasan ◽  
R. Murugesh ◽  
S. Karthi ◽  
C.G. Sreenivasa
Keyword(s):  
Quality Management ◽  
Management System ◽  
Quality Management System ◽  
Iso 9001 ◽  
Total Productive Maintenance ◽  
Content Type ◽  
Class Level ◽  
Unique Approach ◽  
World Class ◽  
In The Beginning

Purpose – The purpose of this paper is to conceptualize the integration of total productive maintenance (TPM) and ISO 9001 certification by contributing a model named as TPM 9001:2008. Design/methodology/approach – In the beginning of the paper, the origin, growth and capabilities of TPM and ISO 9001 certification in enabling the organizations to perform at world class level are appraised by citing research outcomes reported in literature arena. The information and knowledge thus gathered from literature arena are used to conceptualize TPM 9001:2008 model. Through this conceptualization, the eight TPM pillars are fitted into the five major clauses of ISO 9001:2008 standard. In order to illustrate this conceptualization, the contents of a sub-clause of TPM 9001:2008 model are presented and the rationale behind designating it is appraised. Findings – TPM 9001:2008 model brings out synergy from the two renowned world class strategies namely “TPM” and “ISO 9001 certification”. Practical implications – The paper points out that the practical validity of TPM 9001:2008 model shall be established by conducting real time case studies in various organizations. Originality/value – This paper presents a unique approach for integrating TPM elements with ISO 9001:2008 standard based quality management system, as a single framework benefiting the contemporary organizations.

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