We see laxity. In some of these costochondral junctions and impingement on these intercostal nerves as the ribs slip and float and encroach upon these nerves, slipping rib syndrome can be the cause of chronic abdominal wall pain.
If you have someone come in with chest or fractures that gets stuck on a ventilator, you can do a world of good with this technique by anesthetizing just those intercostal spaces that are the problem.
there's also an endoscopic gastric placation experience where you try to essentially create a small stomach like a sleeve gastrectomy, but doing an endoluminal placation
quoteabout half of the teenagers that present interested in bariatric surgery have had a parent who've had weight loss surgery↗
▶Ep 4 · 2:20
epidemiologicalAbout half of teenagers presenting for bariatric surgery have had a parent who underwent weight loss surgery.↗
▶Ep 4 · 45:59
clinicalIntragastric balloons and endoscopic gastric plication are less invasive approaches with moderate adult experience and some adolescent cases; outcomes are still being evaluated.↗
▶Ep 4 · 45:59
quotethere's also an endoscopic gastric placation experience where you try to essentially create a small stomach like a sleeve gastrectomy, but doing an endoluminal placation↗
Update Course Rewind: Part 2 Non-Pectus Uses of Cryoanalgesia 2024
▶Ep 53 · 1:12
clinicalCryoablation has shown real benefits for rib fractures, slipping rib syndrome, and other endochondromas.↗
▶Ep 53 · 1:28
clinicalLaxity in costochondral junctions and impingement on intercostal nerves as the ribs slip and float causes slipping rib syndrome.↗
▶Ep 53 · 1:28
quoteWe see laxity. In some of these costochondral junctions and impingement on these intercostal nerves as the ribs slip and float and encroach upon these nerves, slipping rib syndrome can be the cause of chronic abdominal wall pain.↗
▶Ep 53 · 1:30
clinicalSlipping rib syndrome can be the cause of chronic abdominal wall pain.↗
▶Ep 53 · 1:44
clinicalPatients with slipping rib syndrome may have already had their appendix or gallbladder removed before arriving at the correct diagnosis.↗
▶Ep 53 · 1:44
quoteWe've all seen patients that come to us with it, they're already out, maybe even their gallbladder out, and nobody has arrived at the right diagnosis.↗
▶Ep 53 · 1:51
clinicalPatients with slipping rib syndrome often undergo multiple colonoscopies, CTs, and ultrasounds before diagnosis.↗
▶Ep 53 · 2:12
clinicalThe usual approach for patients with slipping rib syndrome is to refer them to chronic pain for evaluation and intercostal block with steroid and long-acting local anesthetic.↗
▶Ep 53 · 2:34
clinicalIf there's a response to intercostal block, the next step is to refer to surgery.↗
▶Ep 53 · 2:38
clinicalInterventional radiology performs cryoablation using needle probes at single or multiple levels for slipping rib syndrome.↗
▶Ep 53 · 3:01
clinicalCryoablation can be used intraoperatively in combination with surgery to remove rib tips or stabilize a slipping cartilaginous costal margin.↗
▶Ep 53 · 3:27
quoteIf you have someone come in with chest or fractures that gets stuck on a ventilator, you can do a world of good with this technique by anesthetizing just those intercostal spaces that are the problem.↗
▶Ep 53 · 3:27
clinicalFor patients with chest rib fractures who get stuck on a ventilator, cryoablation can do a world of good by anesthetizing the intercostal spaces that are the problem.↗
