Topic: Foregut

The Effect of Differential Proximal Myotomy Length On Esophagogastric Junction Distensibility During Heller Myotomy and Poem

Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Lubomyr Boris, BS, Frederic Nicodeme, MD, Peter J Kahrilas, MD, John E Pandolfino, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. INTRODUCTION: For laparoscopic Heller myotomy (LHM), it has been shown that a myotomy extending 3cm distal to the esophagogastric junction (EGJ) results in […]

Ten-year Outcome in Achalasia : Prospective Study of Surgical Myotomy and Pneumatic Dilatation

Pakkavuth Chanswangphuvana, MD, Soravith Vijitpornkul, MD, Ajjana Techagumpuch, MD, Suppa-ut Pungpapong, MD, Suthep Udomsawaengsup, MD, Patpong Navicharern, MD, Chadin Tharavej. Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Introduction Less was known regarding the effectiveness of surgical myotomy and pneumatic dilatation in the treatment of achalasia. This study aimed to compare the treatment […]

Laparoscopic Eschar Myotomy for Esophageal Stricture Following a TIF (Transoral Incisionless Fundoplication) Microperforation

Ruchir Puri, MD, Steven P Bowers, MD. Mayo Clinic, Florida. The video submission is a case presentation of a 66 Y male who underwent a TIF (transoral incisionless fundoplication) complicated by mediastinitis. He developed severe, refractory dysphagia. He was found to have extensive fibrosis and thickening of the esophageal wall with extrinsic compression of the […]

Laparoscopic Paraesophageal Hernia with Falciform Ligament Buttress

Raymond Laird, DO, Fred Brody, MD, MBA, FACS. The George Washington University Medical Center. Introduction: Multiple techniques have been used to decrease recurrence rates following a paraesophageal hernia repair including buttressing the crura with synthetic and biological mesh. However, synthetic mesh is associated with erosions and dysphagia while biologic buttresses are expensive and have not […]

Minimally Invasive Management of Multiple Failed Nissen Fundoplications in the Obese Patient

Jeffrey Mino, MD, MPH, Mihir Shah, MD, Rosebel Monteiro, MD, Kevin El-Hayek, MD. Cleveland Clinic Foundation. Introduction: Refractory gastroesophageal reflux can be a debilitating and even deadly condition if left unresolved for a prolonged period of time. Traditional surgical management after failure of acid reduction medications is a Nissen fundoplication. However, in some patients, especially […]

Laparoscopic Repair of Giant Type Iii Hiatal Hernia Without Mesh Reinforcement

Thiago Boechat, MD, Leonardo Ferraz, MD, Marcio Balieiro, MD, Baltazar Fernandes, MD, Jose Ribamar Azevedo, MD. Bonsucesso Federal Hospital.  A giant hiatal hernia is a hernia that includes at least 30% of stomach inside the chest, its can be type II and III. The prevalence of giant hernia represent from 0,3% to 15% of all […]

Predicting Operative Techniques and Outcomes in Laparoscopic Paraesophageal Hernia Repair (PEHR) by Computed Tomography (CT) Measurements

Samuel W Ross, MD, MPH, Blair A Wormer, MD, Bindhu Oommen, MD, MPH, Mimi Kim, MD, John D Watkins, Amanda L Walters, MS, Vedra A Augenstein, MD, Brant T Heniford, MD. Carolinas Medical Center, Dept. of Surgery, Division of Gastrointestinal and Minimally Invasive Surgery. INTRODUCTION: Large PEHR can be challenging to plan pre-operatively given the […]

Outcome of Bougienage Dilatation in Complex Corrosive Esophageal Strictures

Pakkavuth Chanswangphuvana, MD, Soravith Vijitpornkul, MD, Ajjana Techagumpuch, MD, Suppa-ut Pungpapong, MD, Suthep Udomsawaengsup, MD, Patpong Navicharern, MD, Chadin Tharavej, MD. Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Background : Less was known regarding the effectiveness of bougienage dilatation in complex corrosive esophageal strictures. Objective : To determine the effectiveness and factors […]

Long Term Outcomes of Radiologic Recurrence After Paraesophageal Hernia Repair with Mesh

Rachel A Jones, MD, Anton Simorov, MD, Carl J Tadaki, MD, Dmitry Oleynikov, MD. University of Nebraska Medical Center, Department of General Surgery. Introduction: Paraesophageal hernia repair has historically had a high radiologic recurrence rate in the literature, even with the use of biologic mesh as a prosthetic buttress to reinforce the primary crural repair. […]

Robot-assisted Laparoscopic total gastrectomy

Mario Masrur, MD, Kristtin Patton, MD, Jean Pierre Martucci, MD, Raquel Gonzalez-Heredia, MD, Fernando E Elli, MD, FACS. University of Illinois at Chicago, Chicago, Illinois, USA.. Background Robot-assisted gastrectomy has been reported as a safe alternative to the conventional laparoscopy or open approach for treating early gastric carcinoma. We present a case of a gastric […]

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