Topic: Foregut

Laparoscopic total gastrectomy for adenocarcinoma in a Western country community hospital: safety, oncological issues and mid-term survival

Giuseppe Portale, MD, Valentino Fiscon, MD, Antonio Mazzeo, MD, Giovanni Migliorini, MD, Flavio Frigo, MD. Department of General Surgery. Laparoscopic total gastrectomy (LTG) for adenocarcinoma is a widely diffused operation in Eastern Countries but there are only few reports from Western centers (mostly focused on partial/distal gastrectomy). The aim of this study was to assess […]

Predictors of Intraoperative Esophagogastric Junction Distensibility and Physiologic Improvement 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: A novel measurement tool, the functional lumen imaging probe (FLIP), allows for assessment of changes in esophagogastric junction (EGJ) physiology in real-time […]

Laparoscopic Sleeve Fundoplasty. A Novel Technique To Treat Type III and IV Hiatal Hernia With Shortened Esophagus

Luca Giordano, MD, Ben Selvan, MD, Kristine A DellaBadia, MS. Aria Health, Philadelphia. Objective We propose a new surgical technique to safely and effectively treat symptomatic grade III-IV Hiatal Hernia and reduce post-operative incidence of dysphagia and hernia recurrence. Type III-IV hiatal hernia repair is reported to have 10-25% recurrence rate(1) Nissen fundoplication, as part […]

Comparative study of clinical outcomes between conventional laparoscopic distal gastrectomy and pure single-incision distal gastrectomy for early gastric cancer.

Sang-Hoon Ahn, MD, Do Joong Park, MD, PhD, Hyung-Ho Kim, MD, PhD. Department of Surgery, Seoul National University Bundang Hospital. Purpose: Single-port surgery was introduced to reduce the invasiveness of laparoscopic surgery. The aim of this study was to show the feasibility and safety of pure single-incision laparoscopic distal gastrectomy (SIDG) by comparing its short-term […]

HM in patient with prior RYGB

John-Paul Bellistri, MD, Aida Taye, MD, Mujjahid Abbas, MD, Diego Camacho, MD. Montefiore Medical Center. Background Achalasia is the most common esophageal motility disorder, and myotomy remains the most effective treatment option available1. Morbid obesity itself is an independent risk factor for esophageal motility disorders2. Most morbidly obese patients with esophageal motility disorders are asymptomatic2. […]

Improvement in Mental Health and Social Functioning After Laparoscopic Heller Myotomy for Achalasia

Steven Lorch, MD, Vic Velanovich, MD. University of South Florida College of Medicine. Introduction- Achalasia is a benign but debilitating primary esophageal motility disorder which may have a significant detriment on patients’ mental health and social functioning. The gold standard for treatment is Heller myotomy with partial fundoplication. Treatment is aimed at palliation of symptoms […]

The Laparoscopic Approach to Small Bowel Obstruction

Edward L Felix, MD. Clovis Community Medical Center. In the past the accurate diagnosis and treatment of small bowel obstruction relied on an open exploration of the abdomen. With the advent of minimally invasive techniques, the accuracy of of determining the underlying etiology of the obstruction has been increased while decreasing the morbidity of the […]

An Initial Experience with and Safety of a Novel Approach to Treatment of Gastroesophageal Reflux Disease

George H Pfaltzgraff, MD, FACS. Ellsworth Municipal Hospital.   Introduction The hypothesis that there could be a minimally invasive, safe operation with few side effects, and few failed hiatal hernia repairs led to the use of a combination of laparoscopic anterior hiatal hernioplasty with the Transoral Incisionless Fundoplication. This was evaluated in a single center, […]

Multiple port site metastases after laparoscopic gastrectomy for cancer: A case report and literature review

Amani Jambhekar, MD, Josue Chery, MD, John O’Laughlin, MS, Piotr Gorecki, MD. New York Methodist Hospital. Background: Port site metastases have been reported after laparoscopic resection of intra-abdominal malignancies. It is a rare phenomenon, as such, the true incidence is not known. While there have been case reports of port site metastasis for gallbladder and […]

A Robot-assisted Pylorus Preserving Gastrectomy for Early Gastric Cancer: Is it better than laparoscopy-assisted surgery?

Young-Woo Kim, Hong Man Yoon, Daniel Reim, Ji Yeon Park, Bang Wool Eom, Keun Won Ryu. Gastric Cancer Branch, Research Institute and Hospital, National Cancer Center.  Introduction: This study was to see whether a robot assisted pylorus preserving gastrectomy (RAPPG) could show benefit over laparoscopy assisted pylorus preserving gastrectomy (LAPPG) in terms of short term […]

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