A decades experience of laparoscopic anterior Watson fundoplication in children.
Background: Laparoscopic anti-reflux surgery has become firmly established in the management of gastro-oesophageal reflux in children. The Nissen remains the most widely used anti-reflux procedure, but its success is frequently compromised by mechanical complications. Several modifications, such as partial wraps, have been described. It is not known whether the advantages of partial fundoplication translate into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A General Surgeon\’s early experience using prone thoracoscopy for minimally invasive esophageal procedures
With the realized benefits of decreased post-operative pain, a shorter hospital stay, and a faster recovery time when compared to open surgery, enthusiasm for minimally invasive esophagectomy has increased worldwide. Several groups use lateral decubitus positioning for thoracoscopic mobilization of the esophagus, while some have suggested that prone positioning may minimize the number of technical… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A laparoscopic vagus preserving Merendino procedure
Introduction: Laparoscopic vagal preserving oesophagectomy is a recognised treatment option for high grade dysplasia of the oesophagus[1]. A jejunal interposition, as described by Alvin Merendino in 1955[2], aims to substitute the lower oesophageal sphincter, thereby treating physiological disorders such as reflux oesophagitis. Methods: We aimed to combine these procedures in the treatment of an otherwise… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A Novel Method of Mesh Placement in Laparoscopic Repair of Giant Paraesophageal (gph) Hernias
Objective of the Technique: To introduce a novel technique for mesh placement during laparoscopic GPH repair. Recent data support the use of prosthetic mesh in the repair of large (>5cm) paraesophageal hernias, with decreased recurrence rates compared to primary repair. There is no consensus, however, as to the optimal type and shape of mesh, or… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Randomized Controlled Trial of Laparoscopic Nissen Fundoplication (LNF) versus Proton Pump Inhibitors for Treatment of Patients with Chronic Gastro-Esophageal Reflux Disease (GERD)
Objective: In patients with GERD who were stable and symptomatically controlled on long-term medical therapy we performed an RCT to compare ongoing optimized medical therapy with LNF.Methods: 201 patients were eligible for randomization, 104 gave informed consent (age mean 42.9, sd11; male 55 female 49) and 2 withdrew from the study immediately after randomization. Patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A standard scoring system for contrast esophagography following anti-reflux operation
Objective: Contrast esophagram (CE) is commonly performed following anti-reflux operations for gastroesophageal reflux disease (GERD). However, utilization of this procedure is not uniform, and guidelines on its interpretation and clinical relevance are lacking. We hypothesized that a standardized scoring system for interpretation of CE would improve its clinical relevance, particularly when compared to clinical outcomes.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Analysis of 1,543 Gastric Carcinoid Patients for Proposed Staging System
Background: Gastric carcinoid tumors are rare and little is known about the long term prognosis of these tumors, since no staging system currently exists. The aim of this study was to create a predictive staging system to accurately estimate prognosis. Methods: A retrospective review of 15,983 carcinoid patients from the SEER database identified 1,543 patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Anti-reflux Surgery Is Not Totally Effective Against Esophageal Adenocarcinoma, Despite the Regression or Disappearance of Barrett\’s Esophagus in Most Cases – A Study of 80 Barret\’s Patients.
BACKGROUND: Barrett’s Esophagus (BE) is a complication of gastroesophageal reflux disease (GERD) and can be a pre-malignant condition. laparascopic anti-reflux surgeries (LARS) significantly correct physiological and anatomical abnormalities in patients with GERD; nevertheless, there is no consensus about its effectiveness in preventing malignant transformation in patients with BE. The impact of LARS on those suffering… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Assessment of the Clinical Utility of Routine Barium Esophagram After Laparoscopic Anterior Esophageal Myotomy for Achalasia
Introduction: The purpose of this study is to evaluate the clinical utility of routine barium esophagram (BAS) after laparoscopic anterior esophageal myotomy for achalasia.Methods: Records of 260 consecutive patients (pts) undergoing laparoscopic anterior esophageal myotomy for achalasia from 5/96-8/07 were reviewed from a prospective, IRB-approved database. All radiographic reports and perioperative records were reviewed. Data… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Carbon Dioxide Insufflating Intraoperative Upper Gastrointestinal Endoscopy Minimizes Distension of Downstream Bowel During Laparoscopic Surgery: A Historical Comparison Study
INTRODUCTION: Intraoperative endoscopy (IOE) has gained wider clinical acceptance as a useful adjunct in advanced laparoscopic surgery. One known drawback of IOE, however, is prolonged distension of downstream bowel which compromises the subsequent surgical exposure/procedure, resulted in open conversion in worst case scenario. The use of rapid absorptive carbon dioxide (CO2) instead of air, has… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical outcome after laparoscopic proximal gastrectomy for gastric cancer.
INTRODUCTION; Various types of function-preserving gastrectomy and limited gastrectomy have been performed in attempts to improve postoperative quality of life for gastric carcinoma. Proximal gastrectomy, which is one of the noteworthy procedures, is performed to retain gastric function and minimize loss of digestive and absorptive ability. Recently, laparoscopic gastrectomy is increasingly applied for gastric cancer… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical Outcome of Thoracoscopic Esophagectomy for Patients with Esophageal Cancer: Our 2-year Experience
Introduction: Esophagectomy with extended lymphadenectomy is the principal modality for the cure of esophageal cancer in case the curative resection is possible, and less invasive or minimally invasive surgery has been required to offer less morbidity and favorable prognosis. We have incorporated thoracoscopic esophagectomy into esophageal resection since August 2005. We addressed our procedure which… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Combined Prone Thoracoscopy and Supine Laparoscopy for treatment of an Epiphrenic Diverticulum
The laparoscopic treatment of epiphrenic diverticula via a totally abdominal approach has been well described. One of the challenges of the laparoscopic approach to the treatment of large epiphrenic diverticula has been safe and adequate proximal dissection. Thoracoscopy provides another means of accessing the mid to distal esophagus, while addition of this modality allows for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Combined thoracoscopic and laparoscopic esophagectomy
.Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented. Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Comparative Study of Treatment Outcome in Achalasia :Surgical Myotomy VS Pneumatic Balloon Dilatation
Less was known regarding the effectiveness of surgical myotomy and pneumatic balloon dilatation in the treatment of achalasia particular in laparoscopic era.This study aimed to compare the treatment outcome of surgical myotomy and pneumatic balloon dilatation. Methods:There were 72 patients diagnosed as achalasia admitted to King Chulalongkorn hospital between 1998-2006. Medical records of these patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery