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SAGES 2009 Abstracts Archive

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Abstract TitleAbstract TypeAbstract Topic

A Case of Mucosa Associated Lymphoid Tissue (MALT) Lymphoma of the Esophagus, Treated By Endoscopic Mucosal Resection

We report an extremely rare case of primary low grade mucosa associated lymphoid tissue (MALT) lymphoma of the esophagus. An 74-year-old man was referred to our department in June 2006 for further examination, because of the slight elevation of serum squamous cell carcinoma antigen level and an abnormal accumulation in the mediastinum on the PET-CT.… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

A New Procedure for the Treatment of Gastroesophageal Reflux Disease in Morbidly Obese Patients

Objective: Gastroesophageal reflux disease (GERD) is frequently associated with obesity (BMI>30), being reported in up to 51% of patients. The optimal surgical procedure for the combined treatment of morbid obesity and GERD has yet to be defined. Roux-en-Y gastric bypass has had favorable results on GERD in the morbidly obese but has the disadvantage of… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

A Population-based Analysis of Emergent Vs. Elective Hospital Admissions for an Intrathoracic Stomach

Introduction: Large scale population based analyses of the demographics and management and healthcare resource use in patients with an intrathoracic stomach are largely unknown. This issue has become even more important with the aging of the population. Our objective was to estimate the magnitude of the problem and to assess the use of hospital resources… Continue Reading

Type:
Podium Presentations
Topic:
Esophageal / Gastric Surgery

A Simplified Technique for Intrathoracic Stomach Repair: Laparoscopic Fundoplication with Vicryl Mesh and Bioglue Crural Reinforcement

Background: The laparoscopic repair of an intrathoracic stomach has been associated with a high recurrence rate of up to 50%. Studies describing the use of biological and non-absorbable mesh report a more durable repair. The aim of our study was to assess a simplified technique for intrathoracic stomach repair using absorbable vicryl mesh and bioglue… Continue Reading

Type:
Podium Presentations
Topic:
Esophageal / Gastric Surgery

Accuracy of the Endoflip™ Functional Lumen Imaging Probe

Objective: Impedance Planimery has been demonstrated as a useful technique for assessing the cross sectional area of hollow lumens in the gastrointestinal tract. EndoFLIP™ represents the first commercial implementation of this technique, and provides cross sectional area/diameter measurements at mutiple points along the tract simultaneously. This study presents the first accuracy evaluation of the EndoFLIP™… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Achalasia Complicated By Epiphrenic Diverticulum Is Well Treated By Laparoscopic Diverticulectomy, Heller Myotomy, and Anterior Fundoplication

Introduction: An epiphrenic esophageal diverticulum is a consequence of severe long-standing achalasia and can further exacerbate the symptoms of achalasia. This study was undertaken to determine the operative complications and long-term outcomes after laparoscopic diverticulectomy, Heller myotomy, and anterior fundoplication for achalasia complicated by epiphrenic diverticulum. Methods: Of 440 laparoscopic Heller myotomies, 25 patients have… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Analysis of Factors Contribute to Less Invasivenes of Laparoscopic Gastrectomy Compared with Conventional Open Surgery for Gastric Cancer Patients

INTRODUCTION: We have been reported that analysis of systemic inflammatory indicators showed lower responses after laparoscopic assisted distal gastrectomy (LADG) compared with conventional open distal gastrectomy (ODG)(Hayashi et al., Surg. Endosc., 2005). In order to analyze factors contributed to the lower systemic inflammatory response in patients after LADG, both peritoneal and systemic immune response were… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Assessment of Gastric Conduit Ischemia Following Esophagectomy: The Role of Ct-scan Vs. Early Endoscopy

Background: Ischemia of the gastric conduit is a rare but devastating complication of esophagectomy. Fear of iatrogenic injury to the anastomosis by early endoscopy has resulted in use of CT scan for diagnosis of this complication which may lead to delay in diagnosis. The aim of this study was to assess the role of CT… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Clinical Prognoses After Laparoscopic Assisted Gastrectomy for 76 Cases with Earlyl Gastric Cancer

(1) objective of this study Although Laparoscopic assisted gastrectomy (LAG) is has been accepted procedure for early stages of gastric cancer, the morbidity and modality are not clear compared to open gastrectomy (OG). We show our patientsf prognoses after LAG. This is a retrospective and single facility report.(2) methods and procedures We have performed 76… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Clinical Research of Digestive Tract Reconstruction Performed with the Nickel-titanium Temperature-dependent Memory-shape Device After Distal Gastrectomy

Clinical research of digestive tract reconstruction performed with the nickel-titanium temperature-dependent memory-shape device after distal gastrectomy 1,2Xinxiang Li MD, 1Shanjun Cai MD, 2Jianxin Ye MD, 2Zheng Shi, MD3Chengzhu zheng MD, 4Raul J. Rosenthal MD 1Department of Colorectal Surgery, Fudan University Cancer Hospital,Shanghai CHINA 2000322Department of Surgery, The First Hospital Affiliated To Fujian Medical University ,Fuzhou… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Comparative Analysis of Effectiveness of Endoscopic Surgical Techniques in the Management of Oesophageal Cancer

Background: Open transthoracic oesophogectomy is a major procedure which is associated with significant morbidity and mortality. Recently thoracoscopic procedures have offered a potentially advantageous alternative because of less operative trauma compared with thoracotomy. The aim of this study was to compare outcomes of open oesophagectomy(OE) with the best available minimally invasive technique, total minimally invasive… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Comprehensive Single Center Review of Impact of Body Mass Index on Symptomatic Results of Laparoscopic Nissen Fundoplication

INTRODUCTION: Laparoscopic Nissen fundoplication is accepted as a standard and effective therapy for refractory GERD; however, controversy exists regarding the eficacy of Nissen fundoplication in obese patients. We report on the results of symptomatic outcomes of a series of obese and non-obese patients with GERD receiving laparoscopic Nissen fundoplication. METHODS: A single center retrospective review… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Esophagectomy in the Elderly: A Comparison Between Minimally Invasive and Open Techniques

Background: The purpose of this study was to determine if utilization of minimally invasive techniques for esophagectomy in the elderly results in decreased complications compared with traditional open esophagectomy. Methods: A retrospective, case-control study was performed comparing outcomes after minimally invasive esophagectomy (MIE) and open esophagectomy (OE) in elderly patients (age>70 years) over a 7… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Evaluation of Intraoperative Strategies and Recurrences After Laparoscopic Paraesophageal Hernia Repair

Introduction:Patients undergoing paraesophageal hernia repair are known to have recurrence rates as high as 40 %. Preoperative findings on anatomic studies fail to determine intraoperative strategies to decrease this recurrence rate. Current operative techniques to reduce this rate include extensive mediastinal dissection to increase intra-abdominal esophageal length, closure of the hiatus with mesh, sac excision… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery

Evolving National Practice Patterns for Management of Paraesophageal Hernia: A Population Based Study

EVOLVING NATIONAL PRACTICE PATTERNS FOR MANAGEMENT OF PARAESOPHAGEAL HERNIA: A POPULATION BASED STUDYThai H. Pham MD, Kyle A. Perry MD, Eugene Y. Chang MD, Brian S. Diggs PhD, John G Hunter MD, Brett C Sheppard MD. Department of Surgery, Oregon Health and Science University, Portland, OR. Introduction: Based on studies from specialized centers, laparoscopic paraesophageal… Continue Reading

Type:
Posters
Topic:
Esophageal / Gastric Surgery
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