Transoral Incisionless Fundoplication for Gerd: Early North American Results
Introduction: EsophyX is an endoluminal approach to the treatment of gastroesophageal reflux disease (GERD). We report one of the earliest and largest North American experiences with this device.Methods: Prospective data were gathered on consecutive patients undergoing EsophyX fundoplication for a one-year period between September 2007 and 2008, during which time the procedure evolved to the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Management of Esophageal Perforations
Background: Perforation of the esophagus remains a life threatening event, which requires rapid diagnosis and treatment. Possible therapeutic modalities are surgical repair, interventional endoscopic or conservative treatment.Objectives: We were interested to examine our experience on the management of esophageal perforations with the aim to find parameters for the recommendation of the best therapeutic modality.Methods: From… Continue Reading
- Type:
- Podium Presentations
- 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
Gastric Electric Stimulation for Severe Gastroparesis
Objective: The purpose of this study is to investigate the effect of gastric electrical stimulation (GES) on solid phase gastric emptying, total symptom score (TSS), health-related quality of life (HRQOL), and patient satisfaction in patients with severe drug refractory gastroparesis. Design: Prospective single-center study Setting: Community hospital Patients: 40 consecutive patients presenting between 2002 and… 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
Ischaemic Conditioning Influence Fate of the Gastric Conduit and Quality of Life Outcomes Following Minimally Invasive Oesophagectomy
INTRODUCTION Minimally Invasive Oesophagectomy (MIO) is now established as a valid alternative to open surgery for the management of oesophago-gastric cancers. However, a high incidence of ischaemia related gastric conduit failure (ICF) is observed which is detrimental to any potential benefits of this approach. METHODS AND PROCEDURES MIO has been the procedure of choice for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Thoracolaparoscopic Ivor Lewis Esophagogastrectomy with a Handsewn Anastomosis in Prone Position
Background: With increasing enthusiasm for minimally invasive esophagectomy, a laparoscopic and thoracoscopic Ivor Lewis esophagogastrectomy with intrathoracic anastomosis is performed when at all possible. Circular stapler is usually used in order to create the intrathoracic anastomosis. We report a completely thoracoscopic handsewn double-layer esophagogastrostomy, realized with the patient in prone position, during a thoracolaparoscopic Ivor… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoendoscopic Single Site Heller Myotomy and Anterior Fundoplication
Laparoendoscopic Single Site (LESS) surgery continues the evolutionary arc from “open” to laparoscopic to “minimal scar” surgery, facilitating improved patient recovery and improved cosmesis. Promises of patient acceptance of LESS surgery are high and will drive investment of resources to promptly develop safe and effective LESS surgery procedures for clinical application. This video demonstrates LESS… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Oesophagectomy with Two-field Lymphadenectomy
THORACOSCOPIC PHASE1. Thoracoscopic access and Ports2. Diaphragm retraction stitch3. Division of inferior pulmonary ligament up to inferior pulmonary vein4. Division of mediastinal pleura and development of pericardial plane5. Division of azygous vein6. Completion of oesophageal mobilisation Meso-esophageal vessels are ligated and vagal branches are clipped on the Oesophagus. Slings are applied7. Radical nodal resection. Lymph… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Collis-nissen Fundoplication in a Patient with Tracheoesophageal Fistula Repair with Recurrent Hiatal Hernia and Gastroesophageal Reflux
INTRODUCTION: A 6 year old with a history of a tracheosophageal fistula presents with a history problematic for recurrent hiatal hernias and severe gastroesophageal reflux. He underwent a laparoscopic Nissen fundoplication at 3 months of age. He had continued reflux and strictures and underwent a revision Nissen fundoplication with repair of a hiatal hernia at… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Treatment of Bilateral Esophageal Epiphrenic Diverticula
Introduction:Epiphrenic diverticula are rare and usually incidentally found. When symptomatic they tend to present with chest pain, regurgitation and dysphagia.We report a case of large bilateral epiphrenic diverticula presented with upper gastrointestinal bleeding treated laparoscopically.Methods:A 67 year-old woman with a known history of systemic lupus erythematosus steroid dependent and mild dysphagia, presented to the emergency… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Total Gastrectomy with Hand-sewn Esophago-jejunal Anastomosis and D2 Lymphadenectomy for Gastric Cancer
Introduction: This video will detail the relevant steps in laparoscopic total gastrectomy and D2 lymphadenectomy with a hand-sewn esophago-jejunal anastomosis.Method and Patient: A 53 year-old male presented with weight loss and significant familiar history for gastric cancer (Both parents and sister). An upper GI endoscopy revealed a 10 mm gastric ulcer between the body and… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Microscopic Fat Processing with Harvesting of Lymph Nodes in Gastric Cancer Improves Nodal Yield and Upstages N Status
MICROSCOPIC FAT PROCESSING WITH HARVESTING OF LYMPH NODES IN GASTRIC CANCER IMPROVES NODAL YIELD AND UPSTAGES N STATUSObjectives:The current UICC staging system for gastric cancer relies on number of positive nodes to give N stage, up to a maximum of 16 involved nodes. As most nodal harvesting is based on macroscopically detected nodes there is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Influence of Age on Long-term Subjective and Objective Outcomes of Laparoscopic Nissen Fundoplication. Initial Experience From a Single Rural Institution
Background : Laparoscopic nissen fundoplication (LNF) is the gold standard for surgical treatment of gastroesophageal reflux disease (GERD) with majority of patients are younger adults. In recent era of aging population, many community surgeons are hesitant to perform this procedure in the elderly due to presumed higher morbidity and poorer surgical outcomes. Therefore this study… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Long-term Subjective and Objective Outcomes of Laparoscopic Nissen Fundoplication with Collis Gastroplasty for Shortened Esophagus. Initial Experience From a Single Rural Institution
Background: Laparoscopic Nissen Fundoplication (LNF) with Collis Gastroplasty has been adopted as the treatment of choice for advanced gastroesophageal reflux disease (GERD) with shortened esophagus. Only few studies have described subjective and objective outcomes of LNF with Collis gastroplasty for this particular condition. Therefore our study is aimed to investigate long-term subjective and objective outcomes… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery