Patient Satisfaction Best Determines the Management of Recurrent Dysphagia After Heller Myotomy for Achalasia
Heller myotomy (HM) is an effective treatment for achalasia, however failure to reliably achieve long-term palliation of dysphagia occurs in about 10%. It is unclear when and how best to manage these patients. We sought to characterize patients with recurrent dysphagia with particular focus on the management of this difficult patient population. METHODS: A prospectively… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Surgery for Epiphrenic Diverticula: The Ideal Approach
Laparoscopy provides excellent exposure of the distal esophagus, thus is an ideal approach for most epiphrenic diverticula. This study reviews our outcomes to support this statement, which is the largest laparoscopic series to date.Methods: From 1997 to 2008, we operated on 23 patients for epiphrenic diverticula. Of these, 18 had laparoscopic diverticulectomy, myotomy, and fundoplication… Continue Reading
- Type:
- Posters of Distinction
- 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
Lower Esophageal Sphincter Pressure Correlates with Outcomes of Laparoscopic Heller Myotomy in Previously Treated Achalasia
Background: The purpose of this study was to define the distribution of preoperative resting lower esophageal sphincter pressures (LESP) in achalasia, and to correlate this with symptomatic outcomes following laparoscopic Heller myotomy (LHM). Methods: A single institution retrospective review of patients undergoing LHM for a primary diagnosis of achalasia between 1992-2005. Patients were divided into… 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
Gastrointestinal Stenting As Bridge to Future Surgery
BACKGROUND: Gastrointestinal stenting is most often utilized for end-stage palliation for unresectable malignancy. We propose the concept of gastrointestinal (non-biliary) stenting as a bridge to surgery for benign conditions, as well as, neoadjuvant stenting for malignant diseases. METHOD: All stents were placed in the operating room under general anesthesia, with endoscopic and fluoroscopic techniques. All… 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
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
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
Robot-Assisted Thoracoscopic Heller Myotomy for Achalasia
Objectives: The surgical treatment of achalasia remains controversial. Controversies include open vs. videoscopic approach, laparoscopic vs. thoracoscopic approach, and the need for an antireflux procedure. Laparoscopic Heller myotomy is hampered by the requirement of an added antireflux procedure. If the hiatus is not opened, thoracoscopic Heller myotomy does not require an antireflux procedure, but is… Continue Reading
- Type:
- Posters
- 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
The Recurrence of Reflux Esophagitis After Laparoscopic Fundoplication for Gastroesophageal Reflux Disease
Introduction: Despite the success rate of laparoscopic fundoplication for gastroesophageal reflux disease (GERD) at around 90%, the patients who need maintenance therapy of proton pump inhibitor or re-do surgery for recurrence of esophagitis post-operatively are recognized. The aim of this study was to analyze the characteristics of recurrence cases investigating our experienced patients.Methods: Two hundred… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Usefulness of Ultraflex Stents Setting for the Management of Tracheobronchial Stenoses in Esophageal Carcinnoma
Introduction: Airway stents have gained increasing popularity in the management of challenging tracheobronchial obstruction based on the simplicity of their placement and the lack of good alternative approaches. Careful and judicious stent placement has provided significant and life-saving airway improvement in many patients. We present our experience with the use of the ultraflex stents in… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Physiology: The Key to Validating Management Techniques in Gord.
IntroductionMost studies validate treatment of gastro-oesophageal reflux disease (GORD) using improvement in symptoms alone. Symptoms are difficult to interpret due to the placebo effect of any intervention. We present data comparing pre and post operative physiology in our series of laparoscopic Nissen’s Fundoplication and compare this to a review of the current literature using meta-analytical… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transluminal Excision of Gastroesophageal Junction Gist Tumors
Introduction: Laparoscopic excision of GIST tumors is safe and oncologically effective. GIST tumors at the gastroesophageal junction (GEJ) introduce special difficulties due to the complex accessibility of the proximal stomach by laparoscopy and concerns of narrowing the GEJ, while ensuring an oncologic resection. Herein, we examine the feasibility of laparoscopic transluminal excision (LTE) of GEJ… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery