“y” Fundoplication for Gastroesophageal Reflux Disease: Evaluation of 80 Consecutive Cases
“Y” Fundoplication for Gastroesophageal Reflux Disease: EVALUATION OF 80 CONSECUTIVE CASESJorge Fernandez - Alvarez, M.D., Iker León, M.D., Gonzalo Vargas, M.D., Iker León, Alonso R. López, M.D. Abstract OBJECTIVE: Description of an hybrid laparoscopic fundoplication technique (Nissen plus Guarner) performed in patients with gastroesophageal reflux disease (GERD) in nine years of experience and the results… 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
Usefulness of Balloon Push-out Method During Thoracoscopic Enucleation of Leiomyoma of the Esophagus
Thoracoscopic enucleation of leiomyoma of the esophagus was successfully performed in 5 cases. This paper mainly describes a 51-year-old man who was referred to our hospital in April 2008 for further examination and treatment, because submucosal tumor of the esophagus was increased in size in 3 years. Esophagoscopy showed a mass beneath normal mucosa located… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Use of Laparoscopic Intra-corporeal Suturing in Esophagojejonostomy for Re-establishing Gastrointestinal Continuity After Gastrectomy: Report of Two Consecutive Cases
Acute gastric volvulus secondary to paraesophageal hiatal hernia can be a life-threatening condition, causing gastric necrosis, perforation and sepsis. Emergency surgery with total or partial proximal gastrectomy, obligates the patient to a second challenging procedure to re-establish gastrointestinal continuity. Laparoscopic esophagojejunostomy is a technically demanding procedure; this is especially true when the procedure is the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Contrast Study As Preoperative Planning Tool in Fundoplication Patients
OBJECTIVE: To determine if esophageal manometry added information important for preoperative fundoplication planning compared to upper GI contrast studies (UGIS) METHODS: We retrospectively reviewed the records of 323 patients at a single institution who underwent a fundoplication (Nissen or Toupet) for GERD and/or paraesophageal hernia from 2003 to 2007. Of these, we excluded patients younger… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Cancer Staging Practices Among Surgeons in Uk
BackgroundStaging of gastro-oesophageal cancer is crucial not only in deciding upon the management options but it can also decrease the number of non-curative laparotomies. Therefore it has been an area of much research and controversy. The current practices for gasto-oesophageal cancer staging prevalent among upper GI surgeons in United Kingdom were sought. MethodsWe conducted a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Updated Experience with Minimally Invasive Esophagectomy At an Academic Institution: Comparison Between Open and Laparoscopic Transhiatal Approaches
Objective: Minimally invasive esophagectomy (MIE) is increasingly being incorporated into armamentarium of different techniques for esophagectomy. We report our initial experience with MIE and compare the outcomes to patients who underwent traditional TH approach. Method: A retrospective review was conducted of 14 patients who underwent MIE at a single academic institution from January 2008 to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
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
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
“the Use of Small Porcine Bowel Submucosa Mesh, in the Treatment of Gastroesophagic Reflux. Long Term Results “
IntroductionGastroesophagic reflux disease is present worldwide, it has a ratio of 360 in 100,000 persons, being the most common esophagic disease, accounting for 75% of casesOne of the most common complications after antireflux surgery is the migration of the fundoplication into the mediastinum , leading to recurrent GERD symptoms. To prevent postoperative intrahoracic wrap herniation,… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Technique Sentinel Lymph Node Biopsy in Laparoscopy-Assisted Distal Gastrectomy and Assessment of Usefulness Compared to Open Surgery
Introduction: Recently some studies suggested that sentinel node biopsy (SNB) can be also applied to gastric cancer. We apply sentinel lymph node biopsy in laparoscopy-assisted distal gastrectomy (LADG) to perform it as safe limited surgery. Limited surgery is a procedure in which the extent of lesion resection and lymph node dissection is reduced. We demonstrate… 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
The Impact of Gastric Tip Necrosis on Clinical Outcomes Following Esophagectomy.
IntroductionAnastomotic complications are frequently encountered in the setting of esophagectomy, with leak rates ranging from 10-20%. Complete necrosis of the gastric tip is a rare complication that can be associated with significant morbidity and impairment of quality of life. In the current study, we evaluated the perioperative outcomes of patients who developed gastric tip necrosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Cost of Achalasia: Quantifying the Effect of Symptomatic Disease on Patient Cost Burden, Treatment Time and Decreased Work Productivity
OBJECTIVES – Achalasia is an uncommon disease of esophageal motility, characterized physiologically by failure of the lower esophageal sphincter to relax upon swallowing, and the absence of effective peristalsis in the body of the esophagus. Although the incidence of achalasia is low, the burden of suffering is high because it is a chronic incurable disease… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Submucosal Tumors At the Gastroesophageal Junction: The Laparoscopic Approach
Introduction: The objective of this study is to determine the feasibility of laparoscopic management of gastric submucosal tumors located at the gastroesophageal junction.Methods and Procedures: A retrospective, longitudinal study was designed including 13 patients operated on in our department from November 1999 to December 2007. Fifty three percent of patients were males, mean patients´age was… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery