A Clinical Study On Postoperative Endoscopic Appearance of Anastomosis After Esophagectomy
Yujiro Tanaka, MD, Katsunori Nishikawa, MD, Fumiaki Yano, MD, Jun Asakura, MD, Shuji Sato, MD, Tomoyoshi Okamoto, MD, Hideyuki Kashiwagi, MD, Katsuhiko Yanaga, MD. Dept. of Surgery, Jikei University School of Medicine, Tokyo, Japan (Background and Aim) Esophagectomy and esophagogastrectomy are major operations with high mortality and morbidity, for which anastmotic leakage of esophageal substitute… Continue Reading
A Comparison of Laparoscopic Transhiatal Esophagectomy Without Thoracoscopic Port Versus Open Transhiatal Esophagectomy
Subhasis Misra, MD, Alexander Fort, BA, Nestor De La Curz, MD, Alan Livingstone, MD. University of Miami Background: Open Ivor-Lewis esophagectomy and open Transhiatal esophagectomy (THE) is known to be associated with significant morbidity and mortality. Few studies have been published comparing an open transhiatal approach and a laparoscopic transhiatal approach without a thoracoscopic port.… Continue Reading
A Complication of Biologic Mesh Following Nissen Fundoplication
Edward L Felix, MD, Daniel E Swartz, MD. Advanced Bariatric Centers of California The role of synthetic or biologic mesh to reinforce or close the hiatus during Nissen fundoplication has become controversial. A randomized study has shown it to be beneficial for para-esophageal hernia repair, but at what risk. Some have suggested that the potential… Continue Reading
- Topic:
- Foregut
A New Hybrid Technology of Laparoscopy Assisted Endoscopic Full Thickness Resection for Intraluminal Type Smt of the Stomach
Masanori Terashima, MD PhD FACS, Masanori Tokunaga, MD, Etsuro Bando, MD PhD, Yutaka Tanizawa, MD, Taiichi Kawamura, MD PhD, Junya Kondo, MD, Yusuke Kinugasa, MD PhD, Hideyuki Kanemlto, MD, Katsuhiko Uesaka, MD PhD, Kohei Takizawa, MD, Masaki Tanak. Division of Gastric Surgery, gastrointestinal Surgery, and Endoscopy, Shizuoka Cancer Center Introduction: Submucosal tumor (SMT) of the… Continue Reading
Are Patients That Undergo Bariatric Surgery At a Greater Risk for Gastro-Jejunal Anastomotic Complication Compared to Those Undergoing Non-Bariatric Foregut Surgery?
I. Michael Leitman, MD, Andrew D Yu, BA, Martin S Karpeh, MD, Mason W Mandy, MD, Christopher Roker, MBA. Albert Einstein College of Medicine, Beth Israel Medical Center Background: Gastrojejunal leak is a dreaded complication following foregut surgery. The present study evaluates the incidence and risk factors for the development of anastomotic complications for bariatric… Continue Reading
Avoidance of Collis Gastroplasty Based On GI Symptom Concerns Is Not Justified
Wai M Yeung, MD, Vladan N Obradovic, MD, Aamir Akmal, MD, Mohanbabu Alaparthi, MD, Jon D Gabrielsen, MD, Anthony T Petrick, MD. Geisinger Medical Center Background: The existence of a "short esophagus" continues to be a source of controversy surrounding paraesophageal hernia repair and therefore a precise definition of the "short esophagus" remain elusive. Intrinsic… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Foregut
Case Series of Prophylactic Laparoscopic Total Gastrectomy for Hereditary Diffuse Gastric Cancer with Cadherin Gene Mutation
Manish Khare, MD, Donald W Weaver, MD, Jennifer L Hart, PAC. Department of Surgery, Wayne State University School of Medicine, Detroit, MI, 48201, USA Introduction: Hereditary diffuse gastric cancer (HDGC) is a rare autosomal dominant cancer susceptibility syndrome caused by germline mutation of E-cadherin (CDH1) gene. Mutation carriers have a more than 70% lifetime risk… Continue Reading
Causes of Dissatisfaction Following Laparoscopic Fundoplication: the Impact of Recurrent Symptoms, New Symptoms, and the Patient Experience
Leigh A Humphries, Kenneth Luberice, BS, Sharona B Ross, MD, Alexander S Rosemurgy, MD. Digestive Disorders Center, Tampa General Hospital, Tampa, FL, USA Introduction: Laparoscopic fundoplication is the "gold standard" therapy for GERD, though success after laparoscopic fundoplication is not uniform. This study was undertaken to determine the causes of dissatisfaction following laparoscopic fundoplication. Methods:… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Foregut
Choice of Laparoscopic Paraesophageal Hernia Repair with Or Without Mesh: A Decision Analysis
Nadia Obeid, MD, Vic Velanovich, MD. Henry Ford Hospital Background: Controversy exists on whether laparoscopic paraesophageal hernia repair should be done with or without mesh. Arguments for use of mesh center on decreased incidence of recurrence. Arguments against the use of mesh center on increased incidence of severe long-term adverse events. We performed a decision… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Comparative Study of Different Types of Mesh for Laparoscopic Repair of Large Hiatal Hernias
V.V. Grubnik, Prof, A.V. Malynovskyy, V.V. Ilyashenko. Odessa State Medical University Background. The use of mesh for laparoscopic repair of large hiatal hernias may reduce recurrence rates compared to primary suture repair. However, there is a potential risk of mesh-related oesophageal complications due to prosthetic erosion. The aim of this study was to compare effectiveness… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Comparison of Single Port and Standard Laparoscopic Fundoplication
Don J Selzer, MD, Jennifer N Choi. Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana INTRODUCTION – Single port laparoscopy (SPL) remains an area of great controversy. Concerns over safety and true benefit remain. Laparoscopic fundoplication is still the gold standard for treatment of gastro-esophageal reflux disease (GERD). SPL fundoplication has been described… Continue Reading
Comprehensive Evaluation of an Endoscopic Fundoplication Using the Esophyx Device
Rebecca P Petersen, MD MSc, Laura Filippa, MD, Eelco B Wassenaar, MD PhD, Ana V Martin, MD, Roger Tatum, MD, Brant K Oelschlager, MD. University of Washington Medical Center Introduction: There are limited studies that evaluate the efficacy of an endoscopic fundoplication (EF) for GERD with EsophyXTM device, especially with the most recent procedural iteration… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Conservative Management of Nongangrenous Gastric Pneumatosis Caused By Barotrauma (aerophagia). Case Report and Literature Review
Alexey Markelov, MD, Vijay Rastogi. Easton Hospital, Drexel University School of Medicine Pneumatosis intestinalis, or air within the wall of the gastrointestinal tract, has been documented from the esophagus to the rectum. Its presence can suggest gangrenous changes of the stomach or colon and represents a surgical emergency. However, gastric pneumatosis can also occur as… Continue Reading
Decreasing Morbidity and Mortality in One Hundred Consecutive Esophagectomies
Kfir Ben-David, MD, George A Sarosi, MD, Juan C Cendan, Drew Howard, MD, Georgios Rossidis, MD, Steven N Hochwald. University of Florida College of Medicine Introduction: Esophagectomy is a complex invasive procedure requiring exploration of multiple body cavities for organ removal and subsequent restoration of gastrointestinal continuity. In many institutions, esophagectomy morbidity and mortality rates… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Determinants of Operative Time and Hospital Length of Stay After Laparoscopic Fundoplication: Analysis of 2052 Patients From the NSQIP Database
Prateek K Gupta, MD, Tommy H Lee, MD, Himani Gupta, MD, Weldon J Miller, MS, Lee E Morrow, MD, Robert J Fitzgibbons Jr, MD, Sumeet K Mittal, MD. Creighton University Objective: Our objective was to analyze the American College of Surgeons' National Surgical Quality Improvement database (NSQIP) to determine the effect of patient demographics and… Continue Reading