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SAGES 2012 Abstracts Archive

23-hour Discharge for Massive Rectal Adenomas Treated With Transanal Endoscopic Microsurgery

Christopher Wright, Mr, Matthew Tutton, Mr. Department of Colorectal Surgery, Colchester General Hospital   IntroductionTransanal endoscopic microsurgery (TEM) provides a local treatment for rectal tumours instead of radical surgery. Although introduced in the 1980s, little has been reported about tumour size or massive adenomas over 4cm in size in relation to early discharge. This series… Continue Reading

Type:
Posters
Topic:
Colorectal

30-30 Cut/coag – Is Electrosurgical Monopolar Energy Technology Underused?

Paul N Montero, MD, Matthew Fox, MD, Thomas Robinson, MD, Gregory V Stiegmann, MD. University of Colorado School of Medicine   Objective: Our hypothesis is that monopolar electrosurgery technology is underused, and that the "standard" setting of Coag 30 remains the most commonly used generator setting. Despite advances in monopolar elecrosurgical energy devices, surgeons routinely… Continue Reading

A Case of an Inflammatory Pseudotumor of the Spleen Diagnosed By Laparoscopic Splenectomy

Hiroshi Tajima, Hiroki Kamata, Hiroyuki Katagiri, Kenichiro Ishii, Yusuke Kumamoto, Kazunori Furuta, Masahiko Watanage. Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan   In many cases splenic tumor qualitative diagnosis before surgery is difficult, as diagnostic and treatment often require spleen removal surgery. We experienced a case of an inflammatory pseudotumor of the… Continue Reading

A Case of Gastric Heterotopic Pancreas

Kenneth Juenger, MD, Leandra H Burke, BS, Elizabeth A Steensma, MD, Christian W Ertl, MD FACS FACCWS. Michigan State University / Kalamazoo Center for Medical Studies   Introduction:First described by Schultz in 1729, the condition of heterotopic pancreas is an infrequently occurring anomaly 1. Although typically asymptomatic, this condition can present as a submucosal heterotopic… Continue Reading

Type:
Posters
Topic:
HPB

A Case of Huge Esophageal Hamartoma Treated By Endoscopic Resection

Toshiyuki Sasaki, MD, Nobuo Omura, MD, Yuuichirou Tanishima, MD, Katsunori Nishikawa, MD, Norio Mitsumori, MD, Hideyuki Kashiwagi, MDPhD, Katsuhiko Yanaga, MDPhD. Departments of Surgery, Jikei University School of Medicine   In general, hamartoma frequently occurs in the lung, heart, or hypothalamus, and its occurrence in the gastrointestinal tract is very rare. We report a patient… Continue Reading

A Case of Incarcerated Hernia at the 5mm Port Site After Removal of Tube Drain

Takayuki Iino, MD, Hideto Oishi, MD PhD, Takao Yamane, MD, Eiichi Hirai, MD PhD, Shingo Kameoka, MD PhD, Masaki Fukunaga. YACHIYO MEDICAL CENTER, TOKYO WOMEN'S UNIVERSITY   INTRODUCTION-Laparoscopy became a popular tool in gastrointestinal surgery. Laparoscopic operations offer an advantages of post-operative recovery and applications of this technique is still expanding. Parallel to the development… Continue Reading

Type:
Posters
Topic:
Hernia

A Case of Laparoscopic Bypass Between the Residual Stomach and Jejunum Bypass for Anastomotic Recurrence After Open Distal Gasterctomy

Yuichiro Tanishima, MD PhD, Norio Mitsumori, MD PhD, Masami Yuda, MD, Seryong Yamamoto, MD, Hiroaki Aoki, MD PhD, Toshiyuki Sasaki, MD, Katsunori Nishikawa, MD PhD, Nobuo Omura, MD PhD, Yoshio Ishibashi, MD PhD, Koji Nakada, MD PhD, Hideyuki Kashiwagi, MD PhD, Katsuhiko Yanaga, MD PhD. Department of Surgery, Jikei University School of Medicine   A… Continue Reading

Type:
Posters
Topic:
Foregut

A Case of Large Paraesophageal Hiatal Hernia Successfully Treated By Laparoscopic Tension-free Repair.

Hirohito Fujikawa, Yasushi Rino, Kenji Inafuku, Koichiro Yamaoku, Daisuke Inagaki, Nobuhiro Sugano, Tsutomu Sato, Roppei Yamada, Norio Yukawa, Munetaka Masuda, Toshio Imada. Yokohama City University Hospital   Paraesophageal type of hernias accounts for a very small percentage of hiatus hernias. Moreover, cases involving protrusion of the colon and the stomach are extremely rare. Here we… Continue Reading

Type:
Posters
Topic:
Hernia

A Case of Portal Vein Thrombosis After Laparoscopic Low Anterior Resection of the Rectum.

Noritsugu Naito, MD, Nobuyasu Kano, MD PhD. KAMEDA MEDICAL CENTER   Introduction: Portal vein thrombosis (PVT) after laparoscopic surgery is a relatively uncommon but potentially lethal complication. There are several reports of PVT after laparoscopic surgery such as laparoscopic splenectomy. There are only a few reports of cases with PVT after laparoscpic colectomy for malignant… Continue Reading

Type:
Posters
Topic:
Colorectal

A Case of Pseudolymphoma of the Liver Operated With Laparoscopic Surgery

Hiroki Kamata, Kenichiro Ishii, Hiroshi Tajima, Hiroyuki Katagiri, Kazunori Huruta, Yusuke Kumamoto, Masahiko Watanabe. Department of Surgery, Kitasato University School of Medicine   Hepatic pseudolymphoma (HPL) and primary hepatic marginal zone B cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) are rare diseases and the differential diagnosis between these two entities is sometimes difficult. Here… Continue Reading

Type:
Posters
Topic:
HPB

A Cheap Method of Single Incision Laparoscopic Surgery in Total Extraperitoneal Approach for Inguinal Hernia

Hayashi Nobuyasu, PhD, Ichihara Takao, PhD, Oka Yoshio, PhD, Sakon Masato, PhD. Nishinomiya Municipal Hospital   INTRODUCTION: With technical advancements and the increasing demand for more minimally invasive surgery, single incision laparoscopic surgery (SILS) has recently been deployed in certain surgical procedures including inguinal hernia surgery. Currently, SILS can usually be performed with the use… Continue Reading

Type:
Posters
Topic:
Hernia

A Clinical Study On Postoperative Endoscopic Appearance of Anastomosis Early After Esophagectomy.

Yujiro Tanaka, MD, Katsunori Nishikawa, MD, Fumiaki Yano, MD, Jun Asakura, MD, Tomoyoshi Okamoto, MD, Hideyuki Kashiwagi, MD, Katsuhiko Yanaga, MD. Dept. of Surgery, Daisan Hospital, 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

Type:
Posters
Topic:
Foregut

A Comparison of the Mini-gastric Bypass, Commercial Diet Plan and Standard Care for Obese Patients

R Rutledge, MD. The Center for Laparoscopic Obesity Surgery    Recently “Weight Watchers” funded a multi-institutional trial comparing a free access to “Weight Watcher’s” Commercial plan to “standard care” as recommended by patients’ local physician. The purpose of this study was to include similarly sized patients who underwent Mini-Gastric Bypass (MGB) as a comparison to… Continue Reading

Type:
Posters
Topic:
Education

A Comparitive Study of Gastrojejunal Strictures After Roux-en-Y Gastric Bypass in 3200 Consecutive Patients With a Use of 21-mm vs 25mm Circular Stapler

Atif Iqbal, MD, Mir Ali, MD, Kelly Frances, MD, Phillip Chin, MD, Peter Leport, MD. Leport Surgical Associates, Orange Coast Memorial Medical Center and Fountain Valley Hospital, Fountain Valley, CA.   INTRODUCTION:Gastrojejunal anastomotic strictures remains the most common late complication after Laparoscopic gastric bypass. This is relatively more common with circular –stapled gastrojejunostomy. The objective of this… Continue Reading

A Less Invasive Therapy By Diagnostic Double Baloon Intestinal Endoscopy (dbe) and Laparoscopic Salvage Surgery (lss)

Shigehiko Yagi, Fumiki Kushihata, Riki Ohno, Hideshi Yamamoto, Hirotsugu Yoshiyama, Hidenori Takatsuki, Yasutsugu Takada. DEPARTMENT OF SURGERY, Ehime Prefectural Imabari Hospital   Background: Double-balloon endoscopy (DBE) is a new method that allows visualization, tissue sampling, and therapeutic intervention of a variety of pathologies throughout the small-intestinal tract.?Objectives: we evaluated an efficacy of the new combinational… Continue Reading

Type:
Posters
Topic:
Foregut