Laparoscopic Paraesophageal Hernia with Falciform Ligament Buttress
Raymond Laird, DO, Fred Brody, MD, MBA, FACS. The George Washington University Medical Center. Introduction: Multiple techniques have been used to decrease recurrence rates following a paraesophageal hernia repair including buttressing the crura with synthetic and biological mesh. However, synthetic mesh is associated with erosions and dysphagia while biologic buttresses are expensive and have not… Continue Reading
- Topic:
- Foregut
Management of Intra-thoracic Anastomotic Leak After Esophagectomy: a Single Center Experience
Z Torgersen, MD, K Lohani, MBBS, P Pallati, MBBS, E Hagen, BS, K Nandipati, MBBS, T Lee, MD, S K Mittal, MBBS. Creighton University Department of Surgery. Objective: Intra-thoracic anastomotic leak is a known complication of esophageal resection and carries a significant morbidity and mortality. The aim of this study is to review the management… Continue Reading
HM in patient with prior RYGB
John-Paul Bellistri, MD, Aida Taye, MD, Mujjahid Abbas, MD, Diego Camacho, MD. Montefiore Medical Center. Background Achalasia is the most common esophageal motility disorder, and myotomy remains the most effective treatment option available1. Morbid obesity itself is an independent risk factor for esophageal motility disorders2. Most morbidly obese patients with esophageal motility disorders are asymptomatic2.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Distal Gastrectomy With Billroth I Reconstruction
John H Rodriguez, MD, Kevin M El-Hayek, MD, Andrea Zelisko, MD, Matthew Kroh, MD. Cleveland Clinic Foundation. Introduction Peptic ulcer disease requiring surgical intervention has become a rarity in the era of proton pump inhibitors. Methods We present the case of a 71 year old female who was referred to our institution for evaluation of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic prophylactic gastrectomy for CDH-1 germline mutation
John H Rodriguez, MD, Kevin M El-Hayek, MD, Matthew Kroh, MD, Sricharan Chalikonda, MD, Matthew Walsh, MD. Cleveland Clinic Foundation. Introduction Hereditary diffuse gastric cancer resulting from a germline mutation of the CDH-1 gene is rare. Guidelines for the management of carriers of CDH-1 mutations have been described and include prophylactic gastrectomy at an early… Continue Reading
Treatment of foregut fistulas with biologic fistula plugs
Rhys Filgate, Dr, Alan Thomas, Mr, Mohammed Ballal, Assoc, Professor. School of Surgery, University of Western Australia. Introduction Enteric fistulas are a recognized complication of various diseases and surgical interventions. 15-25% are spontaneous and are most commonly associated with Chron’s disease, malignancy and infection. The remaining 75-85% are iatrogenic and arise most frequently as a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Treatment of Esophageal Perforation After Heller Myotomy
Martin A Berducci, MD, Jorge Nefa, MD, Pablo A Gomez, MD, Arnoldo Castro, MD, Mario A Masrur, MD, Santiago Horgan, MD, Pablo E Omelanczuk, MD. Hospital Italiano de Mendoza, Argentina. Laparoscopic myotomy is today the gold-standard for the treatment of esophagea; achalasia. Post operative esophageal mucosal leaks, can be treated using minimal invasive techniques in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
20-years Later: Laparoscopic Fundoplication Durability
Benjamin J Robinson, Christy M Dunst, MD, Kevin M Reavis, MD, Ahmed Sharata, MD, Lee L Swanstrom, MD. Gastrointestinal and Minimally Invasive Surgery Division, The Oregon Clinic. Introduction: The objective of this study is to present long-term 20-year outcomes after laparoscopic fundoplication. In the early 1990’s, this advanced surgery for gastrointestinal reflux disease (GERD) started… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Repair of a Hiatal Hernia Following Minimally Invasive Esophagectomy
Michael Pucci, MD, Mohamed Elgamal, MD, Kathleen Holoyda, MD, Francesco Palazzo, MD, FACS, Karen Chojnacki, MD, FACS, Ernest Rosato, MD, FACS. Thomas Jefferson University. Hiatal Hernia following minimally invasive esophagectomy is a serious complication, It is usually asymptomatic but it can result in catastrophic complications such as gastric conduit necrosis or strangulation of the herniated… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Surgical Outcomes After Insertion of Gastric Neurostimulator for Refractory Gastroparesis-a Single Institution’s Experience
Ihab Saab, MD, Kellie McFarlin, MD. Henry Ford Hospital. INTRODUCTION: Gastric electric stimulation (GES) has been approved by the FDA under a humanitarian device exemption for treatment of patients with refractory symptoms of diabetic gastroparesis (DG) or idiopathic gastroparesis (IG). Our goal is to evaluate the effect of GES on body mass index (BMI) and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Robot-assisted Laparoscopic total gastrectomy
Mario Masrur, MD, Kristtin Patton, MD, Jean Pierre Martucci, MD, Raquel Gonzalez-Heredia, MD, Fernando E Elli, MD, FACS. University of Illinois at Chicago, Chicago, Illinois, USA.. Background Robot-assisted gastrectomy has been reported as a safe alternative to the conventional laparoscopy or open approach for treating early gastric carcinoma. We present a case of a gastric… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Esophageal Anastomoses Using the Orvil Circular Stapler in Major Upper Gastrointestinal Surgery
Benjamin C Knight, MD, Samuel J Rice, MBBS, Peter G Devitt, MS, Andrew Lord, MBBS, Philip A Game, MBBS, Sarah K Thompson, MD, PhD. University of Adelaide, Royal Adelaide Hospital, Queen Elizabeth Hospital. Introduction: Esophageal anastomoses in major upper gastrointestinal surgery can be technically demanding, especially in patients with large proximal tumours, and in those… Continue Reading
Laparoscopic Repair of Paraesophageal Hernias with Falciform Ligament Buttress
Raymond Laird, DO, Nathan Richards, MD, Fred Brody, MD, MBA, FACS. The George Washington University Medical Center. Introduction: Multiple techniques have been used to decrease recurrence rates following a paraesophageal hernia repair including buttressing the crura with synthetic and biological mesh. However, synthetic mesh is associated with erosions and dysphagia while biologic buttresses are expensive… Continue Reading
Using a Functional Lumen Imaging Probe to Assess the Effect of Variable Myotomy Length During Poem and Heller
Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. This video demonstrates the use of a functional lumen imaging probe (FLIP) to evaluate esophagogastric junction (EGJ) distensibility in real-time during operations for achalasia. FLIP is additionally used to test the physiologic effect of variable myotomy length… Continue Reading
- Topic:
- Foregut
Quality of Life Assessment after Peroral Endoscopic Myotomy
Y Vigneswaran, MD, R Tanaka, M Gitelis, J Carbray, BS, M Ujiki, MD, FACS. NorthShore University Health System. Purpose: To determine if quality of life after POEM is comparable to laparoscopic Heller myotomy. Methods: All patients who presented to our institution for surgical treatment of achalasia between 2009 and 2013 were asked to complete quality… Continue Reading