The Laparoscopic Approach to Small Bowel Obstruction
Edward L Felix, MD. Clovis Community Medical Center. In the past the accurate diagnosis and treatment of small bowel obstruction relied on an open exploration of the abdomen. With the advent of minimally invasive techniques, the accuracy of of determining the underlying etiology of the obstruction has been increased while decreasing the morbidity of the… Continue Reading
- Type:
- Video Loop 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
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
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
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
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
Hiatal hernia repair using an innovative crural closure device: the Cruralink TM
Bernard Dallemagne, MD, Silvana Perretta, MD, Jacques Marescaux, MD. IRCAD, Department of Digestive and Endocrine Surgery, University of Strasbourg, France. Introduction: although surgical repair of symptomatic hiatal hernia is well standardized, controversy still exists regarding the crural repair. Several studies have reported high rates of anatomical recurrence after primary suture repair, due to inevitable tension… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic enucleation of near circumferential GE junction leiomyoma
Yurena Caballero, MD, Ruchir Puri, MBBS, Steven P Bowers, MD. Mayo Clinic Florida, Hospital Universitario Insular de Gran Canaria. Enucleation of benign leiomyoma of the esophagus is the accepted method of resection, but may be challenging where involvement of the lower esophageal sphincter is extensive. We present a successful minimally invasive operation for resection of a near… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Concurrent Laparoscopic Paraesophageal Hernia Repair with Subtotal Gastrectomy and D2 Lymphadenectomy
Carmen L Mueller, MD, Lorenzo E Ferri, MD, PHD. Montreal General Hospital, McGill University Health Centre. The laparoscopic, transabdominal approach has become a standard technique for paraesophageal hernia repair, and laparoscopic distal gastrectomy with D2 lymphadenectomy has been shown to have equivalent oncologic outcomes to open surgery. The concurrent existence of both surgical problems in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Minimally Invasive Management of Multiple Failed Nissen Fundoplications in the Obese Patient
Jeffrey Mino, MD, MPH, Mihir Shah, MD, Rosebel Monteiro, MD, Kevin El-Hayek, MD. Cleveland Clinic Foundation. Introduction: Refractory gastroesophageal reflux can be a debilitating and even deadly condition if left unresolved for a prolonged period of time. Traditional surgical management after failure of acid reduction medications is a Nissen fundoplication. However, in some patients, especially… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic TG submucosal mass resection
Ashwini Kumar, MD, Kent Van Sickle. Uthscsa. We present a case of submucosal mass at GE junction, which was confirmed with EGD as well as an endoscopic ultrasound. Patient is a 47 yo morbidly obese female, with significant history of reflux disease, OSA. She has multiple previous abdominal surgeries including a open appendectomy, sigmoid colectomy with colovesicular… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Resection of a Duodenal Mass
Clayton Petro, MD, Yuri W Novitsky, MD. University Hospitals Case Medical Center. Introduction: 62M with a history of early satiety, unintentional weight loss and reflux found to have a 3cm sessile polyp in the second portion of the duodenum not involving the ampulla. Pathology reveals an adenomatous polyp. Methods: The plan was for endoscopically guided… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Repair of Late Hiatal hernias(>2years) after Transhiatal Esophagectomy
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Late and symptomatic herniation after esophagectomy is an unusual complication (0.4 -5 %). Almost always occurs into the left chest. Usually involves colon and small bowel. May present with obstructive symptoms or respiratory compromise.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Reduction of Paraesophageal Hernia After Sleeve Gastrectomy
Laura Doyon, MD, Subhash Kini, MD, FRCS, Daniel Herron, MD, FACS. Mount Sinai Hospital, New York, NY. This is a case of a patient who underwent a laparoscopic sleeve gastrectomy. Despite having no pre- or intra-operative evidence of hiatal hernia during the original procedure, the patient developed a paraesophageal hernia of the gastric sleeve causing… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Resection of Epiphrenic Diverticulum
Kartik Gohil, MD, Maria Altieri, MD, Gerald Gracia, MD, Dana Telem, MD, Aurora Pryor, MD. Stony Brook University Medical Center/State University of New York. A 64 year old female presented with a history of regurgitation of undigested food. She was diagnosed with achalasia with a giant epiphrenic diverticulum. Laparoscopic esophageal diverticulectomy with esophageal myotomy and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut