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
Use of laparoscopic approach in gastric tumors at the National Cancer Center (MEXICO).
Itzel Vela Sarmiento, MD, Horacio Noe Lopez Basave, md, Angel Herrera Gomez, md, Javier Melchor Ruan, MD, Abelardo Meneses, md, Juan M Ruiz Molina, md, Alejandro Padilla R, md. National Cancer Center Mexico. Introduction: At the Department of gastrointestinal tumors in the National Cancer Center, gastric tumors are the most frequent pathology treated at the… Continue Reading
Twenty-year Trend in the Utilization of Heller Myotomy for Achalasia in the United States
Jennifer Preston, MD, James Dolan, MD, John Hunter, MD, Brian Diggs, PhD. Oregon Health & Science University. Background: The objective of this study was to determine the U.S. national trend in the utilization of Heller myotomy (HM) for achalasia over a twenty year period. Methods: Using the Nationwide Inpatient Sample (NIS) of between 6… Continue Reading
Truncal Vagotomy Without Drainage: Are There Long Term Concerns?
Matt B Martin, MD. Central Carolina Surgery, PA, Cone Health, Greensboro, NC. Introduction: Panelists at SAGES 2012 implied that inadvertent vagotomy was the cause of the bloating, diarrhea, and delayed gastric emptying that is often seen after complex foregut reconstructions that require extensive esophageal dissection. Is it correct to ascribe these symptoms to vagotomy and… 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
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
- Video Loop Presentations
Transthoracic Approach Is Associated with Increased Risk of New Onset Atrial Fibrillation After Esophagectomy.
Kush R Lohani, Kalyana C Nandipati, Sarah E Rollins, Tommy H Lee, Pradeep K Pallati, Se Ryung Yamamoto, Sumeet K Mittal. Department of Surgery, Creighton University School of Medicine, Omaha, Nebraska.. Aim: Atrial fibrillation (AF) has been associated with higher morbidity after esophagectomy. The objective of this study is to identify the surgical risk factors… Continue Reading
- Posters of Distinction
Transgastric endo-organ resection of proximal gastric lesion
Piyush Aggarwal, MD, Kulsoom Laeeq, MD, Angela Osmolak, MD, Tommy Lee, MD, Sumeet Mittal, MD. Creighton University Medical Center. Laparoscopic trans-gastric resection is a novel technique of removing gastric tumors that are unresectable secondary to their size and location. Tumor near esopahgogastric-junction are especially challenging for removal by endoscopy. We present a case of 41… Continue Reading
Timed Barium Swallow Versus Esophageal Function Testing in the Diagnosis of Achalasia
Vikas Singhal, MD, Leena Khaitan, FACS. University Hospitals - Case Medical Center, Cleveland. INTRODUCTION: Patients with achalasia are now increasingly followed up by Timed Barium Swallow (TBS) studies both before and after interventions for achalasia. Timed barium swallow has been found in multiple studies to help with the diagnosis of achalasia however very few studies… Continue Reading
The Use of Surgisis Mesh in the Treatment of Hiatal Hernia and Gastroesophagic Reflux, Long-Term Results
Morris E Franklin, MD, FACS, Rene Palomo, Guillermo Portillo, MD, Eduardo Perez,, MD, Alexander Richard, MD, Karla Russek, MD, Alejandro Rodriguez, MD, Z Del Real, G Peralta, md. texas endosurgery institute,San Antonio, Texas.. Introduction A variety of randomized studies have demonstrated the advantages of using prosthesis in the repair of a hiatal hernia. Recurrence rates… Continue Reading
The selective use of laparoscopy-first approach for high-risk patients suffering perforated peptic ulcer is safe.
Anth Y Teoh, MD, Enders K Ng, MD, Philip W Chiu, MD, Simon K Wong, MD. Prince of Wales Hospita, Chinese University of Hong Kong. Background: Since the conclusion of a randomized trial, the laparoscopy-first approach (LFA) was adopted as a routine in our institution for managing patients suffering from PPU. The aim of the… Continue Reading
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
- Video Loop Presentations
The Laparoscopic Approach to Paraesophageal Hernia Repair (PEHR) Is Superior To Open: Results From the National Surgical Quality Improvement Program
Samuel W Ross, MD, MPH, Bindhu Oommen, MD, MPH, Mimi Kim, MD, Joel F Bradley, MD, Kristopher B Williams, MD, Amanda L Walters, MS, Kristian T Dacey, MHA, Vedra A Augenstein, MD, Brant T Heniford, MD. Carolinas Medical Center, Dept. of Surgery, Division of Gastrointestinal and Minimally Invasive Surgery. INTRODUCTION: Controversy still exists on the… Continue Reading
The Effect of Laparoscopic Paraesophageal Hernia Repair On Pulmonary Function Test
S Alnassar, J Kondra, J Clifion, R J Finley, S Kaaki. College of Medicine , King Saud University Riyadh , Saudi Arabia .Division of Thoracic Surgery, University of British Columbia, Vancouver, BC. Objective: A retrospective cohort study was conducted to examine the impact of laparoscopic paraesophageal hernia repair on the pulmonary function test (PFT). Methods:… Continue Reading
The Effect of Differential Proximal Myotomy Length On Esophagogastric Junction Distensibility During Heller Myotomy and Poem
Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Lubomyr Boris, BS, Frederic Nicodeme, MD, Peter J Kahrilas, MD, John E Pandolfino, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. INTRODUCTION: For laparoscopic Heller myotomy (LHM), it has been shown that a myotomy extending 3cm distal to the esophagogastric junction (EGJ) results in… Continue Reading