20 Year Outcomes: Laparoscopic Heller Myotomy Stands the Test of Time
Marc A Ward, MD, Christy M Dunst, MD, Ben Robinson, BS, Ezra N Teitelbaum, MD, Ahmed M Sharata, MD, Steven R DeMeester, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. The Oregon ClinicBackground: The laparoscopic Heller myotomy (LHM) was first adopted in the United States in 1993 and since has become the gold standard… Continue Reading
- Topic:
- Foregut
A Single Institution’s Experience Treating Barrett’s Esophagus with High Grade Dysplasia
Mark Kashtan, MD, Jonathon Critchlow, MD, FACS, Michaela Carroll, Haley Duncan, Aaron Fleishman, Alia Qureshi, MD, FACS, FRCSc. Beth Israel Deaconess Medical CenterINTRODUCTION: Barrett’s esophagus (BE) is both a common disease and the single strongest risk factor for development of esophageal adenocarcinoma (EAC). It was long thought that BE progressed on a stepwise continuum from… Continue Reading
- Topic:
- Foregut
Achalasia in Morbid Obesity: Outcomes of Surgical Management and Patient Satisfaction after Long-term Follow-up
Jon M Harrison, MD1, Stephen M Doane, MD2, Michael J Pucci, MD, FACS2, Francesco Palazzo, MD, FACS2, Karen A Chojnacki, MD, FACS2. 1Massachusetts General Hospital, 2Thomas Jefferson University HospitalINTRODUCTION: We sought to describe outcomes related to symptom resolution and weight change following surgical intervention in obese patients suffering from achalasia. METHODS and PROCEDURES: A retrospective… Continue Reading
- Topic:
- Foregut
Association of esophageal motility and gastro-esophageal reflux with underlying disease in patients with end-stage lung disease
Takahiro Masuda, Saurabh Singhal, Sreeja Biswas Roy, Michael Smith, Jasmine Huang, Sumeet K Mittal, Ross M Bremner. Norton Thoracic Institute; St. Joseph’s Hospital and Medical CenterINTRODUCTION: There is a high prevalence of esophageal dysmotility and pathological reflux in patients with advanced lung disease. Aim of this study is to understand the association of esophageal motility… Continue Reading
- Topic:
- Foregut
Body Mass Index Is not a Risk Factor for Surgical Reintervention after Primary Absorbable Mesh Repair of Hiatal Hernia
Sreeja Biswas Roy, MBBS1, Michael T Olson1, Paul Kang, MPH2, Roshan Panchanathan, BS1, Taylor Ipsen, BS1, Sumeet K Mittal, MD1, Jasmine Huang, MD1, Michael A Smith, MD1, Ross M Bremner, MD, PhD1. 1Norton Thoracic Institute, 2University of Arizona College of Public Health-PhoenixINTRODUCTION: Surgical intervention remains the optimal treatment for patients with paraesophageal hiatal hernia (PEH).… Continue Reading
- Topic:
- Foregut
Clinical Outcomes Five Years after POEM for Treatment of Esophageal Motility Disorders
Ezra N Teitelbaum, MD, Christy M Dunst, MD, Kevin M Reavis, MD, Ahmed M Sharata, MD, Marc A Ward, MD, Steven R DeMeester, MD, Lee L Swanstrom, MD. The Oregon ClinicIntroduction: Peroral endoscopic myotomy (POEM) is a novel procedure for the treatment of achalasia and other esophageal motility disorders. Excellent short-to-medium term results have been… Continue Reading
- Topic:
- Foregut
Clinicopathological Study of Esophagectomized Specimens in Patients with Endoscopic Complete Response Following Chemoradiation in Locally Advanced Esophageal Cancer
Chadin Tharavej, Patpong Navicharern, Supaut Pungpapong, Krit Kittisin, Suthep Udomsaweangsup. Chulalongkorn UniversityBackground: Upfront chemoradiation (CRT) currently is a standard treatment for locally advanced esophageal cancer. Whether surgery is needed in patients with endoscopic complete response is debatable. We hypothesized that significant number of clinical endoscopic complete response have microscopic residual disease. The aim of this… Continue Reading
- Topic:
- Foregut
Combined Robotic Thoracoscopic and Laparoscopic Resection of Large Epiphrenic Diverticulum
Jonathan R Sarik, MD, Jennifer A Kincaid, MD, Nathaniel R Evans, MD, FACS, FCCP, Francesco Palazzo, MD, FACS, Michael J Pucci, MD, FACS. Thomas Jefferson University HospitalEsophageal epiphrenic diverticulum can at times pose a difficult surgical challange. Large size, positioning within the right chest and other specific conditions can make a solely abdominal approach infeasible.… Continue Reading
- Topic:
- Foregut
Comparison of long term quality of life and patient satisfaction between Nissen and Toupet fundoplication
Amber L Shada, MD, Andrea M Stroud, MD, MS, Alexa K Statz, BS, Luke M Funk, MD, MPH, Sally Jolles, MA, Xing Wang, PhD, Daren C Jackson, PhD, Jacob A Greenberg, MD, EdM, Anne O Lidor, MD, MPH. University of WisconsinIntroduction: Laparoscopic fundoplication is the gold standard treatment for gastroesophageal reflux disease (GERD) refractory to… Continue Reading
- Topic:
- Foregut
Comparison of two buttressing materials for gastric sleeve resection – Clinical Outcome and complications
Maria Bergstrom, MD, PhD, Jorge A Arroyo Vàzquez, MD, Per-Ola Park, Professor. South Alvsborg HospitalIntroduction: Buttressing material is commonly used to minimize staple line bleeding after gastric sleeve resection. We have been using the Goreâ Seamguardâ staple line reinforcement (67% PGA and 33% TMC = Maxon) together with Covidiens tri-stapler, purple cartridge. The Seamguard needs… Continue Reading
- Topic:
- Foregut
Completely minimally invasive esophagectomy for cancer with intrathoracic anastomosis: A simple and reproducible technique in prone position
Pierre Allemann, MD1, Donald van der Peet, MD2, Styliani Mantziari, MD1, Pierre Fournier, MD1, Miguel Cuesta, MD2, Nicolas Demartines, MD, FACS1, Markus Schafer, MD1. 1Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, CH, 2Vrie University Medical Center (VUMC), Amsterdam, NLIntroduction: Ivor Lewis procedure is the mainstay of curative treatment for distal or junctional esophageal cancer. Minimally invasive… Continue Reading
- Topic:
- Foregut
Completion Gastrectomy with Esophagojejunostomy for Management of Benign Foregut Surgery Complications
Hideo Takahashi, MD1, Matthew Allemang, MD1, Mena Boules, MD1, Zubaidah NorHanipah, MD1, Andrew Strong, MD1, Alfredo D Guerron, MD2, Kevin El-Hayek, MD, FACS1, John H Rodriguez, MD1, Matthew Kroh, MD, FACS1. 1Section of Surgical Endoscopy, Dept. of General Surgery, Cleveland Clinic, 2Duke University Health SystemINTRODUCTION: Reoperative foregut surgery has high complication rates. Completion gastrectomy with… Continue Reading
- Topic:
- Foregut
Defining Gerd Based On Economic Burden of Disease: An Analysis of Claims Data
Cd Smith, Director, Esophageal Institute of Atlanta1, J Grudem, Chief Scientist2, Ng Martinson, President3. 1Esophageal Institute of Atlanta, 2Torax Medical Inc, 3Acclaim AnalyticsINTRODUCTION: GERD has a spectrum of consequences affecting over 60 million Americans with over $10 billion in expense. Clinical sequellae range from quality-of-life altering symptoms, to chronic tissue damage leading Barrett’s esophagus. How… Continue Reading
- Topic:
- Foregut
Device related complications of gastric electric stimulation frequently necessitate re-operation
Andrew T Strong, MD1, Ivy N Haskins, MD1, Matthew Davis, MD1, Kevin El-Hayek, MD1, Michael S Cline, DO2, Matthew Kroh, MD1, John H Rodriguez, MD1. 1Section of Surgical Endoscopy, Dept of General Surgery, Cleveland Clinic, 2Department of Gastroenterology, Cleveland ClinicIntroduction: Gastric electric stimulation (GES) has been an option for patients with medically refractory gastroparesis for… Continue Reading
- Topic:
- Foregut
Does esophageal manometry influence surgical decision-making for operations at the gastroesophageal junction?
Georg K Wiese, MD1, Amanda Bennett2, Denise Feradov2, Sirisha R Thambuluru2, William S Eubanks, MD, FACS1. 1Florida Hospital, 2University of Central Florida College of MedicineIntroduction: This single institution retrospective study was performed to determine the percentage of cases in which the results of esophageal manometry altered the intended surgical plans for foregut surgery. Manometry is… Continue Reading
- Topic:
- Foregut