Clinicopathological features and prognosis of 276 cases of primary small gastric gastrointestinal stromal tumours: a multi-cencer data review
Zifeng Yang, Yong Li. Guangdong General Hospital, Guangdong Academy of Medical SciencesCompared to large (> 2 cm) gastrointestinal stromal tumours (GIST) with a standard diagnosis and treatment model, controversy still exists around the epidemiology, pathological features and surgical treatment of primary small gastric GIST (gGIST). Methods: Primary small gGIST patients, admitted across four medical centres… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
ROUX-EN-Y GASTRIC BYPASS AS A SALVAGE PROCEDURE IN COMPLICATED PATIENTS WITH FAILED FUNDOPLICATION(S)
Cynthia E Weber, MD, Melissa C Helm, BS, Zia Kanani, BS, Max Schumm, MD, John C Gould, MD. Medical College of WisconsinINTRODUCTION: In patients with recurrent GERD or dysphagia secondary to failed fundoplication, reoperative fundoplication is the most commonly performed procedure. In complex patients with 2 or more failed fundoplication attempts or in patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Pyloroplasty Versus Endoscopic Per-Oral Pyloromyotomy for the Treatment of Gastroparesis
Joshua P Landreneau, MD1, Andrew T Strong, MD1, Kevin M El-Hayek, MD1, Matthew D Kroh, MD2, Jeffrey L Ponsky, MD1, John H Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Gastroparesis is a debilitating functional disorder of the stomach characterized by delayed gastric emptying absent an obstructive etiology. Surgical or endoscopic disruption of the pylorus… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Near-Total Gastrectomy for Refractory Gastroparesis: A Viable Means of Palliating a Debilitating Disease
Ashwin A Kurian, MD, Carolyn Dougherty. Denver Esophageal and Stomach Center Symptom Pre-op Score Post-op Score p value GCSI-2W 3.82 2.66 <0.0001 Nausea 5 3 <0.001 Vomitting 3 2 0.021 Fullness 5 3 0.00008 Early Satiety 5 4 0.001 Bloating 4 2 0.005 Abdominal Pain 4 3 0.04 Introduction: Gastroparesis is a chronic illness presenting… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
DE NOVO GASTROESOPHAGEAL REFLUX DISEASE AFTER SLEEVE GASTRECTOMY: ROLE OF PREOPERATIVE SILENT REFLUX
Yves Borbély, MD, Eva Moser, MD, Johannes Lenglinger, PhD, Gabriel Plitzko, MD, Dino Kröll, MD, Philipp Nett, MD. University Hospital Inselspital BernINTRODUCTION: Laparoscopic sleeve Gastrectomy (LSG) has become the most frequently performed bariatric procedure to date. However, LSG is known to worsen preoperative and result in de novo GERD. Preoperative evaluation reveals a high percentage… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Minimal vs. Obligatory Dissection of the Diaphragmatic Hiatus During Magnetic Sphincter Augmentation Surgery: An Intention to Treat Analysis
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameron Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Implantation of the magnetic sphincter augmentation device early after its introduction was accomplished with minimal hiatal dissection (MHD) at the diaphragmatic hiatus,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic lateral pelvic lymph node dissection for rectal cancer
Thinh H Nguyen, MD, PhD, Bac H Nguyen, MD, PhD, Prof, Huy D Tran, MD, Duc M La, MD, Kien T Le, MD. University Medical Center, Ho Chi Minh CityIntroduction: Pelvic lympho node metastasis may reach to 15% in stage II-III rectal cancer.In Japan, lateral pelvic lympho node dissection (LPLD) ( have been performed for… Continue Reading
- Topic:
- Foregut
Redo laparoscopic surgery for Achalasia: Two patterns of failure after Heller´s myotomy
Sonia Fernandez-Ananin, PhD, Carme Balague, PhD, Irene Gomez, MD, Berta Gonzalo, PhD, David Sacoto, PhD, Alberto Basterra, MD, Elena Pareja, MD, Eduard M. Targarona, PhD. Hospital de la Santa Creu i de Sant PauSurgical treatment of achalasia fails in 10-20% of patients. The most frequent responsible cause is the performance of an incomplete myotomy at… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Resection of a Redundant Jejunal Overhang in a Patient with Weight Regain After Roux-En-Y Gastric Bypass
Ryan J Campagna, MD, Eric S Hungness, MD. Department Of Surgery, Northwestern University Feinberg School of MedicineWe submit the case of a 40-year-old female who presented to our institution with significant weight gain after remote roux-en-y gastric bypass. A diagnostic workup revealed a redundant small bowel overhang at the gastrojejunal anastomosis that likely facilitated excess… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robot-assisted Highly Selective Vagotomy in Refractory Peptic Ulcer Disease
Melissa L DeSouza, MD1, Laura E Fischer, MD, MS2, James P Dolan, MD, MCR1. 1Oregon Health and Science University, 2Oklahoma University MedicineHighly selective vagotomy was first described by Griffiths and Harkin in 1957 as a more physiologic ulcer operation than standard truncal vagotomy by denervating parietal cell mass while maintaining pyloric integrity. While advances in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Novel Use of Keyhole Mesh for Robotic Repair of a Large Paraesophageal Hernia
Katherine D Gray, MD, Patrick Dolan, MD, Rasa Zarnegar, MD. New York-Presbyterian-CornellPatient Presentation: The patient is 58-year-old female who was referred for evaluation of a large paraesophageal hernia after undergoing esophagogastroduodenoscopy for an unrelated complaint. She reported symptoms of heartburn, regurgitation, and occasional post-prandial chest pain. Manometry showed intact esophageal motility and a hypotonic lower… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Is epiphrenic diverticulectomy necessary at time of Heller myotomy?
Joshua E Preiss, MD, Meredith Duke, MD, MBA, Timothy M Farrell, MD, FACS. University of North Carolina, Chapel HillBackground: Epiphrenic diverticula (ED) arise from increased intraluminal pressures, often secondary to achalasia or another underlying esophageal motility disorder which causes “pulsion” physiology. ED are traditionally thought to contribute to patients’ symptoms of regurgitation and dysphagia, and… Continue Reading
Delayed Gastric Emptying in Median Arcuate Ligament Syndrome
Desmond T Huynh, MD, Mohan Mallipeddi, MD, Miguel Burch, MD, Edward Phillips, MD, Scott Cunneen, MD, Richard J Van Allan, MD, Daniel Shouhed, MD. Cedars-Sinai Medical CenterIntroduction: Median Arcuate Ligament Syndrome(MALS) has been described in the literature as presenting with a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. While many… Continue Reading
Patient Centered Outcomes After Laparoscopic Fundoplication: Which Factors Impact Satisfaction Two Years After Surgery?
Herbert M Hedberg, MD1, Tyler Hall, BS2, Kristine Kuchta, MS2, John Linn, MD2, Stephen Haggerty, MD2, Woody Denham, MD2, JoAnn Carbray2, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemBackground: Laparoscopic fundoplication (LF) is often performed to treat paraesophageal hernia and/or GERD. Care is taken to select the right patients for the… Continue Reading
Sutured Repair versus Biologic Mesh Reinforcement for Hiatal Closure in Laparoscopic Hiatal Hernia Repairs
Shubham Gupta, MS, Gagandeep Talwar, Jasmine Agarwal, Amol Wagh, MS, Saurabh Gandhi, MS, Eham Arora, MS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaOBJECTIVE: The study was performed to assess whether sutured crural closure or mesh reinforcement for hiatal closure yields better results with regards to symptom resolution and recurrence post-operatively.… Continue Reading