Novel Combination technic of laparoscopic and left thoracoscopic for gastroesophageal junction cancer
Yo Kurashima, MD, PhD. Hokkaido UniversityIntroduction: The number of Gastroesophageal junction cancer has been increasing in recent years, however the consensus has not yet been reached on the range of optimal lymph node dissection. In addition, the approach to lower mediastinal lymph node dissection and reconstruction has some options as laparoscopic and thoracoscopic surgery for… Continue Reading
- Topic:
- Foregut
REVERSE SLEEVE GASTRECTOMY FOR RESECTION OF GASTRIC GIST
David A Bernstein, MD, John C Delong, MD, Toshiaki Suzuki, MD, Carlos T Maeda, Thach Pham, MD, Jenny Lam, Garth R Jacobsen, MD, Bryan J Sandler, MD, Santiago Horgan, MD. UCSDThis is a video abstract submission describing an interesting technique for resection of gastric tumors located on the lesser curvature of the stomach. Here we… Continue Reading
- Topic:
- Foregut
Paraesophageal hernia repair pearls and pitfalls: early recurrence and how to avoid it.
L. Renee Hilton, MD1, Andrew J Duffy, MD, FACS2, Kurt E Roberts, MD, FACS2. 1Augusta University, 2Yale UniversityEarly recurrence of paraesophageal hernias following repair is an infrequent complication but can result in significant morbidity or even mortality when it occurs. When an early complication arises it is important to be able to recognize the signs… Continue Reading
- Topic:
- Foregut
Laparoscopic total gastrectomy, take down of prior duodenojejunostomy and Roux-en-Y esophagojejunostomy
Tariq Almerey, MD, Javier Arreaza, MD, Horacio J Asbun, MD. Mayo Clinic FloridaIntroduction: Familiar adenomatous polyposis (FAP) is the most common inherited adenomatous polyposis syndrome and is caused by a germline mutation of the APC tumor suppressor gene. The average age of onset of polyposis in FAP is 16 years and is primarily characterized by… Continue Reading
- Topic:
- Foregut
4th Time Laparoscopic Anti-Reflux Surgery for Remediation of Multi-Fundoplication Failure
Michael A Antiporda, MD, Steven P Bowers, MD. Mayo Clinic FloridaRemediation of multi-fundoplication failure is one of the most challenging tasks faced by foregut surgeons in terms of selecting the most appropriate operation as well as the technical difficulty of dissecting out a scarred-in hiatus. This video depicts the case of a young patient who… Continue Reading
- Topic:
- Foregut
PARAESOPHAGEAL HERNIA ASSOCIATED WITH POSTERIOR SLIPPAGE OF GASTRIC BAND
William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon ClinicThis video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller myotomy for achalasia in a patient with cirrhosis and intra-abdominal varices as well as prior bowel resections for Crohn’s, what it is like to be in a mine-field.
Adrian Dobrowolsky, MD, Nikolai Bildzukewicz, MD. USC KeckWe Present to you a 55y M with h/o Crohn's disease who has undergone multiple bowel resections and Hepatitis C for 25 years and cirrhosis for 6 years and now esophageal varices who complains of worsening dysphagia over the last 6 months. Upper GI and manometry confirmed achalasia… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller Myotomy for Pseudoachalasia after Failed Paraesophageal Hernia Repair
Julietta Chang, MD1, Ivy N Haskins, MD2, Arielle J Perez, MD3, Ajita S Prabhu, MD4, David M Krpata, MD4, Michael J Rosen, MD4. 1Massachusetts General Hospital, 2George Washington University, 3University of North Carolina, 4Cleveland Clinic FoundationAchalasia is a rare disease characterized by aperistalsis of the esophagus and incomplete relaxation of the lower esophageal sphincter due… Continue Reading
- Topic:
- Foregut
Robotic Assisted Removal of Magnetic Esophageal Sphincter with Fundoplication
Michael P Meara, MD, MBA, FACS, Colleen Alexander, MD, Cole Rodman, David B Renton, MD, FACS, Jennifer Schwartz, MD. The Ohio State University Wexner Medical CenterBACKGROUND: Magnetic esophageal sphincter augmentation is a relatively new technique for management for reflux beyond traditional medications. The long-term outcomes of this device and concerns for potential failure or erosion… Continue Reading
- Topic:
- Foregut
HYBRID LAPARO-ENDOSCOPIC REMOVAL OF A MAGNETIC SPHINCTER AUGMENTATION DEVICE
Andrew T Strong, MD1, Michael Musso, DO2, Jonathon Wanta, BA3, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2OhioHealth Affinity Medical Center, 3Case Western Reserve University School of MedicineThis video describes a hybrid endoscopic and transgastric laparoscopic technique to remove a magnetic sphincter augmentation device discovered to be eroded into the lumen of the gastrointestinal tract at the… Continue Reading
- Topic:
- Foregut
Laparoscopic Conversion of a Vertical Banded Gastroplasty to Sleeve Gastrectomy in a Morbidly Obese Patient with a Complicated Medical History
Cigdem Benlice, MD, Heath J Antoine, MD, Philip R Schauer, MD. Cleveland Clinic FoundationOur patient is a 58-year-old female with morbid obesity and a BMI of 41. Her past medical history was significant for hypertension, diabetes, and obstructive sleep apnea. She had initially undergone an open vertical banded gastroplasty and cholecystectomy in 2002 followed by… Continue Reading
- Topic:
- Foregut
LaparoThoracoscopic Esophagectomy, The Ivor Lewis Procedure
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Matthew Lange, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaWe present the case of a 57 year old man with PMH significant for progressive dysphagia (initially to solids and progressed to liquids) and esophagitis with esophageal stricture that was not amendable to… Continue Reading
- Topic:
- Foregut
HIATAL HERNIA CAUSING FAILURE TO THRIVE AFTER A SLEEVE GASTRECTOMY
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryThe repair of small hiatal hernias at the time of laparoscopic sleeve gastrectomy is controversial. Proponents of routine hiatal hernia repair do so to reduce the risk of gastroesophageal reflux disease in the post-operative period. We present a video… Continue Reading
- Topic:
- Foregut
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