1cm or 2cm:Which one is the best cut-off for the small gastric GIST?
Zifeng Yang. Guangdong General HospitalIntroduction: The primary small gGIST should be treated as benign tumor without high-risk EUS features. But the size of the small GIST of the community continues to be controversial, 1cm or 2cm, is not yet a consensus on the formation of the problem. Methods: Retrospective collecte clinical pathology data and prognosis… Continue Reading
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
A single institution experience of laparoscopic gastrectomy in advanced gastric cancer: analysis of postoperative morbidities and long-term oncologic outcomes
Yoontaek Lee, MD, Sa-Hong Min, MD, Young Suk Park, MD, Sang-Hoon Ahn, MD, Do Joong Park, MD, PhD. Seoul National University Bundang HospitalPurpose: This study summarizes the single institution experience of laparoscopic gastrectomy in advanced gastric cancer and evaluates the postoperative morbidities and long-term oncologic outcomes. Methods: A total of 1,597 laparoscopic gastrectomy for advanced… Continue Reading
A Systematic Review and Meta-Analysis on the Use of Indocyanine Green for the Prevention of Anatomic Leaks Following Esophagectomy
Farah Ladak, MD, MPH, Jerry Dang, MD, Noah Switzer, MD, MPH, Chunhong Tian, PhD, Daniel Birch, MSc, MD, FRCSC, FACS, Simon Turner, MD, FRCSC, Shahzeer Karmali, MD, FRCSC, FACS. University of AlbertaIntroduction: The present study aims to evaluate the predictive value of indocyanine green (ICG) for the detection and prevention of anastomotic leak following esophagectomy.… Continue Reading
A Unique Method to Preserve an Aberrant Left Hepatic Artery Encountered During Anti-Reflux Surgery
Medhat Fanous, MD, FACS. Aspirus Health SystemObjective: To provide an alternative safe surgical technique for hiatal hernia repair in the presence of an Aberrant Left Hepatic Artery (ALHA). Summary Background Data: The presence of an ALHA creates significant technical difficulties as it diminishes the operative field and hinders direct access to the right crus. This… Continue Reading
ADENOCARCINOMA OF DUODENUM: SURGICAL OR ENDOSCOPIC TREATMENT?
Alberto Montori, Prof Emeritus. University of Roma SapienzaINTRODUCTION: IT IS WELL KNOWN THAT THE ADENOCARCINOMA OF THE DUODENUM (ADC) IS A QUITE RARE LESION INFACT REPRESENTS 40% OF CANCER OF THE SMALL BOWEL AND 30% OF THESE ARE LOCALIZED IN THE PERI-AMPULLARY AREA: 7% AFFECT THE SUB-PAPILLARY TRACT AND ONLY 3% THE SUPRA-PAPILLARY SEGMENT OF… Continue Reading
An Institutional Analysis of Hiatal Hernia Recurrence Rates and Contributing Factors
Herbert M Hedberg, MD1, Tyler Hall, BS2, John Linn, MD2, Stephen Haggerty2, Woody Denham, MD2, JoAnn Carbray2, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemLaparoscopic fundoplication (LF) is the treatment of choice for symptomatic hiatal hernia (HH). Mesh-reinforced curaplasty has considerably decreased recurrence rates for both large and small hernias, and… Continue Reading
Anti-Reflux Surgery: Causes of Failure and Approaches to Redo Laparoscopic Repair
Hope T Jackson, MD, Robert B Yates, MD, Brant K Oelschlager, MD. University of WashingtonAnti-reflux surgery fails because of anatomic problems with the fundoplication or hiatus. These problems include an incorrectly constructed fundoplication, slipped fundoplication, weakened anti-reflux valve and recurrent hiatal hernia. Patient symptoms are typically unable to be controlled with medications and often surgical… Continue Reading
- Topic:
- Foregut
CASE REPORT: MULTIPLE ESOPHAGEAL DIVERTICULA ASSOCIATED WITH ACHALASIA
John M Swanson, MD, Jonathan Svahn, MD. UCSF - East BayIntroduction: Achalasia is well defined disorder of increased lower esophageal sphincter tone (1). Epiphrenic esophageal diverticulum are a rare disorder believed to result from increased intra-esophageal pressure often in conjunction with a motility disorder causing functional outflow obstruction. They are a pulsion-type pseudo-diverticulum with mucosal… Continue Reading
Clinical and nutritional outcomes of laparoscopic proximal gastrectomy reconstructed with double-flap technique for early gastric cancer located at the upper third of the stomach or esophagogastric junction.
T Kubota, PhD1, H Idani, PhD1, S Miyake, MD1, M Ishida, PhD1, Y Choda, MD1, S Shiozaki, PhD1, M Okajima, PhD1, Motoki Ninomiya2. 1Department of Surgery, Hiroshima City Hiroshima Citizens Hospital, 2Departmrnt of surgery, Hiroshima Memorial HospitalBACKGROUND: Proximal gastrectomy (PG) is indicated for gastric cancer located at the upper third of the stomach or esophagogastric… Continue Reading
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
COMPARISON OF OPEN AND LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH LYMPH NODE DISSECTION D2 FOR DISTAL GASTRIC CANCER
Long Vo Duy, PhD, MD, Bac Nguyen Hoang, Anh Nguyen Vu Tuan, Hai Nguyen Viet, Quoc Ho Le Minh. University Medical CenterBackground: Gastric cancer is commom disease in Vietnam. Laparoscopic gastrectomy is widely used to treat early gastric cancer. But for advanced stage, there are many controversies due to no evidence and no long-term results.… Continue Reading
Comparison of Symptomatic Outcomes Between Patients Undergoing Primary and Reoperative Fundoplication
Zia Kanani1, Melissa Helm1, Max Schumm2, Jon C Gould, MD1. 1Medical College of Wisconsin, 2UCLAIntroduction: Laparoscopic fundoplication remains the current gold standard surgical intervention for medically refractory gastroesophageal reflux disease. Studies suggest that on average 5-10% of patients undergo reoperative surgery due to recurrent, persistent, or new symptoms. The primary objective of this study was… Continue Reading
Comparison of the estimated lymph node metastasis risk and the predicted surgical risk in patients with early gastric cancer after non-curative endoscopic submucosal dissection
Daisuke Ichikawa, MD1, Hidenori Akaike, MD1, Yoshihiko Kawaguchi, MD1, Kensuke Shiraishi, MD1, Yuki Nakata, MD1, Naohiro Hosomura, MD1, Mitsuhiro Watanabe, MD1, Hideya Amemiya, MD1, Hiromitsu Kawaida, MD1, Makoto Sudoh, MD1, Hiroshi Kohno, MD1, Katsutoshi Shoda, MD2, Eigo Otsuji, MD2. 1University of Yamanashi, 2Kyoto Prefectural University of MedicineINTRODUCTION: Extended indications of endoscopic resection for early gastric cancer (EGC) have been widely accepted. According to current… Continue Reading
Complex Laparoscopic Resection and Reconstruction after Mesh Erosion as a Consequence of Paraesophageal Hernia Repair
Kelly R Haisley, MD, Melissa L DeSouza, MD, John G Hunter, MD, FACS, James P Dolan, MD, MCR. Oregon Health and Science UniversityMesh erosion is a rare and dreaded event following paraesophageal hernia repair. This complication can be associated with severe symptoms that can result in significant impact to the health and quality of life… Continue Reading
- Topic:
- Foregut