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
How to protect more remnant stomach volume for intraluminal gastric gastrointestinal stromal tumors: laparoscopic wedge resection with seromyotomy
Wenjun Xiong, Wei Wang, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic wedge resection is now widely performed for extraluminal gastric gastrointestinal stromal tumors (gGIST). However, this method for intraluminal gGIST may cause inadvertent resection of gastric tissue and lead to gastric cavity deformation. Herein, we introduce a technique of laparoscopic wedge resection with seromyotomy… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Revision of Billroth I Gastro-Duodenostomy to Roux-en-Y Gastro-Jejunostomy
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaThis video demonstrates feasibility of complex revisional foregut surgery in a patient with BMI of 21 and severe peptic ulcer disease (PUD). This is a laparoscopic revision of Billroth I gastro-jejunostomy to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic repair of a newly diagnosed Morgagni hernia in a patient with prior paraesophageal hernia repair
Julietta H Chang, MD, Ozanan Meireles, MD, David W Rattner, MD. Massachusetts General HospitalAnterior diaphragmatic hernias were first described by Morgagni in 1769. Unlike Bochdalek hernias, these tend to be smaller and clinically less significant on pulmonary function in the neonatal period. However, they can become symptomatic as they enlarge in adulthood. Our patient is… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Parahiatal Hernia: Diagnostic Dilemma & Therapeutic Controversy
Chintan Patel, MS, FMAS, FBMS1, Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS2, Dharmesh Dhanani, MS1, Gagandeep Talwar2, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS2, Saurabh Gandhi, MS, FMAS, FALS2, Rochana G Bakshi, MBBS, DNB (Anaesthesiology), DA, PGDHHM, PGDMLS, MNAMS3, Shubham Gupta, MS2, Eham Arora, MS2, Jasmine Agarwal2. 1Kiran Multi Superspeciality Hospital and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic redo epiphrenic esophageal diverticulectomy and recurrent hiatal hernia repair
Michael N Tran, MD, Eugene Won, MD, Mahbod Paya, MD, Marcelo W Hinojosa, MD. University of California Irvine Medical CenterThis video demonstrates a 61 year old female who previously underwent a laparoscopic sleeve gastrectomy, followed later by a laparoscopic hiatal hernia repair with esophageal diverticulectomy. She presented with symptoms of gastroesophageal reflux disease and was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Gastric Neurostimulator Placement with Hiatal Hernia Repair for Idiopathic Gastroparesis
Nirav K Desai, MD, Li Michael, MD, William Fuller, MD. Scripps HealthWe present a case of a 56 year old female with idiopathic gastroparesis refractory to medical therapy with simultaneous hiatal hernia. We elected to treat her with laparoscopic hiatal hernia repair, gastropexy and neurostimulator placement. In our video, we perform a repair and discuss… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC TRANSGASTRIC RESECTION OF A MASS AT THE ESOPHAGOGASTRIC JUNCTION
Andrew T Strong, MD1, Carlos M Abril, MD2, Matthew Kroh, MD2. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiGastrointestinal stromal tumors of the stomach are submucosal masses often found incidentally during endoscopy or on cross sectional imaging. Resection is typically recommended due to the malignant potential, and is most commonly accomplished by wedge gastrectomy. This video describes… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Antrectomy and Partial Duodenectomy with Gastrojejunostomy for Duodenal Neuroendocrine Tumor
David J Berler, MD, Sheila Rustgi, MD, Nikhil Kumta, MD, MS, Anthony J Vine, MD, FACS. Icahn School of Medicine at Mount SinaiThis is the case of a 60-year-old man who presented with syncope and melena. He was found on EGD to have a 1cm lesion in the first portion of the duodenum. Biopsy was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC ESOPHAGEAL DIVERTICULECTOMY, HELLER MYOTOMY, AND TOUPET FUNDOPLICATION
Wen Hui Tan, MD, Jared McAllister, MD, Jeffrey Blatnik, MD. Washington University in St. Louis School of MedicineThis video depicts a Laparoscopic Esophageal Diverticulectomy, Heller Myotomy, and Toupet Fundoplication. This patient is an 82-year-old female with a longstanding history of dysphagia with both solids and liquids. Workup included an EGD with massive dilation of the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Video Presentation: SMA Syndrome
Chaya Shwaartz, MD, Lyn Gilad, Mustapha Siddiq, Yuri Goldes, MD. Sheba Medical Center, IsraelThis is a video presentation of a 20-year-old male that developed superior mesenteric artery syndrome and was managed laparoscopically. This is a 20-year-old male, with no past medical or surgical history. The patient had major trauma with multiple limbs fractures, chest and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robotic-Assisted Median Arcuate Ligament Release
Yen-Yi Juo, MD, MPH, Usah Khrucharoen, MD, Michael W Robinson, MD, Erik Dutson, MD. UCLA Center for Advanced Surgical and Interventional Technology (CASIT) A robotic-assisted laparoscopic approach for release of median arcuate ligament has been described in small case series in the literature with comparable outcomes to conventional laparoscopic approaches. Surgeons may hesitate to adopt this… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut