Who would have thought it: A 50-dollar PTFE felt mesh is a safe and effective method for reinforcing laparoscopic hiatal hernia repairs
Samuel Cottam, Daniel Cottam, MD, Austin Cottam, Hinali Zaveri, MD, Amit Surve, MD, Walter Medlin, MD, FACS. Bariatric Medicine Institute of UtahIntroduction: Hiatal hernia repairs with mesh currently happens in approximately 30% of all hiatal hernia repairs. There is currently no consensus as to what type of mesh to use in these cases. Mesh choices… Continue Reading
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
Video Presentation: Laparoscopic D2 Gastrectomy
Chaya Shwaartz, Nadav Zilka, MD, Lyn Gilad, MD, Yuri Goldes, MD. Sheba Medical Center, IsraelThis is a video presentation on laparoscopic D2 total gastrectomy for gastric cancer. A 62-year-old male, presented to the office following an upper endoscopy revealing gastric carcinoma. Imaging showed no metastatic disease. The patient was taken to the operating room for… Continue Reading
- Topic:
- Foregut
Using Magnetic Sphincter Augmentation for Treatment of Extra-esophageal Symptoms
Steven G Leeds, MD, Marc Ward, MD, Brittany Buckmaster, PA, Estrellita Ontiveros, MS. Baylor University Medical Center at DallasBackground: Gastric contents can reach beyond the esophagus into the larynx and pharynx causing an increasingly prevalent disease called laryngopharyngeal reflux (LPR). Magnetic sphincter augmentation (MSA) has been used as an alternative treatment for GERD with good… Continue Reading
USE OF FULLY BIORESORBABLE POLY-4-HYDROXYBUTYRATE MESH FOR REINFORCEMENT OF CRURAL CLOSURE DURING PARA-ESOPHAGEAL HERNIA REPAIR
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Filippo Filicori, MD1, Ahmed M Zihni, MD, MPH1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Lee L Swanstrom, MD, FACS2, Steven R DeMeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicIntroduction: Mesh use for reinforcement of primary crural closure is controversial. Synthetic… Continue Reading
TYPE II PARAESOPHAGEAL HERNIA: DO THEY EVEN EXIST OR ARE THEY ACTUALLY PARAHIATAL HERNIAS?
Alejandro Rodriguez, MD, Rebecca G Lopez, MD, Dustin G Cummings, MD, Andrew S Wright, MD, Carlos A Pellegrini, MD, Brant K Oelschlager, MD. University of WashingtonBackground: Type II paraesophageal hernias (PEH) are defined as hernias in which the gastroesophageal junction remains within the abdomen while a portion of fundus herniates into the mediastinum through an… Continue Reading
TUBULOVILLOUS ADENOMA OF THE PYLORUS: MINIMALLY INVASIVE RESECTION OF A RARE TUMOR
Tracey C Kim, MD, Jeffrey E Quigley, DO, Manuel Garcia, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Esther Wu, MD, Keith Scharf, DO, FACS, FASMBS, Carlos Garberoglio, MD, FACS, Marcos Michelotti, MD. Loma Linda University HealthWe present a case of a 59-year-old female with a history of thyroid cancer who initially presented… Continue Reading
Trapezoidal Tunnel Method and Modified Circular Stapling for Safe Anastomotsis in Video-Assisted Thoracoscopic Surgery of Esophagus (VATS-E).
Hiroshi Makino, MD1, Hiroshi Yoshida, MD1, Hiroshi Maruyama, MD1, Tadashi Yokoyama, MD1, Atsushi Hirakata, MD1, Jyunji Ueda, MD1, Yuta Kikuchi1, Koji Ueda, MD1, Masafumi Yoshioka, MD1, Makoto Kusakabe1, Toshiyuki Irie, MD1, Nobuyuki Sakurazawa2, Masao Miyashita, MD2, Eiji Uchida, MD3. 1Department of Surgery, Nippon Medical School, Tama-Nagayama Hospital, 2Department of Surgery, Nippon Medical School, Chiba-Hokusoh Hospital,… Continue Reading
TRANSORAL INCISIONLESS FUNDOPLICATION PROVIDES LONG-TERM IMPROVEMENT IN DISEASE SPECIFIC QUALITY OF LIFE FOR SELECT PATIENTS WITH SYMPTOMATIC GERD
Munyaradzi Chimukangara, MD1, Anahita D Jalilvand, MD1, W. Scott Melvin, MD2, Kyle A Perry, MD1. 1Department of Surgery, The Ohio State University, 2Department of Surgery, Albert Einstein College of MedicineINTRODUCTION: Transoral incisionless fundoplication (TIF) offers an endoscopic approach to the treatment of gastroesophageal reflux disease (GERD). Controlled trials have demonstrated the short-term efficacy of this… Continue Reading
- Topic:
- Foregut
Thoracoscopic Truncal Vagotomy versus Surgical Revision of the Gastrojejunal Anastomosis for Recalcitrant Marginal Ulcers.
Alicia M Bonanno, MD, Brandon Tieu, MD, Farah Husain, MD. Oregon Health and Science UniversityINTRODUCTION- Marginal ulcer is a common complication following Roux-en-Y gastric bypass with incidence rates between 4-16%. Most marginal ulcers resolve with medical management and lifestyle changes, but in the rare case of a non-healing marginal ulcer there are few treatment options.… Continue Reading
THORACOSCOPIC ESOPHAGECTOMY IN THE PRONE POSITION FOR ESOPHAGEAL CANCER: LONG-TERM AND SHORT-TERM OUTCOMES OF 330 CONSECUTIVE PATIENTS AT A SINGLE INSTITUTION
Soji Ozawa, MD, PhD, Junya Oguma, MD, PhD, Akihito Kazuno, MD, Miho Nitta, MD, Yamato Ninomiya, MD, Kentarou Yatabe, MD. Department of Gastroenterological Surgery, Tokai University School of Medicine, Kanagawa, JapanINTRODUCTION: The purpose of this study was to clarify the long-term and short-term outcomes of 330 consecutive patients who underwent thoracoscopic esophagectomy in the prone… Continue Reading
Thoracoscopic 2 phase oesophagectomy
Barry Dent, FRCS, MA, Kamil Wynne, FRCS, MD, S Michael Griffin, FRCS, MD, Arul Immanuel, FRCS, MD. Northern Oesophago-Gastric Cancer Unit, Newcastle upon Tyne, UKWe present a video of our approach to performing a thoracoscopic 2 phase oesophagectomy. The thoracic phase of surgery is demonstrated including formation of the intra-thoracic anastomosisPresented at the SAGES 2017… Continue Reading
- Topic:
- Foregut
The impact of vagal nerve integrity testing in the surgical management of patients with postsurgical gastroparesis
Kamthorn Yolsuriyanwong, MD, Eric Marcotte, MD, Mukund Venu, Bipan Chand, MD. Loyola University Chicago, Stritch School of MedicineBackground: Thoracic and gastric operations can cause vagal nerve injury, either accidentally or intended. The most common procedure, which can lead to such an injury, includes fundoplication, lung or heart transplantation and esophageal or gastric surgery. Patients may… Continue Reading
The Effect of Robotic Hiatal Hernia Repair with Concomitant Esophagopexy in Patients with Gastroesophageal Reflux Disease
Allison C Estep, MD1, Christopher J You, MD2. 1MedStar Union Memorial Hospital, 2MedStar Franklin Square Medical CenterBackground: Gastroesophageal reflux disease (GERD) is a highly prevalent disorder with a multitude of treatment options ranging from lifestyle modifications and medical management to surgical options. Despite the numerous treatments available, there is still debate over which approach is… Continue Reading
The ‘cocoon’ effect of an omental wrap in maturing gastro-oesophageal anastomosis: Comparative case-series Lap-assisted Vs Open Oesophagectomy for Oesophageal Cancers.
Nehemiah Samuel, Mr, Maria Tsachiridi, Miss, Jordan Fletcher, Mr, Anand Tamhankar, Mr, Clive Kelty, Mr. Northern General HospitalBackground: The two-stage oesophagectomy (Ivor-Lewis procedure) remains the mainstay of curative surgery for oesophageal cancers in the UK. Gastro-oesophageal anastomotic leak is a potentially devastating complication of this procedure affecting perioperative morbidity and mortality. Although the leak rates… Continue Reading