LAPAROSCOPIC IMPLANTATION OF GASTRIC STIMULATOR AND ENDOSCOPIC PYLOROMYOTOMY
Maria Fonseca, MD, Cristian Milla Matute, MD, Rene Aleman, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the ideal surgical treatment for medically refractory gastroparesis (GS). More evidence however exists on the benefits of… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC MANAGEMENT OF DUODENAL PERFORATION DURING CONCOMITANT PER-ORAL PYLOROPLASTY AND LAPAROSCOPIC IMPLANTATION OF GASTRIC ELECTRIC STIMULATOR
Rene Aleman, MD, Maria C Fonseca, MD, Joel S Frieder, MD, Kandace Kichler, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the most effective surgical approach for gastroparesis (GP). The combination of implantable gastric stimulator… Continue Reading
- Topic:
- Foregut
Laparoscopic Transgastric GIST Resection
Colette S Inaba, MD, Michael Tran, MD, Brian R Smith, MD. University of California IrvineThis video demonstrates a transgastric resection of a gastrointestinal stromal tumor. Cuffed trocars are used to gain laparoscopic entry into the lumen of the stomach. The tumor is dissected using an energy device and the resulting gastric defect is repaired using… Continue Reading
- Topic:
- Foregut
Laparoscopic Longitudinal Pancreaticojejunostomy (Puestow) on a patient with a history of a RY gastric bypass and a pancreaticoduodenectomy (Whipple)
Ariel Shuchleib, Pearl Ma, Ikemefuna I Akusoba, Aaron Sabbota, Daniel Swatrz, Keith B Boone, Kelvin D Higa. UCSF FresnoThis is a case from a 45 y/o F with a history of a laparoscopic RY gastric bypass on 2005 who developed a highly differentiated pancreatic neuroendocrine tumor that was resected with a laparoscopic pancreaticoduodenectomy (Whipple procedure)… Continue Reading
- Topic:
- Foregut
Robotic-assisted Conversion of Slipped Nissen Fundoplication to Toupet Fundoplication and Hiatal Hernia Repair
Joseph R Broucek, MD, Enrique Elli, MD, FACS. Mayo Clinic - FloridaFailure rates of laparoscopic Nissen fundoplication occur in the range of 2-17%. The most common recurrent symptoms include reflux and regurgitation. If the patient fails medical therapy, revisional surgery is known to be successful in more than 90% of cases. This is a case… Continue Reading
- Topic:
- Foregut
Robotic Median Arcuate Ligament Release
Desmond T Huynh, MD, Miguel Burch, MD, Kevin Shamash, Richard Van Allan, Daniel Shouhed, MD. Cedars-Sinai Medical CenterMedian Arcuate Ligament Syndrome (MALs) is a rare vascular condition in which the median arcuate ligament compresses the celiac trunk which presents as a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. The treatment… Continue Reading
- Topic:
- Foregut
Median Arcuate Ligament Syndrome, Case Series and Review of the Literature
Jesse Conner, MD, Joshua Gierman, MD, Laura Fischer, MD. Oklahoma University Health Science CenterIntroduction: Median arcuate ligament syndrome is a rare cause of abdominal pain. Symptoms include vague epigastric pain, post prandial pain, nausea, vomiting, and weight loss. The pathophysiology has been thought to be secondary to compression of the celiac artery by a thick… Continue Reading
- Topic:
- Foregut
Laparoscopic Repair of A Large Morgagni Hernia
Walaa F Abdelmoaty, MD, MBA1, Daniel Davila Bradley, MD2, Michael Antiporda, MD1, Kelly Haisly, MD1, Kevin M Reavis, MD, FACS2, Christy M Dunst, MD, FACS2, Lee L Swanstrom, MD, FACS, FASGE, FRCSEng2, Steven R Demeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicMorgagni hernia is a rare congenital diaphragmatic defect that can present symptomatically… Continue Reading
- Topic:
- Foregut
Comparison of ERCP versus laparoscopic bile duct exploration for the management of choledocholithiasis: an analysis of NSQIP
Victor Vakayil, MD, MS1, Samuel T Klinker, BS1, Megan L Sulciner, BS1, Reema Mallick, MD2, Stuart Amateau, MD, PhD1, Guru Trikudanathan, MD1, Martin Freeman, MD1, James Harmon, MD, PhD1. 1University of Minnesota, 2University of Pittsburgh,BACKGROUND: Up to 18% of patients undergoing laparoscopic cholecystectomies (LC) for cholelithiasis have concurrent choledocholithiasis. While the majority of common bile… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
DOES ETIOLOGY OF GASTROPARESIS DETERMINE CLINCIAL OUTCOMES IN GASTRIC ELECTRICAL STIMULATION TREATMENT OF GASTROPARESIS?
Doris Kim, MD, Shelby Allen, MD, Ryan Gedney, BS, Haley Zlombke, MD, Elizabeth Winter, BS, John Craver, BS, William Lancaster, MD, David Adams, MD. Medical University of South CarolinaINTRODUCTION: Gastric electrical stimulation (GES) in the management of gastroparesis has had mixed clinical response, which may in part be due to the variety in underlying etiology. The most… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Roux-en-Y Gastric Bypass versus Gastrectomy with Roux-en-Y Reconstruction for the Treatment of Gastroparesis
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Kevin El-Hayek, MD1, Ricard Corcelles, MD2, Matthew Kroh, MD2, John Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Gastroparesis is a debilitating functional disorder of the stomach marked by delayed gastric emptying in the absence of mechanical obstruction. Patients with severe, refractory symptoms may ultimately be… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Comparison of surgical cost and implication on the healthcare expenses between Laparoscopic Magnetic Sphincter Augmentation (MSA) and Laparoscopic Nissen Fundoplication (LNF) in a large healthcare system
Shahin Ayazi, MD, Ali H Zaidi, MD, Kirsten Newhams, MD, Ping Zheng, MD, Yoshihiro Komatsu, MD, Fahim Habib, MD, Tameka Scott, DO, Kristy Chovanec, BS, Jonathan Levy, MD, Toshitaka Hoppo, MD, Blair A Jobe, MD. Esophageal and Lung Institute, Allegheny Health NetworkIntroduction: Magnetic sphincter augmentation (MSA) is a promising anti-reflux surgical treatment. The cost associated with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Clinical outcome after magnetic sphincter augmentation (MSA) is independent of the status of hiatal hernia
Shahin Ayazi, MD, Kirsten Newhams, MD, Ali H Zaidi, MD, Tameka Scott, DO, Jonathan Levy, MD, Yoshihiro Komatsu, MD, Kristy Chovanec, BS, Fahim Habib, MD, Adam Alleyne, Ping Zheng, MD, Toshitaka Hoppo, MD, Blair A Jobe, MD. The Esophageal and Lung Institute, Allegheny Health NetworkIntroduction: Magnetic sphincter augmentation (MSA) is an effective treatment for patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic resection is better than endoscopic dissection for gastric gastrointestinal stromal tumor between 2 and 5 centimeter: a case-matched study in a gastrointestinal center
Xiaoyu Dong, Ziming Cui, Meiting Fu, Jixiang Zheng, Ying Lin, Jiaying Liao, Huijuan Le, Jun Yan. Department of General Surgery, Nanfang Hospital, Southern Medical UniversityBackground: The feasibility of the endoscopic dissection for gastric gastrointestinal stromal tumor (gGIST) between 2 and 5 centimeter (cm) has been demonstrated. However, its impact on short-term and long-term outcomes remains… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Does Underlying Anxiety or Depression Modulate Subjective Outcomes After Nissen Fundoplication?
Carla N Holcomb, MD, MSPH, Anahita Jalilvand, MD, Patricia Belle, Monet Mcnally, Kyle Perry, MD. Ohio State University Medical CenterIntroduction: Anxiety and depression have been associated with increased perception of gastroesophageal reflux, but there is a paucity of data regarding the outcomes of laparoscopic anti-reflux surgery in this patient population. We hypothesized that the presence… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut