Laparoscopic para-esophageal hernia repair including an anterior 180 degrees fundoplication & Mid-term outcomes in a single center
Anne-Sophie S Studer, MD, Teodoros Thomopoulos, MD, Michele Podetta, MD, Henri Atlas, MD, Ronald Denis, MD, Pierre Garneau, MD, Radu Pescarus, MD. Hopital Sacré Coeur de MontréalIntroduction: Surgical management of large paraesophageal hernias (PEH) remains challenging and may be associated with high morbidity. As an alternative to Nissen fundoplication, an anterior 180 degrees wrap has… Continue Reading
Pattern of Hiatal Hernia Repair: An Analysis of the National Inpatient Sample
Zhamak Khorgami, MD1, Guido M Sclabas, MD1, Jamin G Graham, MPH2, C. Anthony Howard, MD1, Geoffrey S Chow, MD1. 1University of Oklahoma, College of Medicine, Tulsa, USA, 2Trinity Medical Sciences UniversityIntroduction: Patients with symptomatic hiatal hernias undergo surgical repair as a primary operation or in conjunction with other gastric and esophageal operations. The purpose of… Continue Reading
Gastroparesis Cardinal Symptom Index Scoring does not predict Delayed Gastric Emptying in patients with GERD
Sarah Marowski, Yiwei Xu, Luke M Funk, Jacob A Greenberg, Anne O Lidor, Amber L Shada. University of Wisconsin School of Medicine and Public HealthGastroparesis (GP) causes nausea, vomiting, and reflux. These symptoms are also associated with gastroesophageal reflux disease (GERD), and it is often difficult to distinguish between the two. Currently, gastric emptying scans… Continue Reading
Laparoscopic distal pancreatectomy for giant pancreatic cystic neoplasms -Is the effort worthwhile?
Srikanth Gadiyaram, Dr, Yashas H Ramegowda, Dr, Gaurav Singh, Dr. Sahasra Hospitals, Center of Excellence for GastroenterologyBackground: Laparoscopic distal pancreatectomy with (LDPS) or without splenectomy for cystic tumors in the body and tail has become the standard of care. We herein report three patients with giant pancreatic cystic neoplasms (GPCN) who underwent a distal pancreatectomy… Continue Reading
OUR STYLIZED PROCEDURE IN LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MD, PhD, Kenta Kitamura, MD, Tomonori Matsumura, MD, Ayato Obana, MD, Norio Mizugichi, MD, Mayuko Nakayama, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MD, PhD, Yoshinobu Sato, MD, PhD, Ryuji Yoshida, MD, Hiroyuki Suzuki, MD, Shigeru Masamura, MD, PhD. Kashiwa Kousei General Hosp.Introduction: Laparoscopic techniques in anti-reflux surgery for GERD patients are still considered complicated… Continue Reading
Circumference Heller myotomy for achalasia with chest pain
Fumiaki Yano, MD, Nobuo Omura, Kazuto Tsuboi, Masato Hoshino, Se Ryung Yamamoto, Shunsuke Akimoto, Takahiro Masuda, Katsunori Nishikawa, Norio Mitsumori, Hideyuki Kashiwagi, Katsuhiko Yanaga. The Jikei University School of MedicineBackground/Aim: Although the typical complaint of patient with achalasia is dysphagia, nearly half of patients also experience chest pain, which in some cases may be intense… Continue Reading
CLINICAL OUTCOMES OF LAPAROSCOPIC VERSUS OPEN GASTRECTOMY FOR GASTRIC CANCER: A META-ANALYSIS
Caleb J Ba Mendoza1, Raúl Hernández Rubio1, Rafael Miret1, Madeline Jacobs1, Aliu Sanni, MD, FACS2. 1Philadelphia College of Osteopathic Medicine, 2Eastside Bariatric and General Surgery LLCIntroduction: According to the National Institute of Health and the National Cancer Institute, the yearly number of new cases and deaths from gastric cancer was 7.3 /100,000 and 3.2/100,000, respectively. With… Continue Reading
RECURRENT JEJUNOJEJUNOSTOMY AND GASTROJEJUNOSTOMY INTUSSUSCEPTION COMPLICATED BY ISCHEMIC BOWEL
Sheena Say Hoon Phua1, Bo Chuan Tan2, Chun Hai Tan2, Tzu-Jen Tan2. 1Khoo Teck Puat Hospital, National Healthcare Group, 2Khoo Teck Puat HospitalINTRODUCTION: Gastrojejunostomy intussuception is a rare but serious complication of previous gastric surgery, in particular gastrojejunal bypass and Bilroth II gastrectomy. The incidence is less than 0.1%. The incidence of double intussusception with a… Continue Reading
Learning curve from laparoscopic to robotic Heller myotomy. A myth?
James Kurtz, Joseph Lim, Rene Borscheid, Edward Cho, Houssam Osman, Rohan Jeyarajah. Methodist Richardson Medical CenterIntroduction: Heller myotomy is the standard surgical treatment for achalasia. Although robotic surgery is increasingly utilized in general surgery, the literature provides few guidelines on the learning curve for adoption. There have been no publications addressing the robotic learning curve… Continue Reading
Single Port Laparoscopic management of small bowel obstruction with intestinal resection
Fernando Arias, MD, FACS1, Gabriel Herrera, MD1, Manuel Arrieta, MD2. 1University Hospital Fundacion Santa Fe de Bogota - University of the Andes, Bogota, Colombia, 2University Of Sabana, ColombiaIntroduction: Laparoscopic surgery for small bowel obstruction have been accepted in guidelines. Reports indicates minimal invasive surgery results in less adhesion formation, less postoperative pain and shorter hospital stay.… Continue Reading
THE PARTICIPATION OF SURGEONS IN DIAGNOSTIC WORKUP OF GASTROESOPHAGEAL REFLUX DISEASE INCREASES UTILIZATION OF ANTI-REFLUX SURGERY.
Medhat Fanous, MD, FACS, Anja Jaehne, MD, David Lorenson, RN, Amanda Lambert, RN, Sarah Williams, RN. Aspirus Health SystemIntroduction: Patients presenting with putative symptoms of gastroesophageal reflux disease (GERD) are usually evaluated by gastroenterologists who perform the diagnostic workup and determine when to refer for surgical consideration. The multiple diagnostic studies can be overwhelming and leads… Continue Reading
Lymphnode Dissection along the Left Recurrent Laryngeal Nerve after Esophageal Stripping and Modified Circular Stapling for Safe Anastomotsis in VATS-E.
Hiroshi Makino1, Hiroshi Yoshida, PhD2, Hiroshi Maruyama1, Tadashi Yokoyama1, Atsushi Hirakata1, Junji Ueda1, Hideyuki Takata1, Yuta Kikuchi1, Takuma Iwai1, Masafumi Yoshioka1, Nobuyuki Sakurazawa3, Tsutomu Nomura2. 1Department of Surgery, Nippon Medical School, Tama-Nagayama Hospital, 2Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 3Department of Surgery, Nippon Medical School, Chiba-Hokusoh HospitalBackground: The working space in the upper… Continue Reading
Systematic review of laparoscopic partial splenectomies in adults
Noeline Rajarajan, Julie Pepe, Paula Veldhuis, Sebastian De La Fuente. Florida Hospital OrlandoIntroduction: Laparoscopic total splenectomy continues to be the operation of choice for lesions of the spleen. Total removal of the spleen, however, can result in severe early and late complications. Preservation of splenic parenchyma has been increasingly desired particularly when research has shown… Continue Reading
COMPLICATIONS AND READMISSION FOLLOWING SAME DAY DISCHARGE AFTER ELECTIVE LAPAROSCOPIC NISSEN FUNDOPLICATION
Tarik K Yuce, MD1, Ryan J Ellis, MD, MS1, Ryan P Merkow, MD, MS1, Nathaniel J Soper, MD2, Karl Y Bilimoria, MD, MS1, David D Odell, MD, MS1. 1Surgical Outcomes and Quality Improvement Center, 2Department of Surgery, Northwestern Memorial HospitalIntroduction: Traditionally, laparoscopic Nissen fundoplication (LNF) was associated with inpatient hospitalization. More recently, insurers and health… Continue Reading
Gastric volvulus in an elderly patient with recurrent hiatal hernia treated with laparoscopic surgery
Maria K Bejar, MD, Adolfo Leyva, MD, Eduardo Gonzalez, MD, Mario Rodarte, MD. Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud -- SSNL. Monterrey, N.L.Introduction: Gastric volvulus is an abnormal rotation of the stomach along its longitudinal or transverse axis. 80-90% occur in adults after the 5th decade of life and have… Continue Reading