USING IMPEDANCE PLANIMETRY (ENDOFLIP®) IN THE OPERATING ROOM TO ASSESS THE GASTROESOPHAGEAL JUNCTION AND PREDICT PATIENT OUTCOMES FOLLOWING FUNDOPLICATION
Bailey Su, MD, Stephanie Novak, MS, Zachary Callahan, MD, Kristine Kuchta, MS, Joann Carbray, BS, Michael Ujiki, MD. NorthShore University Health SystemIntroduction: Our purpose is to evaluate the utility of using a functional luminal imaging probe (EndoFLIP®) intra-operatively to assess adequacy of hiatal hernia repair and fundoplication. Additionally, we hypothesize that these measurements correlate with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Use of Indocyanine green fluorescence imaging in upper gastroesophageal cancer resections
S Valanci, MD, J Fiore, PhD, L Lee, MD, L Feldman, MD, G Fried, MD, LE Ferri, MD, C Mueller, MD. McGill UniversityIndocianyne green (ICG) was introduced to laparoscopic surgery to improve anatomical information, it may be ussed for perfusion assessment, lymph node mapping or vascular and biliary anatomy. We present 4 cases of upper… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
USE OF COMPUTED TOMOGRAPHY (CT) VOLUMETRIC MEASUREMENTS TO PREDICT OPERATIVE TECHNIQUES IN PARAESOPHAGEAL HERNIA REPAIR (PEHR)
Angela M Kao, MD, Javier Otero, MD, Sean R Maloney, MD, Tanushree Prasad, MA, Vedra A Augenstein, MD, B. Todd Heniford, MD, Paul D Colavita, MD. Carolinas Medical CenterBackground:Despite advances in diagnostic imaging capabilities, little information exists concerning the impact of physical dimensions of a paraesophageal hernia (PEH) on intraoperative decision-making and postoperative outcomes. Computerized… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
USE OF A REPORT CARD TO EVALUATE OUTCOMES OF ACHALASIA SURGERY: BEYOND THE ECKARDT SCORE
Ealaf Shemmeri, MD, Ralph W Aye, MD, Alexander S Farivar, MD, Adam Bograd, MD, Brian E Louie, MD. Swedish Thoracic SurgeryINTRODUCTION: Achalasia outcome is primarily defined using the Eckardt score with failure recognized as >3. However, patients experience many changes after myotomy including new onset GERD and potential need for additional treatment. We devised a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Umbilical tape provides better correlation with final EndoFLIP distensibility index compared to LINX sizing device
Rodrigo Pedraza, MD, Edward Y Chan, MD, Ray K Chihara, MD, PhD, Leonora M Meisenbach, MSN, APRN, ACNPBC, Min P Kim, MD. Houston Methodist HospitalBackground and Aim: The use of a magnetic sphincter augmentation device (LINX) has been shown to be safe and efficacious for the management of gastroesophageal reflux disease (GERD). The endoluminal functional… Continue Reading
Tumor deposits counted as positive lymph nodes in stage III gastric cancer: a novel N category in TNM staging
Wenquan Liang, Kecheng Zhang, Hongqing Xi, Jianxin Cui, Aizhen Cai, Jiyang Li, Yunhe Gao, Xiaosong Wu, Xinxin Wang, Bo Wei, Lin Chen. Chinese PLA General HospitalBACKGROUND: Tumor deposits (TDs) are defined as satellite tumor nodules without histologic evidence of residual lymph node in peritumoral or regional lymph node areas. TD are markers of poor prognosis in… Continue Reading
Totally Laparoscopic Distal Esophagectomy with No Cervical or Thoracic access: A case series
Erik A Green, MD, MPH, Kais Rona, MD, Christopher Ducoin, MD, MPH. Tulane UniversityBackground: Esophagectomy remains a mainstay of treatment for esophageal malignancies as well as for refractory benign disease. Advances in laparoscopic and thoracosopic surgery have helped promote a variety of minimally invasive esophageal resection procedures. All of these, however, require a thoracic and/or neck… Continue Reading
Total gastrectomy with Roux-en-Y reconstruction for neuroendocrine gastric neoplasm.
Rene Aleman, MD, Joel S Frieder, MD, Carlos Rivera, MD, Federico Serrot, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaNeuroendocrine tumors of the stomach are a less common type of gastric neoplasms reported in 8.7% of gastric. We present the case of a 69-year-old male with a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Three-dimensional (3D) visualization provides better outcome in single-port laparoscopic distal gastrectomy
So Hyun Kang, Yo-Seok Cho, Sa-Hong Min, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim. Seoul National University Bundang HospitalIntroduction: The use of a three-dimensional (3D) camera for laparoscopic surgery has been reported in literature. However, there are only few comparative studies demonstrating its benefits, and no reports on the application of 3D… Continue Reading
Thoracoscopic pericardial patch closure of iatrogenic tracheal injury during esophagectomy
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaIntroduction: Iatrogenic tracheo-bronchial injury is an uncommon complication following esophagectomy with a reported incidence of 0.6-10% 1-3. Repair of a tracheal injury encountered in a patient during thoracoscopic esophagectomy in prone position is reported. Methods: Fifty six year old lady… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Thoracolaparoscopic Oesophagectomy for end stage Achalasia
S Velmurugan, HOD of GI and Lap Surgery, R Archana, B Kasi Viswanath. kauvery hospital, Trichy, India62 year old male presented with dysphagia, cough, loss of weight and appetite. There was history of recurrent pneumonitis due to repeated aspiration. He was diagnosed to have achalasia cardia few years before this presentation. He had already undergone… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Third-Time “Redo” Anti-Reflux Surgery: An Operation Needing a Scalpel
Nikhil Panda, MD, Christopher R Morse, MD, David W Rattner, MD. Massachusetts General HospitalBackground: Approximately 3-6% of patients undergoing anti-reflux surgery require “redo” surgery for persistent gastroesophageal reflux disease (GERD). Further surgery for patients with two failed prior anti-reflux operations is controversial due to the morbidity of reoperation and poor reported results. We therefore examined our… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
The value of a negative preop Restech test for postop results – Gastrointestinal function testing using the new minimally invasive laryngopharyngeal PH probe
Dolores T Mueller, Laura Knepper, Florian Gebauer, Wolfgang Schröder, Christiane J Bruns, Jessica M Leers, Hans F Fuchs. University of Cologne, Department of SurgeryIntroduction: Laryngopharyngeal pH-monitoring (Restech) is a relatively new reflux testing device that needs more validation. It was developed to detect both liquid and acidic gas vapor, and the pharyngeal probe placement may… Continue Reading
The utility of MII testing in making surgical decisions
Matt Glasgow1, Christy M Dunst, MD2, Walaa Abdelmoaty, MD3, Rosen Ilchev, BA3, Naly Setthavongsack4, Hannah Creasey5, Daniel Davilla Bradley, MD2, Kevin M Reavis, MD2, Lee L Swanstrom, MD2, Steve R Demeester, MD2. 1Bates College, 2The Oregon Clinic, 3Providence Portland Medical Center, 4Portland State University, 5Lewis and Clark CollegeIntroduction: Abnormal esophageal acid exposure, as measured by… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
THE TIP OF THE ICEBERG: AN UNUSUAL CASE OF DIAPHRAGMATIC HERNIA PRESENTING AS A BREAST ABSCESS
Victoria Needham, MD, Alexandra Argiroff, MD, Diego Camacho, MD. Montefiore Medical CenterINTRODUCTION: While many diaphragmatic hernias (congenital or acquired) are asymptomatic, they may also present with subacute symptoms such as pain or dypsnea, or as a surgical emergency via organ strangulation. This case scenario illustrates an atypical presentation of a perforated viscus within the hernia… Continue Reading