Endoscopic Tissue Fusion for Weight Regain After Gastric Bypass: Does It Help?
Background: Gastric bypass results in significant weight loss in the morbidly obese population. There is however, an incidence of weight regain associated with the procedure. One theory for the weight regain is pouch dilation. StomaphyX is a device which addresses pouch dilation by endoscopically plicating the gastric pouch, resulting in a decreased pouch size. This… Continue Reading
- Type:
- Posters
Endoscopic Ultrasound-guided Gastrostomy After Roux-en-Y Gastric Bypass: A Novel Approach
Objective: Gastrostomy tube (GT) placement after Roux-en-Y gastric bypass can be challenging. Novel, minimally invasive approaches are needed to access the gastric remnant in these patients. Our objective is to present an innovative method of endoscopic ultrasound (EUS)-guided GT placement.Procedure Description: A 55 year-old morbidly obese female underwent reoperative, open retrocolic Roux-en-Y gastric bypass, and… Continue Reading
- Type:
- Posters
Endoscopic Versus Open Harvesting Techniques in Pig Flap Models
Introduction: In an era of minimal invasive surgery, endoscopic flap harvesting has not been widely accepted as the gold standard for harvesting muscles flaps, despite numerous benefits over the open technique. This is due to a lack of experience for most consultants with this new method. Aim of this study was to determine if the… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Endoscopy in the Management of Cervical Spine Plating-related Esophageal Injury
Report of first case: A 52 year old man was referred for progressive dysphagia, involuntary 30 lb. weight loss, chronic cough and episodic upper chest pain of one year's duration. He described food sticking at the lower cervical level. He had anterior cervical discectomy with plating six years previously. He was counseled for esophagogastroduodenoscopy (EGD).Report… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Enhanced Local Peritoneal Leukocyte P38 Activation and Tnf Secretion with Air Versus Co2 Insufflation
Background: Laparoscopic surgery has been shown to decrease systemic stress compared to open abdominal surgery. One of the mechanisms to explain this finding is the effect of carbon dioxide (CO2) as an insufflation gas. Previous studies have shown that peritoneal exposure to CO2 results in a suppressed inflammatory response compared to air exposure. With the… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Enseal™ Vs. Conventional Ferguson Hemorrhoidectomy: Cost and Clinical Outcomes.
Introduction:The optimal treatment of hemorrhoids remains an active topic in the surgical community. New technology and approaches have offered potentially less traumatic and painful treatment for symptomatic hemorrhoid disease. This study was designed to compare the surgical outcomes and costs of hemorrhoidectomy performed by a new bipolar vessel sealer device EnSeal™ with those performed by… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Equal Short Term Weight Loss for Self-pay and Insurance Covered Patients After Adjustable Gastric Banding
Introduction: Adjustable gastric banding is one option for obese patients pursuing bariatric surgery, though not all insurance policies cover the procedure. Patients may pay out of pocket for bariatric procedures if they do not have insurance that covers the operation. There may be a difference in expectations and motivation between these two patient populations may… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Er to or for Acute Appendicitis: Before and After the 80-hour Workweek
Introduction: In 2003, the Accreditation Council for Graduate Medical Education (ACGME) mandated duty-hour restrictions for US general surgery training programs "80-hour workweek". At that time, our program initiated a night-float rotation to cover new general surgery consultations between the hours of 6PM and 6AM, Mondays through Fridays. Daytime and weekend consultation coverage remained the responsibility… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Ergonomic User Interfaces for NOTES; A Comparison of Learning Curves for Open, Laparoscopic and Endoscopic Devices in Complex Bimanual Coordination
Background: NOTES adds a novel paradigm to surgical techniques. In the NOTES paradigm, it may require long periods of training to overcome difficulties in interpreting unstable images and controlling flexible instruments in order to master basic surgical skills. This study takes an initial step into understanding the learning process of NOTES. Bimanual coordination learning curves… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Esophageal Dilatation for Corrosive Stricture of the Esophagus
Less was known regarding outcome of dilatation in corrosive stricture of the esophagus. The aim of this study was to report the treatment outcome of dilatation for corrosive esophageal stricture.Methods: Medical records of twenty-three patients with corrosive esophageal stricture who underwent esophagal dilatations were reviewed. All dilatations were performed under general anesthesia using Savary-Gillard dilator… Continue Reading
- Type:
- Posters
Esophageal Mucosal Resection Diagnostics
INTRODUCTION: Endoscopic four-quadrant forceps biopsy of esophageal dysplasia can be inaccurate due to sampling of Session: Podium Presentation Program Number: S080 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Esophageal Ulcers At a Large Urban Emergency Hospital: A Seventeen Year Experience
OBJECTIVE: In this study, we report the incidence, common etiologies, endoscopic and pathologic findings and clinical outcomes of patients with esophageal ulcers (EU) in our urban population over a seventeen year period. METHODS: This is a retrospective chart review of all upper endoscopies (EGD) performed by a single surgical endoscopist at an urban emergency hospital… Continue Reading
- Type:
- Posters
Esophagectomy in the Elderly: A Comparison Between Minimally Invasive and Open Techniques
Background: The purpose of this study was to determine if utilization of minimally invasive techniques for esophagectomy in the elderly results in decreased complications compared with traditional open esophagectomy. Methods: A retrospective, case-control study was performed comparing outcomes after minimally invasive esophagectomy (MIE) and open esophagectomy (OE) in elderly patients (age>70 years) over a 7… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Establishing Nd:yag Laser Based Left Lateral Liver Resection: Comparison of Open, Laparoscopic and Hand Assisted Approach in a Porcine Model
Objectives:Aim of this study was to assess the feasibility and safety of a 1064 nm Nd:YAG laser for left lateral liver resection in a porcine model. Laparoscopy and hand assisted laparoscopic surgery were evaluated and compared to conventional open surgery. Methods:A group of 15 pigs were randomized for three different approaches of left lateral liver… Continue Reading
Ethicon Realize Band Versus Allegran Ap Series Bands: Early Results At Uc San Diego
Objective: The obesity epidemic has become a worldwide problem with America leading with 32% of its population considered obese (BMI>30). This is projected to only get worse with 86% of the American population projected to be overweight or obese by 2030 with associated health care spending to be as much as $956.9 billion. Medical therapy… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity