Trigger Based Evaluation of Laparoscopic Antireflux Surgery in Gastro-oesophageal Reflux Disease
AIM: It is well known that certain diet and posture can aggravate gastro-oesophageal reflux(GOR) symptoms. The alleviation of reflux symptoms precipitated by these specific triggers after surgery is usually evaluated by global satisfaction scores or grading systems. The aim of this study is to assess the effect of laparoscopic antireflux surgery(LARS) on selected precipitants of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastric Surgery for Neoplasia: Are we going ahead?
INTRODUCTION: In Colorectal cancer, the increasing evidence in the literature shows improved outcome following laparoscopic surgery. However, the evidence and outcome on laparoscopic gastric surgery is limited. The purpose of this study was to assess our initial experience with laparoscopic gastric surgery for malignancy. METHODS AND PROCEDURES: Between Sept 2003 to Aug 2007 there were… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Gastrointestinal Stromal Tumors Located at the Gastroesophageal Junction
IntroductionGastrointestinal stromal tumors are the most common mesenchymal neoplasm of the GI tract, and 60% of GISTs occur in the stomach. The mainstay of treatment for GI stromal tumors is surgical resection with negative margins, with use of Gleevac reserved for metastatic or unresectable disease. Tumors located at the gastroesophageal junction have traditionally been problematic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Esophageal Manometric Characteristics and Outcomes for Laparoscopic Esophageal Diverticulectomy, Myotomy and Partial Fundoplication for Epiphrenic Diverticula
Introduction: The purpose of this study is to characterize the esophageal motor and lower esophageal sphincter (LES) abnormalities associated with epiphrenic esophageal diverticula and analyze outcomes for laparoscopic esophageal diverticulectomy, myotomy and partial fundoplication.Methods: Endoscopic, radiographic, manometric and perioperative records for patients undergoing laparoscopic esophageal diverticulectomy, anterior esophageal myotomy and partial fundoplication from 8/99-9/06 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A Randomized Controlled Trial of Laparoscopic Nissen Fundoplication (LNF) versus Proton Pump Inhibitors for Treatment of Patients with Chronic Gastro-Esophageal Reflux Disease (GERD)
Objective: In patients with GERD who were stable and symptomatically controlled on long-term medical therapy we performed an RCT to compare ongoing optimized medical therapy with LNF.Methods: 201 patients were eligible for randomization, 104 gave informed consent (age mean 42.9, sd11; male 55 female 49) and 2 withdrew from the study immediately after randomization. Patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
The simple and practical procedure in laparoscopy-Assisted distal gastrectomy
The procedure of laparoscopy-assisted distal gastrectomy iLADGj is usually complicated and needs specialized techniques for advanced laparoscopic surgery, more surgeons during the procedure and longer operation time. But we have recently developed simple and practical LADG procedure that needs only two surgeons and shorter operation time. OPERATIVE PROCEDURE -1. A 5 cm incision was made… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic Ultrasound Does Not Accurately Predict Pathologic Stage in Clinical Early-Stage Esophageal Cancer
Background: Early-stage esophageal cancer can be cured by surgical resection with low mortality and excellent five-year survival. Recently, however, endoscopic therapies have been proposed as an acceptable alternative. Endoscopic ultrasound (EUS) is typically used for pretreatment staging; the presence of muscularis propria invasion and/or nodal metastasis are a contraindication to endoscopic therapy. We hypothesized that… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Is Outcome After Laparoscopic Nissen Fundoplication the Same for Patients with Disparate Indications?: The Impact of Reflux Vs. Dysphagia Before Fundoplication on Outcome
Introduction: It is possible that outcomes after laparoscopic Nissen fundoplication are different when patients are operated upon for disparate indications, e.g., symptoms due to excessive acid reflux or obstruction. This study was undertaken to compare symptomatic outcomes between patients undergoing fundoplication for the disparate indications of excessive acid reflux vs. dysphagia. Methods: Laparoscopic Nissen fundoplications… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Patient factors predictive of 24 hour pH normalization following endoluminal gastroplication for GERD
Background: Endoluminal full thickness gastroplication has been shown to have significant and long lasting improvement of GERD symptoms and health related quality of life (HRQL) with very little patient morbidity. These treatments, however, are criticized for normalizing esophageal acid exposure in only 30 – 40% of patients treated. We hypothesize that there are objective criteria… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Video Assisted Thoracoscopic Esophagctomy for Carcinoma Esophagus
Introduction:Thoracoscopic esophagectomy is emerging as an alternative to conventional open esophagectomy. It is perceived to have advantages of reduced surgical trauma and hence lesser postoperative morbidity. This paper presents outcome of patients undergoing thoracoscopic esophagectomy and compares it to patients undergoing open surgery in the same time period in the thoracic surgical service of Tata… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Pattern of early esophageal adenocarcinoma in Long Segment Barrett\’s esophagus
Introduction:The purpose of Barrett’s surveillance programs is to assess the precursor lesion for the development of invasive adenocarcinoma and detect cancer as early as possible. Previous studies have demonstrated that the length of Barrett’s esophagus is an independent risk factor for the development of esophageal adenocarcinoma and that cancer is typically located at the distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Nissen Fundoplication with Hepatic Shoulder Technique in the surgical management of large para-esophageal hernias
Large paraesophageal hernias are difficult to manage via laparoscopy and are associated with a significant recurrence rate. A novel laparoscopic approach was used to close the diaphragmatic defect in four patients diagnosed with large para-esophageal hernias and GERD symptomatology. Technique: All procedures were performed via laparoscopy. Three patients underwent a reduction of the para-esophageal hernia… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrectomy and Esophagectomy for Proximal and Distal Gastric Cancer
Objectives: Minimally invasive surgery for gastric cancer remains controversial. The aim of this study is to compare short term and medium term outcomes and adequacy of tumour resection, in open versus laparoscopic gastric resections.Methods: Clinical data on all patients undergoing open (n = 15) or laparoscopic (n = 52) gastric resection by a single surgeon… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic tailored Nissen fundoplication
(Back ground) Laparoscopic Nissen fundoplication (LNF) is a choice of surgeries for the treatment of gastroesophageal reflux disease (GERD). To minimize post-surgical dysphagia and achieve a sufficient antireflux efffect, it is ideal that the gastric fundus is lifted straight up toward the cranial side without a twist. However, it is not always easy to determine… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Short-term Outcome with Acellular Dermal Matrix Reinforcement of Cruroplasty for Laparoscopic Large Hiatal Hernia Repair in a Community Hospital
Objective: To determine the efficacy of acellular dermal matrix reinforcement of cruroplasty for large hiatal hernia (HH) repairs. Method and Procedure: Prospective study over a 1 year period enrolling ten patients with symptomatic large HH. Patients were included in the study if the HH contained more than one-third of the stomach (Type III or IV).… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery