Physiology: The Key to Validating Management Techniques in Gord.
IntroductionMost studies validate treatment of gastro-oesophageal reflux disease (GORD) using improvement in symptoms alone. Symptoms are difficult to interpret due to the placebo effect of any intervention. We present data comparing pre and post operative physiology in our series of laparoscopic Nissen’s Fundoplication and compare this to a review of the current literature using meta-analytical… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transluminal Excision of Gastroesophageal Junction Gist Tumors
Introduction: Laparoscopic excision of GIST tumors is safe and oncologically effective. GIST tumors at the gastroesophageal junction (GEJ) introduce special difficulties due to the complex accessibility of the proximal stomach by laparoscopy and concerns of narrowing the GEJ, while ensuring an oncologic resection. Herein, we examine the feasibility of laparoscopic transluminal excision (LTE) of GEJ… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Strategy for Gastric Submucosal Tumors.
Introduction:Surgical treatment is the best mean for curative therapy of gastric submocosal tumor (SMT) including GIST, however, the preferred operative approaches are still not well established. We would like to present our successful results of laparoscopic procedures according to the location and malignant potential of gastric SMT.Operative Techniques:Operative approach should be decided by the tumor… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lymph Node Dissection in Open Versus Laparoscopic Gastrectomy for Gastric Cancer
Background: The development of laparoscopic surgery has been allowed its incorporation in the surgical treatment of gastric cancer. The number of lymph node dissected is one of the tools used to evaluate the quality of lymph node dissection in gastric cancer. The aim of this study was to compare the quality of lymph node dissection… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of a Dislodged Peg Tube
Percutaneous endoscopic gastrostomy (PEG) tubes have revolutionized patient care. The procedure has relatively few complications and can provide an incredible benefit for patients. However, complications may arise and cause severe morbidity and sometimes mortality. We present a case of a 39 year old male who came to our institute after suffering severe head trauma from… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
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
Peritoneal Cytology in Upper Gi Cancers- Dilemma Continues
BackgroundTimely and accurate staging of oesophago-gastric cancer can prevent unnecessary surgical intervention and associated patient morbidity. Role of peritoneal cytology in staging of theses cancers is not well established. We conducted a survey among Upper GI surgeons to get their views regarding the role of peritoneal cytology in upper GI cancers. MethodsA questionnaire was designed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparative Analysis of Effectiveness of Endoscopic Surgical Techniques in the Management of Oesophageal Cancer
Background: Open transthoracic oesophogectomy is a major procedure which is associated with significant morbidity and mortality. Recently thoracoscopic procedures have offered a potentially advantageous alternative because of less operative trauma compared with thoracotomy. The aim of this study was to compare outcomes of open oesophagectomy(OE) with the best available minimally invasive technique, total minimally invasive… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Updated Experience with Minimally Invasive Esophagectomy At an Academic Institution: Comparison Between Open and Laparoscopic Transhiatal Approaches
Objective: Minimally invasive esophagectomy (MIE) is increasingly being incorporated into armamentarium of different techniques for esophagectomy. We report our initial experience with MIE and compare the outcomes to patients who underwent traditional TH approach. Method: A retrospective review was conducted of 14 patients who underwent MIE at a single academic institution from January 2008 to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Impact of Gastric Tip Necrosis on Clinical Outcomes Following Esophagectomy.
IntroductionAnastomotic complications are frequently encountered in the setting of esophagectomy, with leak rates ranging from 10-20%. Complete necrosis of the gastric tip is a rare complication that can be associated with significant morbidity and impairment of quality of life. In the current study, we evaluated the perioperative outcomes of patients who developed gastric tip necrosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Old Age Does Not Affect Outcomes of Laparoscopic Esophagomyotomy and Dor Fundoplication for Achalasia
Introduction: The effectiveness of esophagomyotomy for improving swallowing in elderly patients with achalasia compared with younger ones has been questioned. This study was designed to provide an answer. Methods: 139 consecutive patients with esophageal achalasia who underwent laparoscopic esophagomyotomy and Dor fundoplication and who were available for telephone interview were divided into two groups by… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Cancer Staging Practices Among Surgeons in Uk
BackgroundStaging of gastro-oesophageal cancer is crucial not only in deciding upon the management options but it can also decrease the number of non-curative laparotomies. Therefore it has been an area of much research and controversy. The current practices for gasto-oesophageal cancer staging prevalent among upper GI surgeons in United Kingdom were sought. MethodsWe conducted a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Ivor Lewis Esophagogastrectomy for Esophageal Cancer
Objectives: Ivor Lewis esophagogastrectomy is a well established oncologic procedure for cancers at or near the gastro-esophageal junction. However, this procedure is associated with significant morbidity related to the thoracotomy, especially following induction chemo/radiation therapy. A thoracoscopic approach may obviate this problem. Currently, thoracoscopic approaches are limited by 2-D visualization and lack of instrument maneuverability.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Use of Laparoscopic Intra-corporeal Suturing in Esophagojejonostomy for Re-establishing Gastrointestinal Continuity After Gastrectomy: Report of Two Consecutive Cases
Acute gastric volvulus secondary to paraesophageal hiatal hernia can be a life-threatening condition, causing gastric necrosis, perforation and sepsis. Emergency surgery with total or partial proximal gastrectomy, obligates the patient to a second challenging procedure to re-establish gastrointestinal continuity. Laparoscopic esophagojejunostomy is a technically demanding procedure; this is especially true when the procedure is the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Achalasia Complicated By Epiphrenic Diverticulum Is Well Treated By Laparoscopic Diverticulectomy, Heller Myotomy, and Anterior Fundoplication
Introduction: An epiphrenic esophageal diverticulum is a consequence of severe long-standing achalasia and can further exacerbate the symptoms of achalasia. This study was undertaken to determine the operative complications and long-term outcomes after laparoscopic diverticulectomy, Heller myotomy, and anterior fundoplication for achalasia complicated by epiphrenic diverticulum. Methods: Of 440 laparoscopic Heller myotomies, 25 patients have… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery