Gastric Electric Stimulation for Severe Gastroparesis
Objective: The purpose of this study is to investigate the effect of gastric electrical stimulation (GES) on solid phase gastric emptying, total symptom score (TSS), health-related quality of life (HRQOL), and patient satisfaction in patients with severe drug refractory gastroparesis. Design: Prospective single-center study Setting: Community hospital Patients: 40 consecutive patients presenting between 2002 and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Gastrointestinal Stenting As Bridge to Future Surgery
BACKGROUND: Gastrointestinal stenting is most often utilized for end-stage palliation for unresectable malignancy. We propose the concept of gastrointestinal (non-biliary) stenting as a bridge to surgery for benign conditions, as well as, neoadjuvant stenting for malignant diseases. METHOD: All stents were placed in the operating room under general anesthesia, with endoscopic and fluoroscopic techniques. All… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Influence of Age on Long-term Subjective and Objective Outcomes of Laparoscopic Nissen Fundoplication. Initial Experience From a Single Rural Institution
Background : Laparoscopic nissen fundoplication (LNF) is the gold standard for surgical treatment of gastroesophageal reflux disease (GERD) with majority of patients are younger adults. In recent era of aging population, many community surgeons are hesitant to perform this procedure in the elderly due to presumed higher morbidity and poorer surgical outcomes. Therefore this study… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Intra-operative Oesophageal Manometry As a Predictor of Post-operative Dysphagia
Intra-operative oesophageal manometry as a predictor of post-operative dysphagiaAuthors: Khan M, Elghellal K, Smythe A, Globe J, Ackroyd RInstitution:Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, U.K.AbstractBackground:Many trials have undertaken Intra-oesophageal manometry (IEM) as a measurement of adequacy of fundoplication. The aim of this pilot study was to assess the value of IEM in predicting… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Ischaemic Conditioning Influence Fate of the Gastric Conduit and Quality of Life Outcomes Following Minimally Invasive Oesophagectomy
INTRODUCTION Minimally Invasive Oesophagectomy (MIO) is now established as a valid alternative to open surgery for the management of oesophago-gastric cancers. However, a high incidence of ischaemia related gastric conduit failure (ICF) is observed which is detrimental to any potential benefits of this approach. METHODS AND PROCEDURES MIO has been the procedure of choice for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoendoscopic Single Site Heller Myotomy and Anterior Fundoplication
Laparoendoscopic Single Site (LESS) surgery continues the evolutionary arc from “open” to laparoscopic to “minimal scar” surgery, facilitating improved patient recovery and improved cosmesis. Promises of patient acceptance of LESS surgery are high and will drive investment of resources to promptly develop safe and effective LESS surgery procedures for clinical application. This video demonstrates LESS… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Collis-nissen Fundoplication in a Patient with Tracheoesophageal Fistula Repair with Recurrent Hiatal Hernia and Gastroesophageal Reflux
INTRODUCTION: A 6 year old with a history of a tracheosophageal fistula presents with a history problematic for recurrent hiatal hernias and severe gastroesophageal reflux. He underwent a laparoscopic Nissen fundoplication at 3 months of age. He had continued reflux and strictures and underwent a revision Nissen fundoplication with repair of a hiatal hernia at… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Expertise Increases Hospital Volume of Surgical Therapy for Achalasia
Laparoscopic Heller myotomy is the preferred approach for the treatment of achalasia. The purpose of our study was to evaluate the number of laparoscopic Heller myotomies performed before and after the implementation of a minimally invasive gastrointestinal surgical program (MIP) in 1998.A retrospective chart review was conducted on all patients who underwent laparoscopic Heller myotomy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Intragastric Resection of Gastric Mesenchymal Tumor Located Close to the Esophago-gastric Junction
Introduction: Local resection with adequate margins has been an effective treatment for a gastrointestinal mesenchymal tumor (GIMT). However, the treatment strategy for a GIMT that is located close to the esophago-gastric junction (EGJ) remains controversial. We evaluate the surgical techniques and clinical outcomes of laparoscopic intragastric resection (LIR) for GIMT located close to the esophago-gastric… 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
Laparoscopic Management of Achalasia: Medium-term Outcomes After Heller Myotomy and Fundoplication
INTRODUCTION– Achalasia is an uncommon disease of unknown origin. Management is challenging. Laparoscopic esophageal myotomy is the best treatment option, having variable results. We report the medium-term outcomes on 16 patients after Laparoscopic Heller myotomy and partial fundoplication.METHODS AND PROCEDURES– This is a descriptive, retrospective study evaluating the clinical outcomes of all patients undergoing laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Nissen Fundoplication with Highly Selective Vagotomy. A Pilot Approach for the Management of Gastroesophageal Reflux Disease.
Introduction: Laparoscopic Nissen fundoplication became the standard of care for the surgical treatment of gastroesophageal reflux disease. Its longevity has been under scrutiny lately as the wrap gets looser by time. The hypothesis of adding highly selective vagotomy (HSV), which will reduce gastric acid secretion by 60% and improve the transient lower esophageal relaxations, could… 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
Laparoscopic Surgery for Achalasia; A Comparison of Heller-toupet and Heller-dor Procedures
Aims; Our aim of this study is to compare the short-term outcome of laparoscopic Heller-Toupet and Heller-Dor procedures for patients with achalasia from the symptomatic and functional points of view. Patients and Methods; Fifty-two patients with achalasia who complained dysphagia were enrolled into this study. All patients had laparoscopic Heller myotomy. The patients were divided… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Surgery for Epiphrenic Diverticula: The Ideal Approach
Laparoscopy provides excellent exposure of the distal esophagus, thus is an ideal approach for most epiphrenic diverticula. This study reviews our outcomes to support this statement, which is the largest laparoscopic series to date.Methods: From 1997 to 2008, we operated on 23 patients for epiphrenic diverticula. Of these, 18 had laparoscopic diverticulectomy, myotomy, and fundoplication… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery