Previous Hiatal Mesh Is Associated with Significant Morbidity After Laparoscopic Revisional Paraesphageal Hernia Repair (pehr)
Vladan N Obradovic, MD, Horatiu C Dancea, MD, Aamir Akmal, MD, Wai M Yeung, MD, Mohanbabu Alaparthi, MD, Jon D Gabrielsen, MD, Anthony T Petrick, MD. Geisinger Medical Center - Danville, PA Introduction: Recent studies have suggested increased morbidity associated with revisional foregut surgery utilizing mesh reinforcement. Optimizing the outcome of revisional PEHR remains a… Continue Reading
Prevalence of Autoimmune Disease in Patients with Esophageal Achalasia
Jason D Booy, BSc, Julie Takata, George Tomlinson, David R Urbach, MD MSc. Division of General Surgery, University Health Network; and Departments of Surgery and Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada BackgroundAchalasia is a rare disease of the esophagus that has an unknown etiology. Genetic, infectious, and autoimmune mechanisms have… Continue Reading
Are Patients That Undergo Bariatric Surgery At a Greater Risk for Gastro-Jejunal Anastomotic Complication Compared to Those Undergoing Non-Bariatric Foregut Surgery?
I. Michael Leitman, MD, Andrew D Yu, BA, Martin S Karpeh, MD, Mason W Mandy, MD, Christopher Roker, MBA. Albert Einstein College of Medicine, Beth Israel Medical Center Background: Gastrojejunal leak is a dreaded complication following foregut surgery. The present study evaluates the incidence and risk factors for the development of anastomotic complications for bariatric… Continue Reading
A Comparison of Laparoscopic Transhiatal Esophagectomy Without Thoracoscopic Port Versus Open Transhiatal Esophagectomy
Subhasis Misra, MD, Alexander Fort, BA, Nestor De La Curz, MD, Alan Livingstone, MD. University of Miami Background: Open Ivor-Lewis esophagectomy and open Transhiatal esophagectomy (THE) is known to be associated with significant morbidity and mortality. Few studies have been published comparing an open transhiatal approach and a laparoscopic transhiatal approach without a thoracoscopic port.… Continue Reading
Single Port Laparoscopic Fundoplication: Initial Clinical Experience
Yasuhiro Miyazaki, MD, Kiyokazu Nakajima, MD, Makoto Yamasaki, MD, Hiroshi Miyata, MD, Shuji Takiguchi, MD, Yukinori Kurokawa, MD, Yoshiyuki Fujiwara, MD, Masaki Mori, MD, Yuichiro Doki, MD. Osaka university graduate school of medicine Introduction: Laparoscopic fundoplication (LF) has been generally performed using 4- or 5- port technique. LF is considered to be potentially suitable for… Continue Reading
Initial Experience with Minimally Invasive Esophagectomy and Gastric Sleeve for the Management of Esophageal Cancer in a Level IV Clinic in Colombia
Jorge Alberto Bernal Mesa, Md, Evelyn Astrid Dorado Alban, Md. Americas Clinic Ces University INTRODUCTION: Esophageal cancer is a rare disease with aggressive behavior and high mortality to 5 years. The prognosis depends on clinical status at the time of diagnosis and 70 to 80% have nodal commitment and survival to a pathological condition after… Continue Reading
Modified Laparoendoscopic Gastrostomy Tube (legt) Placement in Infants and Children: Outcomes of Our All in One Technique
Ashwin Pimpalwar, MD, Saif Hassan, MD. Michael E DeBakey department of surgery, division of Pediatric surgery, Baylor college of medicine, Texas Children's Hospital, Houston, Texas. Our modified LEGT technique has the cumulative advantage of all the other described techniques but does not share any of their complications. We report early results of our modified LEGT… Continue Reading
A Complication of Biologic Mesh Following Nissen Fundoplication
Edward L Felix, MD, Daniel E Swartz, MD. Advanced Bariatric Centers of California The role of synthetic or biologic mesh to reinforce or close the hiatus during Nissen fundoplication has become controversial. A randomized study has shown it to be beneficial for para-esophageal hernia repair, but at what risk. Some have suggested that the potential… Continue Reading
- Topic:
- Foregut
Case Series of Prophylactic Laparoscopic Total Gastrectomy for Hereditary Diffuse Gastric Cancer with Cadherin Gene Mutation
Manish Khare, MD, Donald W Weaver, MD, Jennifer L Hart, PAC. Department of Surgery, Wayne State University School of Medicine, Detroit, MI, 48201, USA Introduction: Hereditary diffuse gastric cancer (HDGC) is a rare autosomal dominant cancer susceptibility syndrome caused by germline mutation of E-cadherin (CDH1) gene. Mutation carriers have a more than 70% lifetime risk… Continue Reading
The Laparoscopic Approach for the Removal of Large and Sharp Ingested Gastric Foreign Bodies – A Case Series
Carmen L Mueller, MD BScH, Timothy D Jackson, BSc MD MPH FRCSC, Todd P Penner, MD FRCSC, Allan E Okrainec, MDCM MHPE FACS FRCSC. Toronto Western Hospital, Toronto, Ontario, Canada INTRODUCTION:Ingested gastric foreign bodies rarely require surgical retrieval as >99% are successfully removed endoscopically. However, of those that do require surgical intervention, the vast majority… Continue Reading
Laparoscopic Treatment of Subepithelial Gastric Lesions in an Enhanced Recovery Programme: A Prospective Study
Carmen L Mueller, MD BScH, Teodor P Grantcharov, MD PhD FRCSC FACS. St. Michael's Hospital, Toronto, Ontario, Canada INTRODUCTION:Gastric subepithelial lesions are frequent incidental findings on upper endoscopy, and potentially-malignant lesions warrant surgical resection. The laparoscopic approach to many surgical procedures is associated with less pain and organ dysfunction than open surgery. Similarly, enhanced peri-operative… Continue Reading
Laparoscopic Resection of a Perforated Duodenal Diverticulum
Abdelrahman A Nimeri, MD FACS, Mohammed B Al Haddad, MD. SKMC/Cleveland Clinic Abu Dhabi. Surgery Institute, Division of General, Thoracic, and Vascular Surgery Introduction:Duodenal diverticula (DD) are fairly common anatomical entities present in 22 – 23 % of autopsy series. Diverticula of the duodenum & small intestine rarely cause clinical problems. Symptomatic DD present with… Continue Reading
- Topic:
- Foregut
Laparoscopic Esophago-Gastrostomy for End-Stage Achalasia
Peter G Devitt, Dr, Sarah K Thompson, Dr, Glyn G Jamieson, Dr. University of Adelaide The standard of care for achalasia of the cardia is laparoscopic cardiomyotomy. This procedure achieves satisfactory and long-standing results in over 85% of patients. For those who have a less-than-satisfactory result from cardiomyotomy or who present with more advanced disease,… Continue Reading
- Topic:
- Foregut
Laparoscopic Surgery for Gastric Volvulus
Nobuyasu Kano, MD PhD FACS, Masaru Abe, MD, Takeshi Shimizu, MD, Hiroshi Kusanagi, MD PhD, Akihiko Takeshi, MD PhD, Makio Mike, MD PhD, Shigetoshi Yamada, MD, Yu Watarai, MD PhD, Akira Tsunoda, MD PhD, Motoji Fukazawa, MD, Noritsugu Naito, MD, Ken . Kameda Medical Center A technique for laparoscopic fixation of the stomach to the… Continue Reading
Laparoscopic Total Gastrectomy for Gastric Cancer Patients
TATSUSHI SUWA, MD PhD, KAZUHIRO KARIKOME, MD, NAOKI ASAKAGE, MD PhD, EISHI TOTSUKA, MD PhD, NAOKAZU NAKAMURA, MD PhD, KEIGO OKADA, MD, TOMONORI MATSUMURA, MD. Kashiwa Kousei General Hospital INTRODUCTION Laparoscopic total gastrectomy (LTG) has not become as popular as laparoscopic distal gastrectomy because of the more difficult reconstruction technique. To reduce the technical difficulties,… Continue Reading