High-resolution Manometry Findings in Symptomatic Post-nissen Fundoplication Patients with Normal Endoscopic Configuration
Se Ryung Yamamoto, Tommy H Lee, Kalyana C Nandipati, Pradeep Pallati, Kush R Lohani, Sumeet K Mittal. Department of Surgery, Creighton University School of Medicine, Omaha, Nebraska. Aim: The aim of this study was to investigate high-resolution manometry findings in symptomatic post-fundoplication patients with normal endoscopic configuration. Methods: A retrospective review of a prospectively maintained… Continue Reading
- Posters of Distinction
High Resolution Manometry Sub-Classification of Achalasia: Does it really matter?
Christina L Greene, MD, Erica J Chang, BA, Stephanie G Worrell, MD, Steven R DeMeester, MD, Daniel S Oh, MD, Jeffrey A Hagen, MD. Keck School of Medicine of the University of Southern California. BACKGROUND: Three variants of achalasia have been described using high resolution esophageal manometry (HRM). While manometrically distinct their clinical significance has… Continue Reading
Iatrogenic gastrobronchial fistula following a thoracic spine neurosurgical procedure: report of a case.
Jeffrey J Skubic, DO, Nathaniel Eastman, MD, Jacob Wiesen, MD, Sarah Ogle, DO, Frank Sacco, MD. Banner Good Samaritan Regional Medical Center, Phoenix, AZ; Alaska native medical center, Anchorage, AK. Gastrobronchial fistula(GBF) is a known rare complication. Most recent reports are associated with bariatric surgery as these procedures typically involve working with the stomach and… Continue Reading
Impact of obesity on the morbidity of laparoscopic paraesophageal hernia repair: Analysis using the NSQIP Database
Radu Pescarus, MD, Maria A Cassera, BS, Eran Shlomovitz, MD, Ahmed Sharata, MD, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Providence Cancer Center, Portland; The Oregon Clinic, Portland, Oregon. INTRODUCTION The impact of obesity on outcomes after antireflux surgery is controversial. It is recognized, however, that obesity increases the risk… Continue Reading
Improvement in Mental Health and Social Functioning After Laparoscopic Heller Myotomy for Achalasia
Steven Lorch, MD, Vic Velanovich, MD. University of South Florida College of Medicine. Introduction- Achalasia is a benign but debilitating primary esophageal motility disorder which may have a significant detriment on patients’ mental health and social functioning. The gold standard for treatment is Heller myotomy with partial fundoplication. Treatment is aimed at palliation of symptoms… Continue Reading
Increased Incidence of Diaphragmatic Herniation after Minimally Invasive Esophagectomy – initial experience in a UK Specialist Unit
David E Messenger, MD, FRCS, Simon M Higgs, MD, FRCS, David F Hewin, MD, FRCS, Vipond N Mark, MD, FRCS, Hugh Barr, MD, FRCS, Simon J Dwerryhouse, MD, FRCS, Martin S Wadley, MD, FRCS. Worcestershire Royal Hospital, Worcester and Gloucestershire Royal Hospital, Gloucester, UK. INTRODUCTION The uptake of minimally invasive esophagectomy (MIE) in the UK… Continue Reading
- Podium Presentations
Laparoscopic antireflux procedures with hepatic shoulder technique for the surgical management of large paraesophageal hernias and gastroesophageal reflux disease: Follow-up series.
Philippe J Quilici, MD, Alexander S Tovar, MD, Miranda Boeh, RNNP, Kim Lewan, RNNP. Department of Surgery, Providence Saint Joseph Medical Center, 201 South Buena Vista Street, Suite 425, Burbank, CA 91505, USA.. BACKGROUND: Large paraesophageal hernias are notoriously difficult to manage via laparoscopy and are associated with a significant recurrence rate. A follow-up series… Continue Reading
Laparoscopic Distal Gastrectomy With Billroth I Reconstruction
John H Rodriguez, MD, Kevin M El-Hayek, MD, Andrea Zelisko, MD, Matthew Kroh, MD. Cleveland Clinic Foundation. Introduction Peptic ulcer disease requiring surgical intervention has become a rarity in the era of proton pump inhibitors. Methods We present the case of a 71 year old female who was referred to our institution for evaluation of… Continue Reading
Laparoscopic enucleation of near circumferential GE junction leiomyoma
Yurena Caballero, MD, Ruchir Puri, MBBS, Steven P Bowers, MD. Mayo Clinic Florida, Hospital Universitario Insular de Gran Canaria. Enucleation of benign leiomyoma of the esophagus is the accepted method of resection, but may be challenging where involvement of the lower esophageal sphincter is extensive. We present a successful minimally invasive operation for resection of a near… Continue Reading
Laparoscopic Eschar Myotomy for Esophageal Stricture Following a TIF (Transoral Incisionless Fundoplication) Microperforation
Ruchir Puri, MD, Steven P Bowers, MD. Mayo Clinic, Florida. The video submission is a case presentation of a 66 Y male who underwent a TIF (transoral incisionless fundoplication) complicated by mediastinitis. He developed severe, refractory dysphagia. He was found to have extensive fibrosis and thickening of the esophageal wall with extrinsic compression of the… Continue Reading
Laparoscopic Gastrectomy Versus Open Gastrectomy for Gastric Cancer in Patients with Body Mass Index of 30 kg/m2 or more.
Do Joong Park, MD, PhD, Sang-Yong Son, MD, Chang Min Lee, MD, Do-Hyun Jung, MD, Sang-Hoon Ahn, MD, Hyung-Ho Kim, MD, PhD. Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. Background: High body mass index (BMI) and high visceral fat area (VFA) are known to be a preoperative risk factor for laparoscopic gastrectomy… Continue Reading
- Podium Presentations
Laparoscopic gastric diverticulum resection: a novel approach
John M Shellenberger, MD, Arthur Rawlings, MD, MDiv, Wayne Hudec, MD, Jason Mizell, MD. University of Missouri - Columbia. Introduction: Gastric diverticuli are infrequent, and rarely symptomatic. Those causing symptoms are most often treated medically. Surgical treatment has been described, including laparoscopic methods. We present a novel laparoscopic method to resect a symptomatic posterior gastric… Continue Reading
Laparoscopic Heller Myotomy: Lessons Learned. The Baylor Experience 1997 – 2012
Anuj Mahajan, MD, Matthew Westmoreland, MD, David Arnold, MD, David Vanderpool, MD. Baylor University Medical Center, Division Minimally Invasive Surgery. Background: Laparoscopic Heller myotomy has become the surgical procedure of choice for the treatment of esophageal achalasia. A certain percentage of patients will develop recurrent symptoms and require further surgical treatment. The purpose of this… Continue Reading
Laparoscopic Management of Hiatal Hernias in Difficult Cases
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Hiatal hernia is a common disorder, characterized by a protrusion of any abdominal structure other than the esophagus into the thoracic cavity through a widening of the hiatus of the diaphragm. Reduction of the… Continue Reading
Laparoscopic Nissen Fundoplication after Transoral Incisionless Fundoplication (TIF)
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Transoral incisionless fundoplication deploys polypropylene fasteners to coapt gastric fundus to lower esophagus, radially, creating a partial esophagogastric fundoplication. The Long-term outcomes of TIF are unknown, which makes patient decision and counseling difficult.The difficulty… Continue Reading