Concept of para-hiatal hernia and its management
Amol Wagh, MS1, Gagandeep Talwar1, Chintan Patel, MS2, Saurabh Gandhi, MS1, Jasmine Agarwal1, Dharmesh Dhanani, MS2. 1Grant Govt. Medical College & Sir JJ Group of Hospitals, India, 2Kiran Multi-Super Speciality, IndiaOBJECTIVE: Parahiatal Hernia is a rare type of diaphragmatic hernia with incidence of 0.2-0.35%. Para-hiatal hernias arises lateral to the left crural musculature adjacent to… Continue Reading
DE NOVO GASTROESOPHAGEAL REFLUX DISEASE AFTER SLEEVE GASTRECTOMY: ROLE OF PREOPERATIVE SILENT REFLUX
Yves Borbély, MD, Eva Moser, MD, Johannes Lenglinger, PhD, Gabriel Plitzko, MD, Dino Kröll, MD, Philipp Nett, MD. University Hospital Inselspital BernINTRODUCTION: Laparoscopic sleeve Gastrectomy (LSG) has become the most frequently performed bariatric procedure to date. However, LSG is known to worsen preoperative and result in de novo GERD. Preoperative evaluation reveals a high percentage… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Delayed Gastric Emptying in Median Arcuate Ligament Syndrome
Desmond T Huynh, MD, Mohan Mallipeddi, MD, Miguel Burch, MD, Edward Phillips, MD, Scott Cunneen, MD, Richard J Van Allan, MD, Daniel Shouhed, MD. Cedars-Sinai Medical CenterIntroduction: Median Arcuate Ligament Syndrome(MALS) has been described in the literature as presenting with a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. While many… Continue Reading
Early experience of solo single-incision distal gastrectomy : a review of consecutive 100 cases
So Hyun Kang, Dr, Jan Bueno, Dr, Sa-Hong Min, Dr, Yoontaek Lee, Dr, Ki Bum Park, Dr, Young Suk Park, Prof, Sang-Hoon Ahn, Prof, Do Joong Park, Prof, Hyung-Ho Kim, Prof. Seoul National University Bundang HospitalIntroduction: Cutting-edge technology in the field of minimal invasive surgery allows the application of single-incision laparoscopic surgery on gastric cancer.… Continue Reading
EFFECT OF PREOPERATIVE CLEARANCE RATE OF THE ESOPHAGUS FOR SURGICAL OUTCOMES IN PATIENTS WITH ESOPHAGEAL ACHALASIA
Kazuto Tsuboi, MD1, Nobuo Omura, MD2, Fumiaki Yano, MD3, Masato Hoshino, MD3, Se-Ryung Yamamoto3, Shunsuke Akimoto, MD3, Takahiro Masuda3, Hideyuki Kashiwagi, MD1, Norio Mitsumori, MD3, Katsuhiko Yanaga, MD3. 1Fuji City General Hospital, Shizuoka, Japan, 2Nishisaitama-Chuo National Hospital, Saitama, Japan, 3The Jikei University School of Medicine, Tokyo, JapanBackground: Esophageal achalasia is one of the primary esophageal… Continue Reading
Esophageal diverticulum after Incomplete POEM
Filippo Filicori, MD, Christy M Dunst, MD, Ahmed M Zihni, MD, Walaa F Abdelmoaty, MD, Steven R Demeester, MD, Lee L Swanstrom, MD. Portland Providence Medical CenterA 57 year old female presented 3 years after POEM with recurrent dysphagia and aspirations. Patient was found to have a large distal esophageal diverticulum. Manometry showed persistently high… Continue Reading
- Topic:
- Foregut
Esophago-gastrostomy reconstruction after laparoscopic proximal gastrectomy with special attention to postoperative motor function
Daisuke Ichikawa, MD, Yoshihiko Kawaguchi, MD, Hienori Akaike, MD, Yuki Nakata, MD, Mitsuaki Watanabe, MD, Naohiro Hosomura, MD, Hideya Amemiya, MD, Hiromitsu Kawaida, MD, Makoto Sudoh, MD, Hiroshi Kohno, MD. University of YamanashiINTRODUCTION: Recently, the frequency of early gastric cancer in the upper third of the stomach has especially increased. We report here our recent… Continue Reading
Evaluation of an Enhanced Recovery After Surgery (ERAS) program on post-operative length of stay following laparoscopic sleeve gastrectomy
Reid Fletcher, MD, MPH, Emily Ramirez, RN, Alfonso Torquati, MD, Philip Omotosho, MD. Rush University Medical CenterIntroduction: The objective of this study was to evaluate the impact of an Enhanced Recovery After Surgery (ERAS) program on post-operative length of stay following laparoscopic sleeve gastrectomy. ERAS programs have been demonstrated to improve outcomes and decrease length… Continue Reading
Exploring pyloric dynamics in stenting – Using a Distensibility Technique
Jorge Arroyo Vázquez1, Maria Bergström1, Steven Bligh2, Barry McMahon2, Per-Ola Park1. 1Dept. of Surgery, South Älvsborg Hospital, Borås, Sweden, 2Trinity Academic Gastroenterology Group, Trinity College & Tallaght Hospital, Dublin, IrlandIntroduction: Stent treatment in the gastrointestinal tract is emerging as a standard therapy for overcoming strictures and sealing perforations. We have started to treat patients with… Continue Reading
Factors That Predict Same-Day Discharge Following Laparoscopic Antireflux Surgery
Laura Leonard, MD1, Turner Osler, MD2, Conor O'Neill2, Edward Borrazzo, MD2. 1University of Colorado School of Medicine, 2University of Vermont Larner College of MedicineOBJECTIVE: This study aimed to identify factors predictive of successful day-case laparoscopic antireflux surgery (LARS) and to develop a model which would allow clinicians to preoperatively predict which patients could safely undergo… Continue Reading
Gastric Neurostimulator Placement with Hiatal Hernia Repair for Idiopathic Gastroparesis
Nirav K Desai, MD, Li Michael, MD, William Fuller, MD. Scripps HealthWe present a case of a 56 year old female with idiopathic gastroparesis refractory to medical therapy with simultaneous hiatal hernia. We elected to treat her with laparoscopic hiatal hernia repair, gastropexy and neurostimulator placement. In our video, we perform a repair and discuss… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Gastroparesis Following Laparoscopic Paraesophageal Hernia Repair
John M Glenn, DO, Edward Auyang, MD. University of New MexicoIntroduction: Little discussion of gastroparesis (GP) following laparoscopic paraesophageal hernia repair (LPHR) has been reported in the literature. We wished to examine the incidence in our institution, and identify potential risk factors for development of gastroparesis following LPHR. Methods and Procedures: A single institution retrospective… Continue Reading
Giant Paraesophageal Hernia Repair without Antireflux Procedure as management of GERD
Lauren McCormack, MD, Carl Westcott, MD. Wake ForestIntroduction: Fundoplication at the time of giant paraesophageal hernia repair is controversial. The proposed advantages are better reflux control and lower recurrence. Disadvantages include fundoplication specific complications, might be unnecessary and may not decrease recurrence. We retrospectively reviewed giant paraesophageal hernia repairs (PEH) with two point gastropexy in… Continue Reading
Healthcare utilization and costs associated with antireflux surgery.
Kyle L Kleppe, MD, Yiwei Xu, Xing Wang, Jeff Havlena, Luke M Funk, MD, MPH, Jake A Greenberg, MD, EdM, Anne O Lidor, MD, MPH. University of WisconsinBackground: While clinical outcomes have been reported for antireflux surgery, there is limited data on postoperative outpatient encounters and their associated costs. The aim of this study is… Continue Reading
HELP! I CANNOT CLOSE THE HIATUS
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Ahmed M Zihni, MD, MPH1, Filippo Filicori, MD1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Lee L Swanstrom, MD, FACS2, Steven R DeMeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicHiatal closure with too much tension during para-esophageal hernia repair is a… Continue Reading
- Topic:
- Foregut