Laparoscopic Pyloroplasty Versus Endoscopic Per-Oral Pyloromyotomy for the Treatment of Gastroparesis
Joshua P Landreneau, MD1, Andrew T Strong, MD1, Kevin M El-Hayek, MD1, Matthew D Kroh, MD2, Jeffrey L Ponsky, MD1, John H Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Gastroparesis is a debilitating functional disorder of the stomach characterized by delayed gastric emptying absent an obstructive etiology. Surgical or endoscopic disruption of the pylorus… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Near-Total Gastrectomy for Refractory Gastroparesis: A Viable Means of Palliating a Debilitating Disease
Ashwin A Kurian, MD, Carolyn Dougherty. Denver Esophageal and Stomach Center Symptom Pre-op Score Post-op Score p value GCSI-2W 3.82 2.66 <0.0001 Nausea 5 3 <0.001 Vomitting 3 2 0.021 Fullness 5 3 0.00008 Early Satiety 5 4 0.001 Bloating 4 2 0.005 Abdominal Pain 4 3 0.04 Introduction: Gastroparesis is a chronic illness presenting… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
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
Minimal vs. Obligatory Dissection of the Diaphragmatic Hiatus During Magnetic Sphincter Augmentation Surgery: An Intention to Treat Analysis
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameron Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Implantation of the magnetic sphincter augmentation device early after its introduction was accomplished with minimal hiatal dissection (MHD) at the diaphragmatic hiatus,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
PNEUMATIC BALLOON DILATION FOR PALLIATION OF RECURRENT SYMPTOMS OF ACHALASIA AFTER ESOPHAGOMYOTOMY
Riley D Stewart, MD, MSc, FRCSC, Jeff Hawel, MD, FRCSC, Daniel French, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General and Thoracic SurgeryIntroduction: Achalasia is a chronic and progressive disease affecting the myenteric plexus of the esophagus and lower esophageal sphincter. Treatment is aimed at palliating symptoms to improve quality… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
The clinicopathologic features and optimal surgical treatment of duodenal gastrointestinal tumor
Seung Jae Lee, Sarang Hong, MD. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical CenterBackground: Because of unclear clinicopathologic features, the optimal surgical procedure for duodenal gastrointestinal stromal tumor (GIST) remains poorly defined. We aimed to analyze clinicopathological features and recommend optimal surgical treatment of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Regression of Intestinal Metaplasia After Magnetic Sphincter Augmentation
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameran Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Intestinal metaplasia (IM) is a known precursor to both dysplastic tissue changes and to carcinoma of the distal esophagus. We hypothesize that… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
ROUTINE ESOPHAGEAL MANOMETRY IS NOT USEFUL IN PATIENTS WITH NORMAL VIDEOESOPHAGRAM
Evan T Alicuben, MD, Nikolai Bildzukewicz, MD, Kamran Samakar, MD, Namir Katkhouda, MD, Adrian Dobrowolsky, MD, Kulmeet Sandhu, MD, John C Lipham, MD. University of Southern CaliforniaIntroduction: Videoesophagram (VEG) and esophageal manometry (EM) are components of the preoperative evaluation for foregut surgery. EM is able to identify significant motility disorders and diminished contractility that may… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Removing the Magnetic Sphincter Augmentation Device: Patient Characteristics, Immediate Management and Outcomes.
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kameran Samakar, MD, Kulmeet Sandhu, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Recurrent or persistent symptoms of reflux, dysphagia or device erosion can require removal of the magnetic sphincter augmentation (MSA) device. We describe… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic lateral pelvic lymph node dissection for rectal cancer
Thinh H Nguyen, MD, PhD, Bac H Nguyen, MD, PhD, Prof, Huy D Tran, MD, Duc M La, MD, Kien T Le, MD. University Medical Center, Ho Chi Minh CityIntroduction: Pelvic lympho node metastasis may reach to 15% in stage II-III rectal cancer.In Japan, lateral pelvic lympho node dissection (LPLD) ( have been performed for… Continue Reading
- Topic:
- Foregut
Anti-Reflux Surgery: Causes of Failure and Approaches to Redo Laparoscopic Repair
Hope T Jackson, MD, Robert B Yates, MD, Brant K Oelschlager, MD. University of WashingtonAnti-reflux surgery fails because of anatomic problems with the fundoplication or hiatus. These problems include an incorrectly constructed fundoplication, slipped fundoplication, weakened anti-reflux valve and recurrent hiatal hernia. Patient symptoms are typically unable to be controlled with medications and often surgical… Continue Reading
- Topic:
- Foregut
RECURRENT ACHALASIA AFTER MYOTOMY: DIAGNOSIS, WORKUP, AND TECHNIQUE
Rebecca G Lopez, MD, Dustin R Cummings, MD, H. Alejandro Rodriguez, MD, Saurabh Khandelwal, MD, Judy M Chen, MD, Andrew S Wright, Brant K Oelschlager, MD. University of WashingtonThis video demonstrates a case of recurrent achalasia, a discussion of its workup, technical approach and considerations, and a general algorithm for workup and treatment of recurrent… Continue Reading
- Topic:
- Foregut
Median Arcuate Ligament Syndrome: A Single Institution Experience of 60 Patients
Clint S Schoolfield, Jr., MD, Robert A Grossman, MD, Fred J Brody, MD, MBA. George Washington University MFAMedian arcuate ligament syndrome is a rare disorder that typically presents with post-prandial pain, nausea, emesis and weight loss. The etiology of the symptoms is uncertain and it has been proposed that celiac artery compression serves as a… Continue Reading
- Topic:
- Foregut
Laparoscopic Removal of a Linx Device, Nissen Fundoplication and Heineke-Mikulicz Pyloroplasty
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Kandace Kichler, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD, PhD. Cleveland Clinic FloridaThis is the case of a 64 year old female who underwent laparoscopic LINX device placement at an outside facility for Gastroesophageal Reflux Disease (GERD) with esophagitis approximately eight months prior to… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC EPIPHRENIC DIVERTICULECTOMY WITH ROBOTIC MYOTOMY AND DOR FUNDOPLICATION
David A Bernstein, MD, John C Delong, MD, Jenny Lam, MD, Thach Pham, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UCSDThis is a video abstract submission in which we describe our technique in the management of large epiphrenic diverticulum and the utilization of… Continue Reading
- Topic:
- Foregut