Improving Excellence: Interventions to Improve Follow-up in a Bariatric Center of Excellence
Amy L Rosenbluth, MD1, Napoleon E Cieza, MD1, Koji Park, MD1, Ninan Koshy, MBBS1, E J Harvey, MD1, James McGinty, MD2, Subhash Kini, MD1. 1Mount Sinai St. Luke's/West, 2Englewood Hospital and Medical CenterINTRODUCTION: Current guidelines recommend a multidisciplinary bariatric follow-up program for a minimum of 2 years. This has, however, been a continuous challenge. Follow-up… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
INCREASED ADENOMA PER COLONOSCOPY (APC) RATE FOLLOWING COLONOSCOPY SKILLS IMPROVEMENT (CSI) PROGRAM
J. Brodie, B. Evans, M. Ge, M. Borgaonkar, D. Pace, M. Goldring, D. Boone, J. McGrath. Memorial University, Faculty of MedicineThe Canadian Association of Gastroenterology (CAG) CSI program was implemented across Canada as part of the Skills Enhancement for Endoscopy initiative, with a goal of improving colonoscopy quality. This study aims to assess impacts on… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
IT’S IN THE BAG; CAN STOMA OUTPUT PREDICT ACUTE KIDNEY INJURY IN NEW OSTOMATES?
Robert Fearn, MRCP, MSc, MBChB, Swathi Rajagopal, MBBS. Homerton University Hospital NHS Foundation TrustBackground: Colorectal surgery for benign and malignant conditions commonly results in the formation of an excretory stoma with population prevalence rates as high as 2-4 per thousand. Ostomates are prone to complications, including acute kidney injury (AKI) and hospital readmissions. We aimed… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
LAPAROSCOPIC AND OPEN DISTAL GASTRECTOMY FOR GASTRIC CANCER IN ELDERLY PATIENTS
M. Kasuya, S. Sakuramoto, K. Aratani, M. Chuman, Y. Miyawaki, H. Gunji, H. Sato, S. Yamaguchi, K. Okamoto, I. Koyama. Saitama Medical University International Medical CenterIntroduction: The aim of this study was to assess the safety and efficacy of laparoscopic and open distal gastrectomy (LDG and ODG) each other in elderly patients with gastric cancer… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Long-term results of laparoscopic splenectomy for immune thrombocytopenia
Kazuhiro Tada, Masayuki Ohta, Kunihiro Saga, Hiroomi Takayama, Teijiro Hirashita, Yuichi Endo, Hiroki Uchida, Yukio Iwashita, Masafumi Inomata. Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of MedicinePurpose: Laparoscopic splenectomy (LS) has been recognized as the standard therapy for patients with medically refractory immune thrombocytopenia (ITP). The short-term results after LS have been reported,… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
NEW PERSISTENT OPIOID USE AND OUTCOMES FOLLOWING BARIATRIC SURGERY
Margaret E Smith, MD, Aaron Bonham, MSc, Amir Ghaferi, MD, MS. University of MichiganINTRODUCTION: New persistent opioid use occurs in roughly 6% of patients following elective surgery. Given concerns for addiction transfer, bariatric patients may be at increased risk of developing persistent opioid use postoperatively. Previous work demonstrated as many as 8.8% of bariatric opioid… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Outcomes of laparoscopic antireflux surgery for gastroesophageal reflux disease: effectiveness and economic benefits
Kyung Won Seo, PhD. Kosin University College of MedicinePurpose: Laparoscopic antireflux surgery (ARS) is an alternative treatment option for gastroesophageal reflux disease (GERD) in the world. However, the effectiveness and economic feasibility of ARS versus medical treatment is unknown. This study was performed to evaluate the effectiveness and economic benefits of ARS. Methods: Nine patients… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Post Surgery debriefing – Impact on Safety Quality & Teaching
Doron Kopelman, MD1, Yael Kopelman, MD2. 1Emek Medical Center & The Technion - Israel Institute of technology, 2Hillel Yaffe Medical Center & the Technion- Israel Institute of TechnologyA novel post surgery debriefing process, in a general surgery department in a 550 bed public hospital in Israel, was developed and practiced during 24 months. The process relates… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
REDUCING THE USE OF CATHETERS, TUBES AND IMAGING AFTER HIATAL HERNIA SURGERY SIGNIFICANTLY REDUCES LENGTH OF HOSPITAL STAY
Sophia S Oswald, Candice L Wilshire, MD, Brian E Louie, MD, Ralph W Aye, MD, Alexander S Farivar, MD. Swedish Medical CenterINTRODUCTION: Historically, standard post-operative management of patients undergoing laparoscopic hiatal hernia surgery has been placement of a foley catheter and nasogastric tube (NGT) at the time of surgery with removal early on postoperative day… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
REGIONAL COST ANALYSIS FOR LAPAROSCOPIC CHOLECYSTECTOMY
Elizabeth M Pontarelli, MD, Gary G Grinberg, MD, Pandu R Yenumula, MD. Kaiser Permanente Northern CaliforniaIntroduction: Laparoscopic Cholecystectomy is the most common procedure performed by general surgeons in the United States, with approximately 600,000 procedures performed annually. As the cost of care rises, there is increasing emphasis on utilization and quality. Our objective was to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Review of an Emergency General Surgery Process Improvement Program at a Verified Military Trauma Center
Joseph Bozzay, MD, Matthew Bradley, MD, Angela Kindvall, BSN, Ashley Humphries, MD, Elliot Jessie, MD, MBA, Judy Logeman, MSN, Jeffrey Bailey, MD, Eric Elster, MD, Carlos Rodriguez, DO, MBA. Walter Reed National Military Medical CenterINTRODUCTION: Combat trauma volume brought to our American College of Surgeons’ level 2 verified trauma center has decreased substantially. As such,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Robotic surgery as part of oncologically adequate IPMN treatment: indications, short and long term results.
Federico Gheza, MD, Alberto Mangano, MD, Mario A Masrur, MD, Pier C Giulianotti, MD. UICIntroduction: to evaluate the role of robotic assisted surgery as part of an appropriate patient work-up and treatment of IPMN and its consistency in terms of perioperative and long term results. Few reports described singular minimally invasive procedures for IPMN. This… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Safety and utilization of robotic-assisted metabolic and bariatric surgery at MBSAQIP Centers.
Elan R Witkowski, MD, MS, Julietta H Chang, MD, Matthew M Hutter, MD, MPH. Mass General Hospital / Harvard Medical SchoolIntroduction: Minimally invasive techniques have greatly improved outcomes in bariatric surgery. Recently, robotic-assisted techniques have been increasingly adopted. Relatively little published data is available regarding the use, safety, and value of robotics in bariatric surgery… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Short-term outcome of serosal and muscular layers incision technique in laparoscopic surgery for gastric gastrointestinal stromal tumors
Yusuke Itai, Hajime Fujishima, Tsuyoshi Etoh, Yohei Kono, Tomonori Akagi, Kosuke Suzuki, Tomotaka Shibata, Yoshitake Ueda, Manabu Tojigamori, Hidefumi Shiroshita, Norio Shiraishi, Masafumi Inomata. Oita UniversityBackground: Laparoscopic surgery for gastric gastrointestinal stromal tumors (GISTs) has been widely adapted because of its less invasiveness. Excessive gastric resection may result in postoperative deformity of the stomach, with… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Short–term outcomes of laparoscopy assisted gastrectomy in elderly patients. -Is it really safe in elderly patients?-
Koetsu Inoue, MD, PhD1, Tatsuya Ueno, MD, PhD1, Kentaro Shima, MD, PhD1, Shinji Goto, MD, PhD1, Michinaga Takahashi, MD, PhD1, Takanori Morikawa, MD, PhD2, Takeshi Naitoh, MD, PhD2, Hiroo Naito, MD, PhD, FACS1. 1Departmnt of Surgery, South Miyagi Medical Center, 2Department of Surgery, Tohoku University Graduate School of MedicineBackground: As the population age becomes higher,… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality