Advancement in the Quality of Operative Documentation: A Meta-Analysis and Systematic Review of Synoptic Versus Narrative Operative Reporting
Shannon Stogryn, MBBS, Jennifer Metcalfe, MD, FRCSC, Krista Hardy, MD, FRCSC, FACS, Ahmed Abou-Setta, MD, PhD, Ashley Vergis, MD, FRCSC, FACS. University of ManitobaBackground: The operative report is a vital document for the surgical patient and central to quality assessment processes for surgical care. Despite this, data suggests that traditional narrative operative reports are often… Continue Reading
The impact of preoperative anemia and malnutrition on outcomes in paraesophageal hernia repair
Lindsey N Clark, MD, Melissa C Helm, BS, Jon C Gould, MD. Medical College of WisconsinIntroduction: Patients who undergo surgery to repair a paraesophageal hernia may suffer from primarily gastroesophageal reflux (GERD) symptoms, obstructive symptoms related to the paraesophageal hernia (early satiety, dysphagia, or postprandial epigastric pain), or both kinds of symptoms. Some patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
DEVELOPMENT OF A CONCEPTUAL FRAMEWORK OF RECOVERY AFTER ABDOMINAL SURGERY: PRELIMINARY RESULTS
Roshni Alam1, Joel Montanez2, Susan Law2, Lawrence Lee1, Nancy Mayo3, Liane Feldman1, Julio Fiore Jr1. 1Department of Surgery, McGill University, 2St Mary's Research Centre, 3School of Physical and Occupational Therapy, McGill UniversityINTRODUCTION: Patient-reported outcome measures (PROMs) are central to determining the value of interventions that aim to improve surgical recovery. However, the evidence underpinning the… Continue Reading
- Type:
- Podium Presentations
- 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
The feasibility of laparoscopic surgery for primary tumor resection in patients with metastatic colorectal cancer
Shingo Ito1, Kazuhiro Sakamoto1, Ryo Ohta2, Yuki Tsuchiya1, Hirokazu Matsuzawa1, Ryoichi Tsukamoto1, Shinya Munakata1, Masaya Kawai1, Koichiro Niwa1, Shun Ishiyama1, Kiichi Sugimoto1, Hirohiko Kamiyama1, Makoto Takahashi1, Yutaka Kojima1, Yuichi Tomiki1. 1Department of Coloproctological Surgery, Faculty of Medicine, Juntendo University, 2Department of Gastroenterological Surgery, Kawasaki Saiwai Hospital, Kanagawa, Japan.INTRODUCTION: Laparoscopic surgery has also developed as a… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Implementing anti-bleeding policy in laparoscopic sleeve gastrectomy
Gideon Sroka, MD, Daria Milevski, MD, Husam Mady, MD, Ibrahim Matter, MD. Bnai-Zion Medical CenterIntroduction: blood pressure control during stomach resection and suture reinforcement of the stapler line have been shown in a randomized trial to minimize hemorrhagic complications in laparoscopic sleeve gastrectomy (LSG). The purpose of this study is to evaluate patient outcome after… 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
BARIATRIC SURGERY WITH ZERO PERIOPERATIVE MORTALITY IN A TEACHING INSTITUTION
Piotr Gorecki, MD, James Nguyen, MD, Kabata Krystyna, PA, Michael E Zenilman, MD. New York Presbyterian Brooklyn Methodist HospitalINTRODUCTION: Laparoscopic bariatric surgery is well accepted for the treatment of morbid obesity. The purpose of this study was to evaluate its feasibility and provide an update on improved safety of bariatric procedures performed in a teaching… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Does Concomitant Placement of a Feeding Jejunostomy Tube During Esophagectomy Affect Quality Outcomes?
Landon Guntman, MD, Adil Ayub, MD, Sadiq Rehmani, MD, Faiz Bhora, MD, FACS, Wissam Raad, MD, FACS. Icahn School of Medicine at Mount SinaiBackground: Placement of a feeding jejunostomy tube (FJ) is often performed during esophagectomy. Few studies, however, have sought to determine whether concomitant placement affects postoperative outcomes of esophagectomy. Materials and methods: The… 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
Examining the role of Preoperative Ineffective Esophageal Motility in Laparoscopic Fundoplication Outcomes
Tyler Hall, Natalie Warnes, Kristine Kuchta, Herbert Hedberg, MD, John G Linn, MD, Stephen P Haggerty, MD, Woody Denham, MD, Michael Ujiki, MD. NorthShore University HealthSystemIntroduction: Patients suffering from gastroesophageal reflux disease (GERD) may elect to undergo antireflux surgery (ARS). Our aim was to compare postoperative quality of life outcomes between patients who did and… Continue Reading
- Type:
- Posters
- 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
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
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