Surgeon Management of PPIs Post Heller Myotomy
Andrew W White, MD, Taylor Wearda, Carl Westcott, MD. Wake Forest Baptist HospitalIntroduction: Most patients who present for achalasia surgery are already on PPI therapy. Achalasia surgery can cause reflux and the immediate cessation of PPIs can cause rebound hyperacidity. GI and family physicians often do not understand these nuisances as they relate to post-operative PPI… Continue Reading
LONG-TERM DYSPHAGIA RESOLUTION FOLLOWING POEM VERSUS LHM IN PATIENTS WITH ACHALASIA
Grace E Shea, BA, Kevin D Davies, MS, Manasa Venkatesh, MA, MS, Sally Jolles, MA, Tyler M Prout, MD, Amber Shada, MD, Jacob A Greenberg, MD, EdM, Anne O Lidor, MD, MPH, Luke M Funk, MD, MPH. University of Wisconsin Hospital and Clinics, Madison, WIIntroduction: The objective of this study was to evaluate patient-reported outcomes… Continue Reading
Is Barium Esophagram Enough to Guide Operative Technique for GERD Patients? Comparison of Esophageal Motility found on Barium Esophagram to High Resolution Manometry
Robert Roether, Amy Banks-Venegoni, MD, Brittany Kern, MD, David Scheeres, MD. Spectrum Health/Michigan State UniversityBackground: Practice patterns amongst surgeons in the preoperative evaluation of Gastro-Esophageal Reflux Disease (GERD) and the type of anti-reflux fundoplication procedures performed vary widely. The Esophageal Diagnostic Advisory Panel recommends tailoring the type of anti-reflux fundoplication based on findings of the… Continue Reading
THE TIP OF THE ICEBERG: AN UNUSUAL CASE OF DIAPHRAGMATIC HERNIA PRESENTING AS A BREAST ABSCESS
Victoria Needham, MD, Alexandra Argiroff, MD, Diego Camacho, MD. Montefiore Medical CenterINTRODUCTION: While many diaphragmatic hernias (congenital or acquired) are asymptomatic, they may also present with subacute symptoms such as pain or dypsnea, or as a surgical emergency via organ strangulation. This case scenario illustrates an atypical presentation of a perforated viscus within the hernia… Continue Reading
INTRAGASTRIC LAPAROSCOPIC RESECTION OF 8 CM SUBMUCOSAL GASTRIC MASS TO PRESERVE TOTAL GASTRIC VOLUME AND AVOID PARTIAL GASTRECTOMY
Ryan Fairley, DO1, Danial Cottam, MD2, Helmuth T Billy, MD1. 1Community Memorial Hospital, Ventura California, 2Bariatric Medical Institute, Salt Lake City, UtahLarge submucosal intragastric neoplasms can be difficult to resect endoscopically. Laparoscopic resection of gastric neoplasms often require partial gastrectomy with complex reconstruction. Complications including gastric paresis, gastric and bile reflux are often consequences of… Continue Reading
Totally Laparoscopic Distal Esophagectomy with No Cervical or Thoracic access: A case series
Erik A Green, MD, MPH, Kais Rona, MD, Christopher Ducoin, MD, MPH. Tulane UniversityBackground: Esophagectomy remains a mainstay of treatment for esophageal malignancies as well as for refractory benign disease. Advances in laparoscopic and thoracosopic surgery have helped promote a variety of minimally invasive esophageal resection procedures. All of these, however, require a thoracic and/or neck… Continue Reading
Endoscopic and Fluoroscopy Guided EndoVive® Gastrojejunostomy Tube Placement for Patients with Esophageal Perforations
Jaideep Das Gupta, MD, James Verlanic, MD, Nida Bham, MD, Adam Delu, MD, Neelakantan Prakash, MD, Jess Schwartz, MD. University of New MexicoBackground: Esophageal perforation carries a high morbidity and mortality rate if not treated appropriately and aggressively. The treatment for esophageal perforation includes medical management, endotherapy or surgery. Yet, for all options, feeding access… Continue Reading
The value of a negative preop Restech test for postop results – Gastrointestinal function testing using the new minimally invasive laryngopharyngeal PH probe
Dolores T Mueller, Laura Knepper, Florian Gebauer, Wolfgang Schröder, Christiane J Bruns, Jessica M Leers, Hans F Fuchs. University of Cologne, Department of SurgeryIntroduction: Laryngopharyngeal pH-monitoring (Restech) is a relatively new reflux testing device that needs more validation. It was developed to detect both liquid and acidic gas vapor, and the pharyngeal probe placement may… Continue Reading
A novel technique of single-port thoracic-assisted totally laparoscopic esophagogastrectomy for Siewert type 2 adenocarcinoma of esophagogastric junction
Wei Wang, Wenjun Xiong, Jin Wan, Xiaofeng Zhu. Guangdong Provincial Hospital of Chinese MedicineBackground: The incidence of Siewert type ? adenocarcinoma of esophagogastric junction (AEG) is increasing, especially in Asia, but laparoscopic surgery for type 2 AEG is not widely accepted due to the technical challenges and unknown prognosis. To address this problem, we developed… Continue Reading
Laryngopharyngeal pH Monitoring (Restech) may predict a successful surgical outcome for regurgitation and oropharyngeal symptoms after laparoscopic antireflux surgery
Dolores T Mueller, Laura Knepper, Wolfgang Schröder, Florian Gebauer, Christiane J Bruns, Jessica M Leers, Hans F Fuchs. University of Cologne, Department of SurgeryIntroduction: Laryngopharyngeal pH-monitoring (Restech) is a relatively new reflux testing device that needs more validation. It was developed to detect both liquid and acidic gas vapor, and the more consistent pharyngeal placement… Continue Reading
The Registry of Anti-Reflux Surgery (ROARS) Results Of 1173 Patients At 1 Year
Elisa Furay, MD1, SD Doggett, PA1, K Freeman, NP2, Francis P Buckley, MD1, R Bell, MD2. 1Dell Medical School at The University of Texas at Austin l, 2Institute for Esophageal and Reflux SurgeryObjective: Prospectively collected data from the Registry of Anti-Reflux Surgery (ROARS) were used to evaluate patient reported outcomes after laparoscopic magnetic sphincter augmentation… Continue Reading
GASTRECTOMY FOR GASTROINTESTINAL STROMAL TUMORS: DOES ROBOTIC ASSISTANCE AFFECT PERIOPRATIVE AND ONCOLOGIC OUTCOMES?
Patrick J Sweigert, MD1, Emanuel Eguia, MD, MHA1, Marc H Nelson, MD1, Haroon Janjua, MS2, Gerard J Abood, MD, FACS1, Bipan Chand, MD, FACS, FASMBS, FASGE1, Paul C Kuo, MD, MS, MBA, FACS2, Marshall S Baker, MD, MS, MBA1. 1Loyola University Medical Center, 2University of South FloridaIntroduction: Laparoscopic (LG) approaches to gastrectomy for gastrointestinal stromal tumors… Continue Reading
Standardization of surgical technique in laparoscopic distal pancreatectomy
Yuji Morine, MD, Mitsuo Shimada, Satoru Imura, Tetsuya Ikemoto, Shuichi Iwahashi, Yu Saito, Shinichiro Yamada. Department of Surgery, Institute of Biomedical Sciences, Tokushima UniversityBackground: Recent advances of diagnostic tool could contribute to the increasing detection of cystic or solid benign tumors, and even early malignancy. Laparoscopic distal pancreatectomy (Lap-DP) is being accepted as a feasible and… Continue Reading
The role and the feasibility of single incision laparoscopic surgery in the SBO operation
Yozo Suzuki, MD, PhD, Masahisa Ohtsuka, MD, PhD, Manabu Mikamori, MD, PhD, Takuro Saito, MD, PhD, Kenta Furukawa, MD, PhD, Mitsunobu Imasato, MD, PhD, Kentaro Kishi, MD, PhD, Masahiro Tanemura, MD, PhD, Hiroki Akamatsu, MD, PhD. Osaka Police HospitalBACKGROUND: Small bowel obstruction (SBO) has a variety of backgrounds and its operation procedure is often modified… Continue Reading
Laparoscopic resection of gastrointestinal stromal tumors near Gastro-esophageal Junction
Gaurav Singh, Dr, Yashas H Ramegowda, Dr, Srikanth Gadiyaram, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaIntroduction: Organ preservation is a cornerstone in the surgical removal of gastro-intestinal stromal tumors (GISTs). Laparoscopic surgery and the current surgical technology have enabled the same in the management of GISTs near gastro-esophageal junction (GEJ), without the… Continue Reading