Guidelines for Acute Care Surgery Implementation are Necessary
Holly B Cunningham, Joshua J Weis, Luis R Taveras, Steven Boll, Tarik D Madni, Jonathan B Imran, Meaghan Colletti, Maryanne L Pickett, Joseph P Minei, Michael W Cripps. University of Texas SouthwesternIntroduction: The creation of an acute care surgery (ACS) service has been associated with improved hospital efficiency and clinical outcomes; however, specific guidelines for… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
HandX, a Hand-Held Smart Motorized Laparoscopic Device as an Alternative to Robotic Suturing in Laparoscopic Hernia Repair: First Human Cases.
Amir Szold, MD. Assia Medical Group, Assuta Medical Center,Introduction: Suturing the abdominal wall and peritoneum is becoming a current trend in laparoscopic hernia repair. As laparoscopic suturing is technically demanding, it has justified the use of expensive robotic systems to perform this part of the operation. In order to try and make the procedure more… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
HEALTH ECONOMIC SAVINGS OF SINGLE USE FLEXIBLE ENDOSCOPES VS CURRENT RE-USABLE ENDOSCOPES AND DISPOSABLE SHEATH SYSTEMS
Deepak Kumar Sahu, MBA1, Giacomo Basadonna, MD, PhD2. 1Alira Health, 2University of Massachusetts Medical SchoolIntroduction: The transmission of endoscopy-associated infections is frequently linked to inadequate reprocessing. Regulatory organizations including FDA have published reprocessing guidelines resulting in an increase of associated time and costs. Flexible single use endoscopes represent the solution to complex re-processing procedures and… Continue Reading
HEALTH LITERACY , A MANAGEMENT DILEMA IN CARCINOMA.
Samia Yunas1, Malik Muhammad Makki2, Saba Yunas3. 1Emirates Specialty Hospital, Dubai, 2Sheikh Khalifa Medical City Ajman, UAE, 3DublinINTRODUCTION: American Cancer society indicates 100% Breast Cancer survival rate for early disease. Despite improvement in screening and treatment of Breast Carcinoma, SEER (Surveillance, Epidemiology & End Result Program) data from 2009-2013 shows new Breast cancer cases were 12.5… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Heller Myotomy and Dor Fundoplication for Esophagogastric Junction Outflow Obstruction: A Case Series
Timothy W Mansour, MD, William O Richards, MD. University of South AlabamaEsophagogastric Junction Outflow Obstruction (EGJOO) is a variant of achalasia that is characterized by increased lower esophageal sphincter (LES) tone in the setting of preserved peristalsis. It is a relatively new diagnosis since the advent of high resolution manometry (HRM) and its management has… Continue Reading
Heller versus POEM: Should obesity influence a surgeon’s decision?
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FACSFASGE. Case Western Reserve UniversityObjective: Achalasia is a lifestyle-crippling disease characterized by failure of lower esophageal relaxation leading to progressive dysphagia and recurrent aspiration. Since 2008, Per Oral Esophageal Myotomy (POEM) has become an increasingly-accepted alternative to laparoscopic Heller myotomy as the procedure of choice for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
HEMORRHAGE FROM THE INFERIOR VENA CAVA DURING RETROPERITONEOSCOPIC ADRENALECTOMY
Aurelio Francisco Aranzana Gomez, Jara Hernandez Gutierrez, Juan S Malo Corral, Beatriz Muñoz Jimenez. CH ToledoIntroduction: The posterior retroperitoneoscopic adrenalectomy (PRA), described in 1995 (Waltz), has proven to be a safe technique and effective for the surgical management of several adrenal pathologies. The advantages include direct access to the adrenal gland, without the need for visceral… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
HETEROTOPIC PANCREAS DISCOVERED DURING SLEEVE GASTRECTOMY
Nancy Panko, MD1, Gerrit Dunford, MD2, Kenneth Copperwheat, DO2, Rami Lutfi, MD2. 1Houston Northwest Medical Center, 2Saint Joseph HospitalIntroduction: Heterotopic pancreas is rare, with few reports in the literature. We describe a patient undergoing bariatric surgery with an incidentally discovered gastric mass. After resection, this mass proved to be heterotopic pancreas. Case: Patient is a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Hiatal Dissection in Conjunction with Sleeve Gastrectomy is Associated with Increased Rates of Readmission and Reoperation
Anna R Ibele, MD, Paige L Martinez, MS, Chelsea M Allen, PhD, Mark A Taylor, MD, Matthew Kingsbury, BS, Ellen H Morrow, MD, Robert E Glasgow, MD, Eric T Volckmann, MD. University of UtahINTRODUCTION: Hiatal hernia repair at the time of bariatric surgery adds additional operative time and technical complexity to the operation. While early… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Hiatal Hernia Repair After Esophagectomy
Sean R Maloney1, Christy M Dunst2, Walaa Abdelmoaty2, Paul D Colavita1. 1Carolinas Medical Center, 2The Oregon ClinicHere we present two cases of hiatal hernia repair after esophagectomy. One shows the less complex anterior dissection and closure while the other required dissection in the posterior aspect, in proximity of the gastric conduit blood supply, for sufficient… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Hiatal Hernia Repair and Fundoplication Using the Gastric Remnant Following Gastric Bypass
Jana Chtchetinin, MD, Dana Portenier, MD, Marcus Darrabie, MD. Duke University Medical CenterHiatal hernia in a patient who has previously undergone roux-en-y gastric bypass can be a challenging problem. The gastric pouch is not amenable to fundoplication, and therefore can make addressing the problem of reflux difficult. Here, we describe a case in which we… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Hiatal Hernia Repair + Gastric Bypass Using a Magnetic Retractor
Rafael Luengas, MD1, Gerardo Davalos, MD2, Ramon Diaz, MD2, Daniel A Guerron, MD2. 1Hospital de La Florida - Chile, 2Duke UniversityThe main procedures performed in bariatric surgery are the bypass, sleeve and the duodenal switch. The presence of Hiatal hernia during the preoperative patient assessment can change our decision when it comes to choosing the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Hiatal Hernia Repair with Mesh and Toupet Fundoplication
Matthew E Sharbaugh, DO1, Kristin Mccoy, MD2, Tejinder P Singh, MD1. 1Albany Medical Center, 2Stamford HealthOptimal hiatal hernia repair technique has yet to be standardized. There is still no consensus on the multiple technical aspects of the procedure including: mesh fixation, division of short gastric vessels, size of wrap, use of gastropexy and many more.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
High Prevalence of Asymptomatic Esophageal Motility Disorders and GERD in a Bariatric Surgery Population
Jennifer A Minneman, Judy Chen, Annie P Ehlers, Edwin Nieblas-Bedolla, Malika Hale, Michael Cruz, Andrew Wright, Saurabh Khandelwal. UWBackground: Gastroesophageal reflux disease (GERD) and esophageal dysmotility symptoms after laparoscopic sleeve gastrectomy (LSG) pose challenging clinical problems. Few centers assess for GERD or motility disorders prior to performing LSG. Prior studies demonstrate a high prevalence of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
HORMONAL RESPONSE OF SLEEVE GASTRECTOMY. DOES THE SIZE OF THE BOUGIE HAVE AN INFLUENCE?
Berta Gonzalo, Carlos Rodríguez-Otero, Meritxell Garay, Mercedes Camacho, Sonia Fernández, Inka Miñambres, Irene Gómez, Eulàlia Ballester, Carmen Balagué. Hospital Sant PauBackground amb Aims: Laparoscopic vertical gastrectomy (LSG) is a growing technique in recent decades for the treatment of obesity. There are different theories about the influence of LSG on the hormones involved in glycolipid metabolism. The… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity