Gastric Electric Stimulation for Severe Gastroparesis
Objective: The purpose of this study is to investigate the effect of gastric electrical stimulation (GES) on solid phase gastric emptying, total symptom score (TSS), health-related quality of life (HRQOL), and patient satisfaction in patients with severe drug refractory gastroparesis. Design: Prospective single-center study Setting: Community hospital Patients: 40 consecutive patients presenting between 2002 and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A Population-based Analysis of Emergent Vs. Elective Hospital Admissions for an Intrathoracic Stomach
Introduction: Large scale population based analyses of the demographics and management and healthcare resource use in patients with an intrathoracic stomach are largely unknown. This issue has become even more important with the aging of the population. Our objective was to estimate the magnitude of the problem and to assess the use of hospital resources… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Total Gastrectomy with Hand-sewn Esophago-jejunal Anastomosis and D2 Lymphadenectomy for Gastric Cancer
Introduction: This video will detail the relevant steps in laparoscopic total gastrectomy and D2 lymphadenectomy with a hand-sewn esophago-jejunal anastomosis.Method and Patient: A 53 year-old male presented with weight loss and significant familiar history for gastric cancer (Both parents and sister). An upper GI endoscopy revealed a 10 mm gastric ulcer between the body and… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Evolving National Practice Patterns for Management of Paraesophageal Hernia: A Population Based Study
EVOLVING NATIONAL PRACTICE PATTERNS FOR MANAGEMENT OF PARAESOPHAGEAL HERNIA: A POPULATION BASED STUDYThai H. Pham MD, Kyle A. Perry MD, Eugene Y. Chang MD, Brian S. Diggs PhD, John G Hunter MD, Brett C Sheppard MD. Department of Surgery, Oregon Health and Science University, Portland, OR. Introduction: Based on studies from specialized centers, laparoscopic paraesophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lower Esophageal Sphincter Pressure Correlates with Outcomes of Laparoscopic Heller Myotomy in Previously Treated Achalasia
Background: The purpose of this study was to define the distribution of preoperative resting lower esophageal sphincter pressures (LESP) in achalasia, and to correlate this with symptomatic outcomes following laparoscopic Heller myotomy (LHM). Methods: A single institution retrospective review of patients undergoing LHM for a primary diagnosis of achalasia between 1992-2005. Patients were divided into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Patient Satisfaction Best Determines the Management of Recurrent Dysphagia After Heller Myotomy for Achalasia
Heller myotomy (HM) is an effective treatment for achalasia, however failure to reliably achieve long-term palliation of dysphagia occurs in about 10%. It is unclear when and how best to manage these patients. We sought to characterize patients with recurrent dysphagia with particular focus on the management of this difficult patient population. METHODS: A prospectively… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
“y” Fundoplication for Gastroesophageal Reflux Disease: Evaluation of 80 Consecutive Cases
“Y” Fundoplication for Gastroesophageal Reflux Disease: EVALUATION OF 80 CONSECUTIVE CASESJorge Fernandez - Alvarez, M.D., Iker León, M.D., Gonzalo Vargas, M.D., Iker León, Alonso R. López, M.D. Abstract OBJECTIVE: Description of an hybrid laparoscopic fundoplication technique (Nissen plus Guarner) performed in patients with gastroesophageal reflux disease (GERD) in nine years of experience and the results… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Assessment of Gastric Conduit Ischemia Following Esophagectomy: The Role of Ct-scan Vs. Early Endoscopy
Background: Ischemia of the gastric conduit is a rare but devastating complication of esophagectomy. Fear of iatrogenic injury to the anastomosis by early endoscopy has resulted in use of CT scan for diagnosis of this complication which may lead to delay in diagnosis. The aim of this study was to assess the role of CT… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Contrast Study As Preoperative Planning Tool in Fundoplication Patients
OBJECTIVE: To determine if esophageal manometry added information important for preoperative fundoplication planning compared to upper GI contrast studies (UGIS) METHODS: We retrospectively reviewed the records of 323 patients at a single institution who underwent a fundoplication (Nissen or Toupet) for GERD and/or paraesophageal hernia from 2003 to 2007. Of these, we excluded patients younger… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Preoperative Angulation of the Distal Esophagus and Outcome After Heller Myotomy and Anterior Fundoplication for Achalasia
Introduction: Achalasia is defined by esophageal dysmotility and obstruction. Over time, obstruction may result in esophageal elongation and angulation of the distal esophagus. The aim of this study was to determine if preoperative distal esophageal angulation correlates with symptom relief after laparoscopic Heller myotomy and anterior fundoplication. Methods: 63 patients undergoing laparoscopic Heller myotomy with… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Evaluation of Intraoperative Strategies and Recurrences After Laparoscopic Paraesophageal Hernia Repair
Introduction:Patients undergoing paraesophageal hernia repair are known to have recurrence rates as high as 40 %. Preoperative findings on anatomic studies fail to determine intraoperative strategies to decrease this recurrence rate. Current operative techniques to reduce this rate include extensive mediastinal dissection to increase intra-abdominal esophageal length, closure of the hiatus with mesh, sac excision… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Achalasia Complicated By Epiphrenic Diverticulum Is Well Treated By Laparoscopic Diverticulectomy, Heller Myotomy, and Anterior Fundoplication
Introduction: An epiphrenic esophageal diverticulum is a consequence of severe long-standing achalasia and can further exacerbate the symptoms of achalasia. This study was undertaken to determine the operative complications and long-term outcomes after laparoscopic diverticulectomy, Heller myotomy, and anterior fundoplication for achalasia complicated by epiphrenic diverticulum. Methods: Of 440 laparoscopic Heller myotomies, 25 patients have… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Use of Laparoscopic Intra-corporeal Suturing in Esophagojejonostomy for Re-establishing Gastrointestinal Continuity After Gastrectomy: Report of Two Consecutive Cases
Acute gastric volvulus secondary to paraesophageal hiatal hernia can be a life-threatening condition, causing gastric necrosis, perforation and sepsis. Emergency surgery with total or partial proximal gastrectomy, obligates the patient to a second challenging procedure to re-establish gastrointestinal continuity. Laparoscopic esophagojejunostomy is a technically demanding procedure; this is especially true when the procedure is the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lymph Node Dissection in Open Versus Laparoscopic Gastrectomy for Gastric Cancer
Background: The development of laparoscopic surgery has been allowed its incorporation in the surgical treatment of gastric cancer. The number of lymph node dissected is one of the tools used to evaluate the quality of lymph node dissection in gastric cancer. The aim of this study was to compare the quality of lymph node dissection… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Cancer Staging Practices Among Surgeons in Uk
BackgroundStaging of gastro-oesophageal cancer is crucial not only in deciding upon the management options but it can also decrease the number of non-curative laparotomies. Therefore it has been an area of much research and controversy. The current practices for gasto-oesophageal cancer staging prevalent among upper GI surgeons in United Kingdom were sought. MethodsWe conducted a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery