Old Age Does Not Affect Outcomes of Laparoscopic Esophagomyotomy and Dor Fundoplication for Achalasia
Introduction: The effectiveness of esophagomyotomy for improving swallowing in elderly patients with achalasia compared with younger ones has been questioned. This study was designed to provide an answer. Methods: 139 consecutive patients with esophageal achalasia who underwent laparoscopic esophagomyotomy and Dor fundoplication and who were available for telephone interview were divided into two groups by… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Impact of Gastric Tip Necrosis on Clinical Outcomes Following Esophagectomy.
IntroductionAnastomotic complications are frequently encountered in the setting of esophagectomy, with leak rates ranging from 10-20%. Complete necrosis of the gastric tip is a rare complication that can be associated with significant morbidity and impairment of quality of life. In the current study, we evaluated the perioperative outcomes of patients who developed gastric tip necrosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Updated Experience with Minimally Invasive Esophagectomy At an Academic Institution: Comparison Between Open and Laparoscopic Transhiatal Approaches
Objective: Minimally invasive esophagectomy (MIE) is increasingly being incorporated into armamentarium of different techniques for esophagectomy. We report our initial experience with MIE and compare the outcomes to patients who underwent traditional TH approach. Method: A retrospective review was conducted of 14 patients who underwent MIE at a single academic institution from January 2008 to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparative Analysis of Effectiveness of Endoscopic Surgical Techniques in the Management of Oesophageal Cancer
Background: Open transthoracic oesophogectomy is a major procedure which is associated with significant morbidity and mortality. Recently thoracoscopic procedures have offered a potentially advantageous alternative because of less operative trauma compared with thoracotomy. The aim of this study was to compare outcomes of open oesophagectomy(OE) with the best available minimally invasive technique, total minimally invasive… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Peritoneal Cytology in Upper Gi Cancers- Dilemma Continues
BackgroundTimely and accurate staging of oesophago-gastric cancer can prevent unnecessary surgical intervention and associated patient morbidity. Role of peritoneal cytology in staging of theses cancers is not well established. We conducted a survey among Upper GI surgeons to get their views regarding the role of peritoneal cytology in upper GI cancers. MethodsA questionnaire was designed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Esophagectomy in the Elderly: A Comparison Between Minimally Invasive and Open Techniques
Background: The purpose of this study was to determine if utilization of minimally invasive techniques for esophagectomy in the elderly results in decreased complications compared with traditional open esophagectomy. Methods: A retrospective, case-control study was performed comparing outcomes after minimally invasive esophagectomy (MIE) and open esophagectomy (OE) in elderly patients (age>70 years) over a 7… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of a Dislodged Peg Tube
Percutaneous endoscopic gastrostomy (PEG) tubes have revolutionized patient care. The procedure has relatively few complications and can provide an incredible benefit for patients. However, complications may arise and cause severe morbidity and sometimes mortality. We present a case of a 39 year old male who came to our institute after suffering severe head trauma from… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Inflammatory Myoglandular Polyp of the Right Colon in a Patient with Hematochezia and Intermittent Rectal Pain.
INTRODUCTION: Inflammatory Myoglandular Polyps (IMP's) are poorly characterized and extremely rare. They present most frequently in the left colon, and may produce symptoms related to this location. We present a case of IMP located in the right colon, associated with rectal symptoms, and offer a review of the available medical literature. CASE REPORT: A 35… Continue Reading
- Type:
- Posters
Treatment of Ultra-long Segment Barretts Using Focal and Balloon-based Radiofrequency Ablation
INTRODUCTION: Endoscopic radiofrequency ablation (ERFA) is being evaluated as definitive treatment for patients with Barrett’s esophagus (BE). Guidelines have yet to be developed for the application of this technology to patients with ultra-long segment BE (ULBE, > or = to 8cm). This study reports a single institution’s experience with ERFA of ULBE with various degrees… Continue Reading
Laparoscopic Common Bile Duct Exploration and Laser Lithotripsy: A Novel Approach to Management of Common Bile Duct Stones
Introduction: Common bile duct stones (CBDS) are found in approximately 10% of patients who undergo cholecystectomy. Symptomatic common bile duct stones are a source of significant morbidity as they may cause obstructive jaundice, cholangitis, biliary cirrhosis and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) has been a mainstay of treatment for common bile duct stones. Laparoscopic common… Continue Reading
40th Anniversary of the First Endoscopic Retrograde Pancreatogram
2008 marks the 40th anniversary of endoscopic retrograde cholangiopancreatography (ERCP). In 1968, a group of physicians from the George Washington University Medical Center published the first report that documented the initial clinical application of ERCP.The successful procedure was performed by Drs. McCune, Shorb, and Moscovitz and was predicated on hours of canine research followed by… Continue Reading
- Type:
- Posters
Single Site Series Utilizing the Endosurgical Operating System (eos) for Revision of Post Roux-en-Y Gastric Bypass Stomal and Pouch Dilitation
SINGLE SITE SERIES UTILIZING THE ENDOSURGICAL OPERATING SYSTEM (EOS) FOR REVISION OF POST ROUX-EN-Y GASTRIC BYPASS STOMAL AND POUCH DILITATION. Michael Chaump, M.D., Roy M. Dressner, D.O., Steven A. Gorcey, M.D., Frank J. Borao, M.D., Monmouth Medical Center, Long Branch NJIntroduction: Interventional therapy for weight regain after Roux-en-Y gastric bypass surgery (RYGB) has been tempered… Continue Reading
Single Incision Laparoscopic Cholecystectomy
Introduction: Single incision laparoscopic surgery (SILS) has been proposed as a minimally invasive technique with proposed advantages of smaller external scars and reduced pain. Furthermore, usage of the flexible endoscope for SILS in lieu of the standard laparoscope provides distinct visualization advantages. This video illustrates a single incision cholecystectomy performed through a single incision placed… Continue Reading
Endoscopic Tissue Fusion for Weight Regain After Gastric Bypass: Does It Help?
Background: Gastric bypass results in significant weight loss in the morbidly obese population. There is however, an incidence of weight regain associated with the procedure. One theory for the weight regain is pouch dilation. StomaphyX is a device which addresses pouch dilation by endoscopically plicating the gastric pouch, resulting in a decreased pouch size. This… Continue Reading
- Type:
- Posters
Dilation of Anastomotic Strictures After Transhiatal Esophagectomies
Objective: Anastomotic stricture presenting with dysphagia after transhiatal esophagectomy is a common problem. We have reviewed our experience with esophageal dilatations after transhiatal esophagectomies. Methods: We retrospectively reviewed the medical records of all patients who underwent esophageal dilatation after transhiatal esophagectomies. Demographic data, number and methods of dilatations, time between dilatations, and time between surgery… Continue Reading
- Type:
- Posters