Transcervical Videoscopic Esophageal Dissection in Minimally Invasive Esophagectomy
Introduction: Currently, minimally invasive esophagectomy (MIE) is being performed using Video-Assisted Thoracoscopic Surgery (VATS) for mediastinal esophageal dissection. The VATS approach is still associated with pulmonary and cardiovascular morbidity, as well as incisional pain. This study investigates the feasibility of MIE using a single-incision transcervical videoscopic esophageal dissection (TVED). A simultaneous laparoscopic and transcervical videoscopic… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Gastric Duplication Treated By Laparoscopic Gastric Partial Resection
Introduction: Duplication of the alimentary tract is an uncommon occurrence (1 of 4500 births) in pediatric patients and can affect any portion of the gastrointestinal track. The esophagus and ileum are most common site, and gastric duplication cysts represent 4-8% of all alimentary track. Symptoms often occur by 2 years and can include nausea, vomiting,… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Improvement After Laparoscopic and Endoscopic Pyloroplasty for Gastroparesis
Objective: We hypothesize that minimally invasive pyloroplasty provides subjective and objective improvement in gastroparesis in patients without secondary GERD. Gastroparesis is a chronic digestive disorder leading to severe and life altering nausea, vomiting, bloating and abdominal pain. Improvements in gastric emptying scintigraphy (GES) times have previously been correlated with symptom improvement. Surgeons are increasingly asked… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Transoral Incisionless Fundoplication Improves Reflux Symptoms in Long-time Ppi Users: A Retrospective Study in Livingston County, Kentucky
BACKGROUND: Gastroesophageal reflux disease (GERD) is a common condition in communities in the United States, but treatment options are limited for patients with inadequately controlled symptoms despite high doses of proton-pump inhibitors (PPIs) and who are afraid of surgery. AIM: To determine the outcomes of transoral incisionless fundoplication (TIF) using the EsophyX device in a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical Significance of Endoscopic Surgery for Thoracic Esophageal Cancer After Neoadjuvant Chemotherapy
Introduction: The growing evidence has verified the survival benefit of combined treatment of the chemotherapy followed by the surgery for advanced thoracic esophageal cancer. The endoscopic surgery for thoracic esophageal cancer has been shown to facilitate the early resumption of daily activity of the patients in the postoperative course, but is considered technically difficult especially… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophago- Gastrectomy (ivor-lewis) a Series of 13 Patients
Introduction: Commonest type of Gastro esophageal junction growth in our region is type III with involvement of the cardia. After resection with adequate margin, the length of the stomach tube might not reach the neck. In such situations Ivor-Lewis Esophago- Gastrectomy with intra thoracic anastamosis is a good alternative. Methods: A retrospective analysis of 13… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Barrett\’s Esophagus Treatment Dilemma: Pills Versus Operation: Statistical Analysis and Cost/effectiveness
INTRODUCTION:Controversy over the management of barrett's esophagus has been difficult to resolve due to the low incidence of progression to adenocarcinoma. A prospective study comparing thousands of patients with barretts esophagus randomized either into PPI or antireflux surgery group is costly and no likely to be perfomed. This study examined possible clinical outcomes of the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Oesophagectomy in England: Trends of Utilisation
Aims: The aim of this study was to describe the trends in uptake of minimally invasive oesophagectomy in England over last 12 years (1996-2008). Methods: The Hospital Episodes Statistics (HES) database is a record based system that since 1986 has collected patient-level data from all English NHS trusts. We examined HES data between April 1996… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Revisional Fundoplication with Primary Sutured Closure and Prosthetic Reinforcement: A Retrospective Study
Background: Despite the good results reported after laparoscopic fundoplication, failure is still a major problem. Hiatal disruption is one of the common patterns of anatomicalfailure, after primary open or laparoscopic antireflux surgery. To prevent hiatal hernia recurrence some authors recommend the use of prosthetic meshes for reinforcement of the hiatal crura. The aim of the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Anti-reflux Surgery As a Definitive Treatment in Refractory Upper and Lower Respiratory Tract Diseases.
BackgroundLaparoscopic anti-reflux surgery (LARS) is now well established as an effective treatment in the management of gastro-oesophageal reflux disease (GORD). Some of the reflux can be severe enough to cause upper respiratory symptoms such as laryngitis, hoarseness, chronic cough. Reflux resulting in aspiration can result in lower respiratory tract illnesses such as asthma and pulmonary… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Esophageal Stenting for Immediate Palliation of Symptomatic Thoracic Malignancies
Introduction: Malignant esophageal stricture or compression (ES/C) and malignant tracheoesophageal fistula (TEF) significantly interfere with quality of life. Immediate symptom relief is paramount. We reviewed our experience with esophageal stenting for the management of symptomatic thoracic malignancies.Methods: We performed an institutional review-board approved, retrospective review of our esophageal stent database. We collected data on patients… Continue Reading
- Type:
- Posters
Are rural general surgeons performing valid colonoscopies?
Introduction: A recent Canadian study reviewed the effectiveness of colonoscopy. Colonoscopy reduced the death rate for left colon cancers, but not the right. Were right colon missed? Since the majority of colonoscopies were performed by non-gastroenterologists (69%), questions were raised as to who is qualified to perform colonoscopies. Method: A standard colonoscopy recording form was… Continue Reading
- Type:
- Posters
Endoscopic Management of a Rare Right Colon Perforation From a Migrated Biliary Stent
Objective: We describe the case of an ascending colon perforation from a migrated flexible biliary stent which was treated by colonoscopic removal without the need for surgical intervention. Procedure/Case Report: A 77-year-old female, with Alzheimer’s disease and multiple medical problems, presented with nausea, vomiting, and RLQ abdominal pain without evidence of peritonitis. Eight months earlier,… Continue Reading
- Type:
- Posters
First Report of Spray Cryosurgery Depth of Injury to the Human Esophagus
Introduction: This study provides histologic documentation of spray cryosurgery (SCS) affect on human tissue at varying dose. SCS is a non-contact method of destroying unwanted tissue using low-pressure liquid nitrogen. The rapid freezing and thawing associated with SCS evokes significant cellular damage through a variety of pathways leaving the stroma essentially unaffected, avoiding the potential… Continue Reading
- Type:
- Posters
Safety and Quality of Colonoscopy Performed By General Surgeons
INTRODUCTION: Throughout the world, the majority of colonoscopy is performed by Gastroenterologists. In our hospital, however, the general surgeons have been the principal exponents of all upper and lower GI endoscopy for over 20 years. The current interest in Natural Orifice Transluminal Endoscopic Surgery (NOTES) necessitates more general and laparoscopic surgeons become skilled at gastrointestinal… Continue Reading
- Type:
- Posters