Large Blood Clot Causing an Acute Obstruction At the Jejunojejunostomy Following Laparoscopic Roux-en-Y Gastric Bypass
Abstract Background: Laparoscopic Roux-en-Y gastric (RYGB) bypass is the most common Bariatric procedure performed in the US. Postoperative gastrointestinal bleeding occurs in approximately 1% of all procedures. We report our experience with the rare complication of intraluminal gastrointestinal hemorrhage leading to an obstructing intraluminal blood clot at the jejunojejunostomy (JJ) following RYGB. Methods: Two cases… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laryngopharyngeal Reflux (lpr): Pathophysiologic Evidence of Two Different Subtypes
Introduction: Laryngo-pharyngeal reflux (LPR) refers to symptoms caused by backflow of gastric contents to the larynx and pharynx. Concurrent pH recordings at increasing distances above the LES are reported to show a linear decrease in acid exposure as the distance from the LES increases. While abnormal distal esophageal acid exposure is common in patients with… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Learning Curve Seen with Single Incision Laparoscopic Cholecystectomy
Introduction Single Incision Laparoscopic Surgery (SILS) is laparoscopic surgery done via one incision usually through the umbilicus. Cholecystectomy lends itself well to a SILS approach. As these procedures become more widely adapted it is important to determine the approximate learning curve to decrease two surgical endpoints: 1) time to completion of the procedure and 2)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Learning Curves in Laparoscopic Surgery – a Systematic Review
INTRODUCTION: Recommendations for assessing learning curves in surgery were published in 2001. This study aims to assess systematically all published learning curve studies in laparoscopic surgery, and determine the impact of these recommendations on the quality of the publication.METHODS AND PROCEDURES: A systematic review was performed on all studies from 1996 assessing learning curves in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Lessons Learned in Single Incision Laparoscopic Cholecystectomy
Background:Since the first surgical procedure of this type in 1997, single incision surgery for biliary tract disease has been slow to gain popularity. Recent descriptions of SILSTM and SPATM have shown great potential to revolutionize minimally invasive procedures. The average general surgeon still has to face a significant learning curve and to decide how to… Continue Reading
‘lesssons ‘ Learned: Single Centre Experience of Single Port Cholecystectomy
Introduction: Single Port Surgery has been described and published by various authors. A recent consensus meeting and white paper from the Cleveland Clinic gave the acronym LESSS (Laparo- Endoscopic Single Site Surgery) for all such procedures. We present the largest series of single port cholecystectomies to date using the R Port (Tri port). The paper… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Minimally Invasive Other
Limited Resection for Early Adenocarcinoma of the Esophago-gastric Junction
Introduction: There is still a debate how to treat early carcinoma of the esophago-gastric junction. The spectrum ranges from endoscopic procedures to esophageal or gastric resections. Less invasive but with appropiate radicality is the limited resesction as described here.Methods: 134 patients with early carcinomas of the esophago-gastric junction underwent a limited resection of the distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Linear Association of Limb Length and Weight Loss in 3,309 Mini-gastric Bypass Patients
The effect of limb-length on weight loss after gastric bypass is controversial. Some studies have concluded longer bypasses increase weight loss while others have no effect of bypass length on weight loss. Review of the negative studies show generally small sample sizes and thus are likely to be at risk for a beta, type II… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Long-term Follow-up of Laparoscopic Repair of Parastomal Hernia Using a Bi-layer Mesh with a Slit
Introduction: Open surgery for parastomal hernia has been associated with high morbidity and high recurrence rates exceeding 40-50%, in particular after suture closure of the fascial defect or stomal re-siting. Laparoscopic mesh repair, however, has shown promising results, but published series have been relatively small with a short follow-up.Methods and procedures: Since 1997 laparoscopic repair… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Long-term Outcome After Endoscopic Stent Therapy for Complications After Bariatric Surgery
OBJECTIVE: The purpose was to analyze long term outcomes of the largest series to date treating staple line complications after bariatric surgery with endoscopic covered stents. METHODS: All patients treated with stents for staple line complications after bariatric surgery underwent retrospective evaluation and a telephone questionnaire to assess their symptom scores. Acute postoperative leaks, chronic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Long-term Subjective and Objective Outcomes of Laparoscopic Nissen Fundoplication with Collis Gastroplasty for Shortened Esophagus. Initial Experience From a Single Rural Institution
Background: Laparoscopic Nissen Fundoplication (LNF) with Collis Gastroplasty has been adopted as the treatment of choice for advanced gastroesophageal reflux disease (GERD) with shortened esophagus. Only few studies have described subjective and objective outcomes of LNF with Collis gastroplasty for this particular condition. Therefore our study is aimed to investigate long-term subjective and objective outcomes… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Longterm Outcomes of Laparoscopic Surgery for Rectal Cancer
INTRODUCTION: Although surgeons are increasingly using a laparoscopic approach in rectal cancer surgery, its long-term outcomes have not yet been conclusively defined. In this study, we examine the longterm outcomes of laparoscopic surgery for rectal cancer at a single institution, with up to eleven years of follow-up.METHODS: We performed a retrospective review of a prospective… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
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
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
Magnetic Resonance Guided Laparoscopic Liver Resection in a High Field Open Mr
Objectives:Intraoperative visualization of liver vessels and tumor margins is an important tool during minimal invasive liver surgery. Aim of this study was to evaluate a high field open MR for intraoperative real time imaging as an alternative to laparoscopic ultrasound. In order to realize minimal invasive liver surgery under MR guidance we developed and applied… Continue Reading