HIATAL HERNIA CAUSING FAILURE TO THRIVE AFTER A SLEEVE GASTRECTOMY
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryThe repair of small hiatal hernias at the time of laparoscopic sleeve gastrectomy is controversial. Proponents of routine hiatal hernia repair do so to reduce the risk of gastroesophageal reflux disease in the post-operative period. We present a video… Continue Reading
- Topic:
- Foregut
How to protect more remnant stomach volume for intraluminal gastric gastrointestinal stromal tumors: laparoscopic wedge resection with seromyotomy
Wenjun Xiong, Wei Wang, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic wedge resection is now widely performed for extraluminal gastric gastrointestinal stromal tumors (gGIST). However, this method for intraluminal gGIST may cause inadvertent resection of gastric tissue and lead to gastric cavity deformation. Herein, we introduce a technique of laparoscopic wedge resection with seromyotomy… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
HYBRID LAPARO-ENDOSCOPIC REMOVAL OF A MAGNETIC SPHINCTER AUGMENTATION DEVICE
Andrew T Strong, MD1, Michael Musso, DO2, Jonathon Wanta, BA3, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2OhioHealth Affinity Medical Center, 3Case Western Reserve University School of MedicineThis video describes a hybrid endoscopic and transgastric laparoscopic technique to remove a magnetic sphincter augmentation device discovered to be eroded into the lumen of the gastrointestinal tract at the… Continue Reading
- Topic:
- Foregut
Impact of the first assistant in laparoscopic distal gastrectomy
Masafumi Ohira. Department of Gastroenterological Surgery, Hokkaido University Graduate School of MedicineBackground: In laparoscopic surgery, both surgical technique and adequate support and traction by an assistant are highly important. This study assessed the impact of the first assistant on short-term outcomes of laparoscopic distal gastrectomy (LDG) and laparoscope-assisted distal gastrectomy (LADG). Methods: Patients who underwent… Continue Reading
Increasing Operative Times, Not Mesh Utilization Impact Postoperative Outcomes Following Laparoscopic Paraesophageal Hernia Repair.
Matthew D Skancke, MD, Clint Schoolfield, MD, Richard Amdur, Fredrick J Brody, MD. George Washington UniversityPurpose: Mesh utilization and its impact on postoperative hernia recurrence following paraesophageal hernia repair remains a polarizing topic. This analysis evaluates the recent trends in laparoscopic paraesophageal hernia repairs and analyzes the impact of operative time on postoperative morbidity. Methods:… Continue Reading
Interaction of the Lower Esophageal Sphincter and the Diaphragmatic Hiatus in Gastroesophageal Reflux Disease
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameran Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Hypotension of the lower esophageal sphincter (hLES) and the presence of hiatal hernia (HH) have both been associated with gastroesophageal reflux disease… Continue Reading
Internal Hernia after Gastrectomy for Gastric Cancer, A single center experience
Kyung Min Kang, Sa-Hong Min, Yoon Taek Lee, Ki Bum Park, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim. Seoul National University Bundang HospitalPurpose: Laparoscopic gastrecomy has been widely adopted as the treatment of choice by many countries and institutions. Internal hernia is a well-known complication after Rouxen-Y gastric bypass in the field… Continue Reading
Intertest Reliability of Hiatal Hernia Diagnosed By High Resolution Manometry, Video Esophagography or Endoscopy and Association with Gastroesophageal Reflux Disease
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameran Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Multiple testing modalities are commonly performed on patients undergoing preoperative evaluation of gastroesophageal reflux symptoms. While hiatal hernia is classically associated with… Continue Reading
- Topic:
- Foregut
Investigating Rates of Reoperation or Postsurgical Gastroparesis Following Fundoplication or Paraesophageal Hernia Repair in New York State
Danni Lu, BS1, Maria Altieri, MD1, Jie Yang, PhD1, Nabeel Obeid, MD2, Donglei Yan, MS1, Konstantinos Spaniolas, MD1, Mark Talamini, MD, MBA1, Aurora Pryor, MD1. 1Stony Brook, 2Michigan MedicineINTRODUCTION: The development of postsurgical gastroparesis following Nissen fundoplication is poorly understood. In this study, we analyze the development of gastroparesis requiring intervention and other subsequent procedures… Continue Reading
Is epiphrenic diverticulectomy necessary at time of Heller myotomy?
Joshua E Preiss, MD, Meredith Duke, MD, MBA, Timothy M Farrell, MD, FACS. University of North Carolina, Chapel HillBackground: Epiphrenic diverticula (ED) arise from increased intraluminal pressures, often secondary to achalasia or another underlying esophageal motility disorder which causes “pulsion” physiology. ED are traditionally thought to contribute to patients’ symptoms of regurgitation and dysphagia, and… Continue Reading
Laparoscopic Antrectomy and Partial Duodenectomy with Gastrojejunostomy for Duodenal Neuroendocrine Tumor
David J Berler, MD, Sheila Rustgi, MD, Nikhil Kumta, MD, MS, Anthony J Vine, MD, FACS. Icahn School of Medicine at Mount SinaiThis is the case of a 60-year-old man who presented with syncope and melena. He was found on EGD to have a 1cm lesion in the first portion of the duodenum. Biopsy was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Conversion of a Vertical Banded Gastroplasty to Sleeve Gastrectomy in a Morbidly Obese Patient with a Complicated Medical History
Cigdem Benlice, MD, Heath J Antoine, MD, Philip R Schauer, MD. Cleveland Clinic FoundationOur patient is a 58-year-old female with morbid obesity and a BMI of 41. Her past medical history was significant for hypertension, diabetes, and obstructive sleep apnea. She had initially undergone an open vertical banded gastroplasty and cholecystectomy in 2002 followed by… Continue Reading
- Topic:
- Foregut
Laparoscopic D2 Gastrectomy for Gastric Cancer – A Single Institution Experience
Chaya Shwaartz, Nadav Zilka, Mustapha Siddiq, Yuri Goldes, MD. Sheba Medical Center, IsraelBackground: D2 gastrectomy for gastric carcinoma is a well-established procedure in patients undergoing surgery for gastric cancer and is the standard of care in our institution. Reduced pain, early ambulation, and better cosmetics are some of the benefits of minimally invasive surgery for… Continue Reading
LAPAROSCOPIC EPIPHRENIC DIVERTICULECTOMY WITH ROBOTIC MYOTOMY AND DOR FUNDOPLICATION
David A Bernstein, MD, John C Delong, MD, Jenny Lam, MD, Thach Pham, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UCSDThis is a video abstract submission in which we describe our technique in the management of large epiphrenic diverticulum and the utilization of… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC ESOPHAGEAL DIVERTICULECTOMY, HELLER MYOTOMY, AND TOUPET FUNDOPLICATION
Wen Hui Tan, MD, Jared McAllister, MD, Jeffrey Blatnik, MD. Washington University in St. Louis School of MedicineThis video depicts a Laparoscopic Esophageal Diverticulectomy, Heller Myotomy, and Toupet Fundoplication. This patient is an 82-year-old female with a longstanding history of dysphagia with both solids and liquids. Workup included an EGD with massive dilation of the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut