Giant Paraesophageal Hernia Repair without Antireflux Procedure as management of GERD
Lauren McCormack, MD, Carl Westcott, MD. Wake ForestIntroduction: Fundoplication at the time of giant paraesophageal hernia repair is controversial. The proposed advantages are better reflux control and lower recurrence. Disadvantages include fundoplication specific complications, might be unnecessary and may not decrease recurrence. We retrospectively reviewed giant paraesophageal hernia repairs (PEH) with two point gastropexy in… Continue Reading
Paraesophageal hernia repair in the morbidly obese patient: Is a combined roux-en-y gastric bypass and paraesophageal hernia repair ideal?
Jai Prasad, MD, Claire I Lauer, MD, Jacob A Petrosky, MD, David K May, DO, Marcus Fluck, James T Dove, Jon D Gabrielsen, MD, Anthony T Petrick, David M Parker, MD. Geisinger Medical CenterIntroduction We hypothesize that laparoscopic paraesophageal hernia repair with concurrent roux-en-y gastric bypass (LRYGB/PEH) can be performed with no increase in morbidity… Continue Reading
Sleeve Gastrectomy with Simultaneous Pyloroplasty SignificantlyIimproves Gastric Emptying in Patients with Medically Refractory Gastroparesis
Ryan Fairley, DO1, Danial Cottam, MD2, Helmuth T Billy, MD3. 1Community Memorial Hospital of SanBuenaventura, 2Bariatric Medicine Institute, Salt Lake City Utah, 3Ventura Advanced Surgical Associates, Ventura, CaliforniaBackground: Gastroparesis is a chronic disorder that significantly impairs the quality of life in affected patients. Surgical options for patients that have failed medical management include placement of… Continue Reading
The Effect of Robotic Hiatal Hernia Repair with Concomitant Esophagopexy in Patients with Gastroesophageal Reflux Disease
Allison C Estep, MD1, Christopher J You, MD2. 1MedStar Union Memorial Hospital, 2MedStar Franklin Square Medical CenterBackground: Gastroesophageal reflux disease (GERD) is a highly prevalent disorder with a multitude of treatment options ranging from lifestyle modifications and medical management to surgical options. Despite the numerous treatments available, there is still debate over which approach is… Continue Reading
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
MINIMALLY INVASIVE MANAGEMENT OF DIAPHRAGMATIC HERNIAS AFTER ESOPHAGECTOMY: A CASE REPORT
Morgan M Bonds, MD, Subrato Deb, MD. University of Oklahoma Health Science CenterIntroduction: Esophagectomy is a common treatment for both benign and malignant pathologies of the foregut. Hiatial paraconduit hernias are rare complications following esophagectomy. In this study, we review our experience with these rare diaphragmatic hernias. Methods: A retrospective analysis of all patients presenting… Continue Reading
Esophago-gastrostomy reconstruction after laparoscopic proximal gastrectomy with special attention to postoperative motor function
Daisuke Ichikawa, MD, Yoshihiko Kawaguchi, MD, Hienori Akaike, MD, Yuki Nakata, MD, Mitsuaki Watanabe, MD, Naohiro Hosomura, MD, Hideya Amemiya, MD, Hiromitsu Kawaida, MD, Makoto Sudoh, MD, Hiroshi Kohno, MD. University of YamanashiINTRODUCTION: Recently, the frequency of early gastric cancer in the upper third of the stomach has especially increased. We report here our recent… Continue Reading
Surgical outcomes of circular-stapled and linear-stapled esophagojejunostomy in gastric cancer: a propensity-matched analysis.
So Hyun Kang, Dr, Jan Bueno, Dr, Sa-Hong Min, Dr, Yoontaek Lee, Dr, Ki Bum Park, Dr, Young Suk Park, Prof, Sang-Hoon Ahn, Prof, Do Joong Park, Prof, Hyung-Ho Kim, Prof. Seoul National University Bundang HospitalAim: There have been several reports illustrating the safety and efficacy of various surgical techniques in performing laparoscopic esophagojejunostomy(EJ). This… Continue Reading
Short- and long-term outcomes of laparoscopic gastrectomy for advanced gastric cancer
Masahiro Watanabe, Masanori Tokunaga, Akio Kaito, Shizuki Sugita, Takahiro Kinoshita. National Cancer Center Hospital East, Gastric Surgery DivisionBackground: Although the current standard treatment for advanced gastric cancer (AGC) is open gastrectomy, laparoscopic gastrectomy (LG) is increasingly performed, especially in the East. However, it is a technically demanding procedure, and the feasibility remains unclear. The aim… Continue Reading
A Systematic Review and Meta-Analysis on the Use of Indocyanine Green for the Prevention of Anatomic Leaks Following Esophagectomy
Farah Ladak, MD, MPH, Jerry Dang, MD, Noah Switzer, MD, MPH, Chunhong Tian, PhD, Daniel Birch, MSc, MD, FRCSC, FACS, Simon Turner, MD, FRCSC, Shahzeer Karmali, MD, FRCSC, FACS. University of AlbertaIntroduction: The present study aims to evaluate the predictive value of indocyanine green (ICG) for the detection and prevention of anastomotic leak following esophagectomy.… Continue Reading
Outcomes after robotic versus laparoscopic Roux-en-Y gastric bypass: A Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program national database analysis
Eric S Wise, MD1, Eric H Mace, BS2, M. Katie Hanisee, MD1, Jessica M Felton, MD1, NIkhil Prasad, MBChB1, Yash A Choksi, MD2, Nabeel Zafar, MD1, Mark D Kligman, MD1. 1University of Maryland Medical Center, 2Vanderbilt University School of MedicineObjective: Robotic assistance for bariatric surgery represents a novel application of a rapidly emerging technology. Its… Continue Reading
Thoracoscopic Truncal Vagotomy versus Surgical Revision of the Gastrojejunal Anastomosis for Recalcitrant Marginal Ulcers.
Alicia M Bonanno, MD, Brandon Tieu, MD, Farah Husain, MD. Oregon Health and Science UniversityINTRODUCTION- Marginal ulcer is a common complication following Roux-en-Y gastric bypass with incidence rates between 4-16%. Most marginal ulcers resolve with medical management and lifestyle changes, but in the rare case of a non-healing marginal ulcer there are few treatment options.… Continue Reading
TUBULOVILLOUS ADENOMA OF THE PYLORUS: MINIMALLY INVASIVE RESECTION OF A RARE TUMOR
Tracey C Kim, MD, Jeffrey E Quigley, DO, Manuel Garcia, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Esther Wu, MD, Keith Scharf, DO, FACS, FASMBS, Carlos Garberoglio, MD, FACS, Marcos Michelotti, MD. Loma Linda University HealthWe present a case of a 59-year-old female with a history of thyroid cancer who initially presented… Continue Reading
Concept of para-hiatal hernia and its management
Amol Wagh, MS1, Gagandeep Talwar1, Chintan Patel, MS2, Saurabh Gandhi, MS1, Jasmine Agarwal1, Dharmesh Dhanani, MS2. 1Grant Govt. Medical College & Sir JJ Group of Hospitals, India, 2Kiran Multi-Super Speciality, IndiaOBJECTIVE: Parahiatal Hernia is a rare type of diaphragmatic hernia with incidence of 0.2-0.35%. Para-hiatal hernias arises lateral to the left crural musculature adjacent to… Continue Reading
Comparison of the estimated lymph node metastasis risk and the predicted surgical risk in patients with early gastric cancer after non-curative endoscopic submucosal dissection
Daisuke Ichikawa, MD1, Hidenori Akaike, MD1, Yoshihiko Kawaguchi, MD1, Kensuke Shiraishi, MD1, Yuki Nakata, MD1, Naohiro Hosomura, MD1, Mitsuhiro Watanabe, MD1, Hideya Amemiya, MD1, Hiromitsu Kawaida, MD1, Makoto Sudoh, MD1, Hiroshi Kohno, MD1, Katsutoshi Shoda, MD2, Eigo Otsuji, MD2. 1University of Yamanashi, 2Kyoto Prefectural University of MedicineINTRODUCTION: Extended indications of endoscopic resection for early gastric cancer (EGC) have been widely accepted. According to current… Continue Reading