HELP! I CANNOT CLOSE THE HIATUS
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Ahmed M Zihni, MD, MPH1, Filippo Filicori, MD1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Lee L Swanstrom, MD, FACS2, Steven R DeMeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicHiatal closure with too much tension during para-esophageal hernia repair is a… Continue Reading
- Topic:
- Foregut
Thoracoscopic 2 phase oesophagectomy
Barry Dent, FRCS, MA, Kamil Wynne, FRCS, MD, S Michael Griffin, FRCS, MD, Arul Immanuel, FRCS, MD. Northern Oesophago-Gastric Cancer Unit, Newcastle upon Tyne, UKWe present a video of our approach to performing a thoracoscopic 2 phase oesophagectomy. The thoracic phase of surgery is demonstrated including formation of the intra-thoracic anastomosisPresented at the SAGES 2017… Continue Reading
- Topic:
- Foregut
Management of Gastric Conduit Necrosis after Laparoscopic Ivor Lewis Esophagectomy
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Lisandro Montorfano, MD, Hira Ahmad, MD, Ramarao Ganga, MD, Samuel Szosmstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaEsophageal reconstruction after esophagectomies for cancer can be challenging. The gastric pull-up procedure is the ?rst line procedure for esophageal reconstruction due to the rich vascular supply of the stomach,… Continue Reading
- Topic:
- Foregut
SINGLE STAGE ROBOTIC THORACOABDOMINAL MYOTOMY FOR TREATMENT OF TYPE III ACHALASIA
David A Bernstein, MD, John C Delong, MD, Toshiaki Suzuki, MD, Carlos T Maeda, MD, Jenny Lam, MD, Thach Pham, MD, Garth R Jacobsen, MD, Bryan J Sandler, MD, Mark W Onaitis, MD, Santiago Horgan, MD. UCSDThis is a video abstract submission of a single stage robotic thoracoabdominal myotomy for treatment of long segment/type III… Continue Reading
- Topic:
- Foregut
Video Presentation: Laparoscopic D2 Gastrectomy
Chaya Shwaartz, Nadav Zilka, MD, Lyn Gilad, MD, Yuri Goldes, MD. Sheba Medical Center, IsraelThis is a video presentation on laparoscopic D2 total gastrectomy for gastric cancer. A 62-year-old male, presented to the office following an upper endoscopy revealing gastric carcinoma. Imaging showed no metastatic disease. The patient was taken to the operating room for… Continue Reading
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- Foregut
Complex Laparoscopic Resection and Reconstruction after Mesh Erosion as a Consequence of Paraesophageal Hernia Repair
Kelly R Haisley, MD, Melissa L DeSouza, MD, John G Hunter, MD, FACS, James P Dolan, MD, MCR. Oregon Health and Science UniversityMesh erosion is a rare and dreaded event following paraesophageal hernia repair. This complication can be associated with severe symptoms that can result in significant impact to the health and quality of life… Continue Reading
- Topic:
- Foregut
Large Morgagni Hernia Requiring Pericardotomy and Mesh Closure
Chetan V Aher, Assistant Professor of Surgery, Michael D Holzman, Professor of Surgery. Vanderbilt University Medical CenterIt is my pleasure to present a case of a large Morgagni hernia requiring pericardotomy and mesh closure The patient is a 33-year-old man who initially presented with chest pain and new onset hypertension. His chest x-ray shown here… Continue Reading
- Topic:
- Foregut
NOT QUITE TYPE II: LAPAROSCOPIC REPAIR OF A PARAHIATAL HERNIA
Alejandro Rodriguez, MD, Rebecca G Lopez, MD, Dustin G Cummings, Andrew S Wright, MD, Brant K Oelschlager, MD. University of WashingtonWe present the case of a 68-year-old female referred for evaluation of paraesophageal hernia. Her symptoms included abdominal pain, early satiety, and weight loss. Abdominal CT and UGI films suggested a type II paraesophageal hernia.… Continue Reading
- Topic:
- Foregut
Esophageal diverticulum after Incomplete POEM
Filippo Filicori, MD, Christy M Dunst, MD, Ahmed M Zihni, MD, Walaa F Abdelmoaty, MD, Steven R Demeester, MD, Lee L Swanstrom, MD. Portland Providence Medical CenterA 57 year old female presented 3 years after POEM with recurrent dysphagia and aspirations. Patient was found to have a large distal esophageal diverticulum. Manometry showed persistently high… Continue Reading
- Topic:
- Foregut
Laparoscopic subtotal gastrectomy with D2 lymph node dissection for gastric cancer: Step by Step
Wipusit Taesombat, MD, Methee Sutherasan, MD, Bunthoon Nonthasoot, MD, Supanit Nivatvongs, MD, Boonchoo Sirichindakul, MD. Department of Surgery, King Chulalongkorn memorial hospital, Chulalongkorn university, ThailandIntroduction: Laparoscopic surgery for gastric cancer is challenging and technically demanding procedure especially combining lymph node dissection. We presented a 72 year-old female with gastric cancer at antrum underwent totally laparoscopic… Continue Reading
- Topic:
- Foregut
Laparoscopic Transgastric Resection of Gastric Cardia Mass
MacKenzie Landin, MD, Kristine Makiewicz, MD, Benjamin R Veenstra, MD. Rush University Medical CenterWe present a case of laparoscopic transgastric resection of a gastric cardia mass in a patient with atypical symptomatic gastric reflux. The patient had a large leiomyoma negatively impacting his quality of life and a combined laparoscopic and endoscopic procedure was performed… Continue Reading
- Topic:
- Foregut
Robotic Assisted Thoracoscopic Repair of an Anastomotic Fistula after Robotic Assisted Esophagectomy
Federico Gheza, MD, Roberto E Bustos, MD, Alberto Mangano, MD, Mario A Masrur, MD, Pier C Giulianotti, MD, FACS. UIC ChicagoWe present a case of a 52 year-old male who underwent robot assisted esophagectomy and toracic anastomosis for untreatable dysphagia after repeated attempt to avoid the resection. An end-to-end, manual, single layer anastomosis was performed.… Continue Reading
- Topic:
- Foregut
Laparoscopic Hiatal Hernia Repair with Falciform Ligament Buttress: One Year Follow-up
Clint S Schoolfield, Jr., MD, Robert A Grossman, MD, Fred J Brody, MD, MBA. George Washington University MFAHiatal hernias have proven to have high recurrence rates when primarily repaired. For this reason, many authors suggest the use of a buttressed repair, often with prosthetic or biologic mesh. The use of mesh, however, has shortcomings, added… Continue Reading
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- Foregut
Recurrent Symptomatic Paraesophageal Hernia status post Roux en y Gastric Bypass
Dustin R Cummings, MD, MPH, Rebecca G Lopez, MD, MPH, Alejandro Rodriguez, MD, Andrew S Wright, MD, Saurabh Khandelwal, MD, Judy Y Chen, MD, Brant K Oelschlager, MD. University of Washington Medical CenterA video abstract describing a repair of a recurrent hiatal hernia in a patient with a previous roux en y gastric bypass and… Continue Reading
- Topic:
- Foregut
REFRACTORY GERD DUE TO INTRATHORACIC GASTRIC MIGRATION AFTER SLEEVE GASTRECTOMY: WHAT IS THE IDEAL SURGICAL TREATMENT?
Guillaume S Chevrollier, MD, Andrew M Brown, MD, Talar Tatarian, MD, Michael J Pucci, MD, Francesco Palazzo, MD. Sidney Kimmel Medical College of Thomas Jefferson University, Department of SurgeryWe present a video case presentation detailing two different surgical approaches to the management of intrathoracic gastric sleeve migration after sleeve gastrectomy. The first patient underwent laparoscopic… Continue Reading
- Topic:
- Foregut