ROUTINE ESOPHAGEAL MANOMETRY IS NOT USEFUL IN PATIENTS WITH NORMAL VIDEOESOPHAGRAM
Evan T Alicuben, MD, Nikolai Bildzukewicz, MD, Kamran Samakar, MD, Namir Katkhouda, MD, Adrian Dobrowolsky, MD, Kulmeet Sandhu, MD, John C Lipham, MD. University of Southern CaliforniaIntroduction: Videoesophagram (VEG) and esophageal manometry (EM) are components of the preoperative evaluation for foregut surgery. EM is able to identify significant motility disorders and diminished contractility that may… Continue Reading
- Type:
- Podium Presentations
- 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
Robotic Assisted Removal of Magnetic Esophageal Sphincter with Fundoplication
Michael P Meara, MD, MBA, FACS, Colleen Alexander, MD, Cole Rodman, David B Renton, MD, FACS, Jennifer Schwartz, MD. The Ohio State University Wexner Medical CenterBACKGROUND: Magnetic esophageal sphincter augmentation is a relatively new technique for management for reflux beyond traditional medications. The long-term outcomes of this device and concerns for potential failure or erosion… Continue Reading
- Topic:
- Foregut
Robotic-Assisted Median Arcuate Ligament Release
Yen-Yi Juo, MD, MPH, Usah Khrucharoen, MD, Michael W Robinson, MD, Erik Dutson, MD. UCLA Center for Advanced Surgical and Interventional Technology (CASIT) A robotic-assisted laparoscopic approach for release of median arcuate ligament has been described in small case series in the literature with comparable outcomes to conventional laparoscopic approaches. Surgeons may hesitate to adopt this… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robot-assisted Highly Selective Vagotomy in Refractory Peptic Ulcer Disease
Melissa L DeSouza, MD1, Laura E Fischer, MD, MS2, James P Dolan, MD, MCR1. 1Oregon Health and Science University, 2Oklahoma University MedicineHighly selective vagotomy was first described by Griffiths and Harkin in 1957 as a more physiologic ulcer operation than standard truncal vagotomy by denervating parietal cell mass while maintaining pyloric integrity. While advances in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
REVERSE SLEEVE GASTRECTOMY FOR RESECTION OF GASTRIC GIST
David A Bernstein, MD, John C Delong, MD, Toshiaki Suzuki, MD, Carlos T Maeda, Thach Pham, MD, Jenny Lam, Garth R Jacobsen, MD, Bryan J Sandler, MD, Santiago Horgan, MD. UCSDThis is a video abstract submission describing an interesting technique for resection of gastric tumors located on the lesser curvature of the stomach. Here we… Continue Reading
- Topic:
- Foregut
Resection of a Redundant Jejunal Overhang in a Patient with Weight Regain After Roux-En-Y Gastric Bypass
Ryan J Campagna, MD, Eric S Hungness, MD. Department Of Surgery, Northwestern University Feinberg School of MedicineWe submit the case of a 40-year-old female who presented to our institution with significant weight gain after remote roux-en-y gastric bypass. A diagnostic workup revealed a redundant small bowel overhang at the gastrojejunal anastomosis that likely facilitated excess… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Removing the Magnetic Sphincter Augmentation Device: Patient Characteristics, Immediate Management and Outcomes.
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kameran Samakar, MD, Kulmeet Sandhu, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Recurrent or persistent symptoms of reflux, dysphagia or device erosion can require removal of the magnetic sphincter augmentation (MSA) device. We describe… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Regression of Intestinal Metaplasia After Magnetic Sphincter Augmentation
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: Intestinal metaplasia (IM) is a known precursor to both dysplastic tissue changes and to carcinoma of the distal esophagus. We hypothesize that… Continue Reading
- Type:
- Podium Presentations
- 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
Reducing the Incidence of Symptomatic Recurrent Hiatal Hernia: Initial Report of a Novel Technique
Pei-Wen Lim, MD, Stephanie Bond, MS, Nicole Cherng, MD, John J Kelly, MD. University of Massachusetts Medical SchoolBackground: Laparoscopic hiatal hernia repair, particularly large type 1 and type 3 hernias, is associated with high recurrence rates. Various use of overlay mesh reinforcement have been described in an attempt to improve outcomes. Unfortunately, overlay use of… Continue Reading
Redo laparoscopic surgery for Achalasia: Two patterns of failure after Heller´s myotomy
Sonia Fernandez-Ananin, PhD, Carme Balague, PhD, Irene Gomez, MD, Berta Gonzalo, PhD, David Sacoto, PhD, Alberto Basterra, MD, Elena Pareja, MD, Eduard M. Targarona, PhD. Hospital de la Santa Creu i de Sant PauSurgical treatment of achalasia fails in 10-20% of patients. The most frequent responsible cause is the performance of an incomplete myotomy at… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- 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
RECURRENT LARINGEAL NERVE INJURY AFTER MINIMALLY INVASIVE THREE FIELDS ESOPHAGECTOMY: FROM DISPHAGIA TO PULMONARY COMPLICATIONS. A DIAGNOSIS CHALLENGE.
Evelyn Dorado, DR. Fundacion Valle Del LiliINTRODUCTION: Minimal Invasive three-fields esophagectomy for minimal invasion is the surgical standard for oncological procedures and benign diseases. Cervical dissection has a risk of 2 to 59% in some series ,of,lesion or paralysis of the RNL, but the standard in Mckeon approach is 14%. A high level of suspicion… Continue Reading
RECURRENT ACHALASIA AFTER MYOTOMY: DIAGNOSIS, WORKUP, AND TECHNIQUE
Rebecca G Lopez, MD, Dustin R Cummings, MD, H. Alejandro Rodriguez, MD, Saurabh Khandelwal, MD, Judy M Chen, MD, Andrew S Wright, Brant K Oelschlager, MD. University of WashingtonThis video demonstrates a case of recurrent achalasia, a discussion of its workup, technical approach and considerations, and a general algorithm for workup and treatment of recurrent… Continue Reading
- Topic:
- Foregut