Tumor deposits counted as positive lymph nodes in stage III gastric cancer: a novel N category in TNM staging
Wenquan Liang, Kecheng Zhang, Hongqing Xi, Jianxin Cui, Aizhen Cai, Jiyang Li, Yunhe Gao, Xiaosong Wu, Xinxin Wang, Bo Wei, Lin Chen. Chinese PLA General HospitalBACKGROUND: Tumor deposits (TDs) are defined as satellite tumor nodules without histologic evidence of residual lymph node in peritumoral or regional lymph node areas. TD are markers of poor prognosis in… Continue Reading
Enhanced recovery protocol for patients receiving 3D laparoscopy-assisted gastrectomy: high compliance rate correlated with a shortened postoperative stay
Kecheng Zhang, Canrong Lu, Jianxin Cui, Xiaohui Huang, Lin Chen. Chinese PLA General HospitalBackground: Chinese Society of Surgery and Chinese Society of Anesthesiology has jointly released the Chinese Expert Consensus and Clinical Practice Pathway for Enhanced Recovery After Surgery (ERAS) (2018 edition) in January 2018. We investigated the impact of enhanced recovery protocol on patients… Continue Reading
Study of continuous intraoperative vagus nerve stimulation for monitoring the recurrent laryngeal nerve function during thoracoscopic esophagectomy in a prone position for esophageal cancer
Soji Ozawa, Kazuo Koyanagi, Akihito Kazuno, Miho Yamamoto, Yamato Ninomiya, Kentarou Yatabe. Department of Gastroenterological Surgery, Tokai University School of Medicine, JapanIntroduction: Recurrent laryngeal nerve paralysis caused by lymph node dissection during thoracoscopic esophagectomy is one of the most important postoperative complications causing hoarseness, aspiration, pneumonia, or dysphagia. Continuous intraoperative vagus nerve stimulation for monitoring the… Continue Reading
RESULTS OF COLON BY-PASS SURGERY WITH LEFT COLON IN TREATMENT OF ESOPHAGEAL CHEMICAL STRICTURE
Viet Trung Lam, MD, PhD, Dung Tien Tran Phung, MD, PhD. Cho Ray hospital, Ho Chi Minh City, VietnamBackground: Esophagectomy to treat esophageal chemical stricture is often combined with high morbidity due to extended adhesion and cicatrisation around the affected esophagus. Aim: To evaluate the feasibility and results of colon by-pass surgery with left colon… Continue Reading
Laparoscopic gastrectomy for gastric cancer: a single center 12 year experience and learning curve
Carlo Marino, MD, Cristián Jarry, MD, Vanessa Ahumada, Fernando Crovari, MD, Rodrigo Muñoz, Nicolás Quezada, Enrique Norero, Julián Varas, Pablo Achurra. Pontificia Universidad Católica de ChileBackground: Laparoscopic gastrectomy has shown to be a feasible approach for gastric cancer but involves long learning curves. As a learning curve progress, operating time, complications and conversion rates commonly… Continue Reading
Heller Myotomy and Dor Fundoplication for Esophagogastric Junction Outflow Obstruction: A Case Series
Timothy W Mansour, MD, William O Richards, MD. University of South AlabamaEsophagogastric Junction Outflow Obstruction (EGJOO) is a variant of achalasia that is characterized by increased lower esophageal sphincter (LES) tone in the setting of preserved peristalsis. It is a relatively new diagnosis since the advent of high resolution manometry (HRM) and its management has… Continue Reading
Novel Technique Using Intraoperative Impedance Planimetry for Magnetic Sphincter Augmentation Following Laparoscopic Sleeve Gastrectomy
Keith J King, MD, Ragui Sadek, MD, FACS, Andrew M Wassef, BS. Rutgers Robert Wood Johnson Medical SchoolBackground: Magnetic sphincter augmentation (MSA) using the LINX® Reflux Management System provides an alternative surgical option for patients experiencing medically refractory gastroesophageal reflux disease (GERD) following laparoscopic sleeve gastrectomy (LSG). A critical component in successful MSA, particularly in… Continue Reading
Post-operative Dysphagia Following Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease
Catherine Tsai, Ulf Kessler, Rudolf Steffen, Joerg Zehetner. Clinic Beau-SiteBackground: Gastroesophageal reflux disease (GERD) is the most prevalent gastrointestinal disorder of the esophagus in the Western population. The magnetic lower esophageal sphincter augmentation (MSA) device is a novel treatment technique with promising results. As it becomes an increasingly common surgical option, understanding the temporary early… Continue Reading
laparoscopic-assisted percutaneous endoscopic gastrostomy, A single center case-series.
Nir Hus Md., Phd., Daud Lodin, MD, Anupam K Gupta. FAUIntroduction: Gastroscopic assisted percutaneous endoscopic gastrostomy (PEG) is an easy means to provide enteral access in patient unable to intake nutrition via oral route. However, in many patients with unfavorable body habitus secondary to prior abdominal surgery, interpositioning of the colon between the stomach and anterior… Continue Reading
Efficacy of Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease in Patients with BMI 35 or Greater
Jocelyn F Burke, MD1, Evan T Alicuben, MD1, Reginald C Bell, MD2, John C Lipham, MD1. 1Department of Surgery, Keck Medical Center of the University of Southern California, 2Institute of Esophageal and Reflux SurgeryBackground: Magnetic sphincter augmentation (MSA) was FDA approved as a surgical option for patients with gastroesophageal reflux disease (GERD) in 2012. However,… Continue Reading
How to manage Efferent Loop Syndrome with endoscopic techniques
Derek Lim, DO, Kevin Bain, DO, Prashant Sinha, MD. NYU Langone Hospital - BrooklynIntroduction: Efferent loop syndrome (ELS) is defined as a mechanical obstruction of the efferent enteric jejunal limb. ELS can occur after a Whipple, Billroth II gastrectomy, or Roux-en-Y gastric bypass. Gastrojejunal anastomotic stenosis rates in these surgeries range from 0.2-1.7%. However, these… Continue Reading
Laparoscopic antireflux procedures with hepatic shoulder technique for the surgical management of large para-esophageal hernias and gastroesophageal reflux disease: A follow-up study.
Philippe J Quilici, MD, Alexander Tovar, MD. Providence Saint Joseph Medical CenterBACKGROUND: Numerous techniques have been historically proposed in the management of gastro-esophageal reflux and para-esophageal hernias [PEH]. A follow-up study to a novel laparoscopic approach introduced in 2009 and performed in 49 patients is presented. METHODS: All procedures were performed via laparoscopy. Thirty-two patients… Continue Reading
Laparoscopic Esophageal Diverticulectomy with Heller’s cardiomyotomy
Venkatarami Reddy Vutukuru, Associate Professor. Sri Venkateswara Institute of Medical SciencesA 68 yr lady, presented with complaints of retrosternal discomfort, dyspepsia and regurgitation of swallowed food of 6 months duration. Known hypothyroid on oral thyroxine supplements. On evaluation with barium study and endoscopy, there was a large diverticulum in the lower esophagus about 2cms proximal… Continue Reading
Gastric plexiform fibromyxoma arising in the cardia in an adolescent male. A rare tumor with unusual presentation
Awrad Nasralla, MD, Mufeed Alwabari, MD, Osama Alsaif, MD, Samir S Amr, MD. King Fahad Specialist Hospital -DammamIntroduction: The objective is to report the sixth case of gastric plexiform fibromyxoma in the pediatric population with unusual location in the cardia. It is an exceedingly rare mesenchymal tumor, that usually affects adults. It has non-specific clinical manifestations. Treatment… Continue Reading
Robot assisted hiatal hernia repair demonstrates favorable outcomes compared to laparoscopic hiatal hernia repair
Basem G Soliman, MD, Duc T Nguyen, MD, PhD, Edward Y Chan, MD, Ray K Chihara, MD, PhD, Edward A Graviss, PhD, MPH, FIDSA, Leonora M Meisenbach, DNP, RN, ACNPBC, Min P Kim, MD, FACS. Houston Methodist HospitalIntroduction: We postulated that the use of robotics may significantly improve outcomes in hiatal hernia repair. Methods and Procedures: We… Continue Reading