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
Heller versus POEM: Should obesity influence a surgeon’s decision?
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FACSFASGE. Case Western Reserve UniversityObjective: Achalasia is a lifestyle-crippling disease characterized by failure of lower esophageal relaxation leading to progressive dysphagia and recurrent aspiration. Since 2008, Per Oral Esophageal Myotomy (POEM) has become an increasingly-accepted alternative to laparoscopic Heller myotomy as the procedure of choice for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Hiatal Hernia Repair After Esophagectomy
Sean R Maloney1, Christy M Dunst2, Walaa Abdelmoaty2, Paul D Colavita1. 1Carolinas Medical Center, 2The Oregon ClinicHere we present two cases of hiatal hernia repair after esophagectomy. One shows the less complex anterior dissection and closure while the other required dissection in the posterior aspect, in proximity of the gastric conduit blood supply, for sufficient… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Hiatal Hernia Repair with Mesh and Toupet Fundoplication
Matthew E Sharbaugh, DO1, Kristin Mccoy, MD2, Tejinder P Singh, MD1. 1Albany Medical Center, 2Stamford HealthOptimal hiatal hernia repair technique has yet to be standardized. There is still no consensus on the multiple technical aspects of the procedure including: mesh fixation, division of short gastric vessels, size of wrap, use of gastropexy and many more.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
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
IMPACT OF FUNCTIONAL ESOPHAGOGASTRIC OUTFLOW OBSTRUCTION ON OUTCOMES OF LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD
Noah J Switzer, Anahita D Jalilvand, Monet Mcnally, Alexandra Power, Patricia Belle, Kyle Perry. The Ohio State UniversityINTRODUCTION: We hypothesized that GERD patients with manometric findings of EJOO on preoperative manometry do not have increased rates of postoperative dysphagia compared to those with normal or hypotensive LES pressures. With the advent of high-resolution manometry, esophageal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Increased Morbidity after Paraesophageal Hernia Repair is associated with Collis Gastroplasty and Open Approach
Sarah Samreen, MD, Bhavani Pokala, MD, Laura E Flores, Priscila R Armijo, MD, Dmitry Oleynikov, MD. University of Nebraska Medical CenterIntroduction: Paraesophageal hernia repair (PEH) requires an adequate length of intra-abdominal esophagus. For the management of short esophagus, a collis gastroplasty can be performed to lengthen the functional distal esophagus. A fundoplication can then be performed… Continue Reading
INTRAGASTRIC LAPAROSCOPIC RESECTION OF 8 CM SUBMUCOSAL GASTRIC MASS TO PRESERVE TOTAL GASTRIC VOLUME AND AVOID PARTIAL GASTRECTOMY
Ryan Fairley, DO1, Danial Cottam, MD2, Helmuth T Billy, MD1. 1Community Memorial Hospital, Ventura California, 2Bariatric Medical Institute, Salt Lake City, UtahLarge submucosal intragastric neoplasms can be difficult to resect endoscopically. Laparoscopic resection of gastric neoplasms often require partial gastrectomy with complex reconstruction. Complications including gastric paresis, gastric and bile reflux are often consequences of… Continue Reading
INTRAOPERATIVE ASSESSMENT OF ESOPHAGEAL MOTILITY USING THE FUNCTIONAL LUMEN IMAGING PROBE DURING MYOTOMY FOR ACHALASIA
Ryan J Campagna, MD, Dustin A Carlson, MD, Eric S Hungness, MD, Amy L Holmstrom, MD, John E Pandolfino, MD, Nathaniel J Soper, MD, Ezra N Teitelbaum, MD, MEd. Northwestern University Feinberg School of MedicineIntroduction: The functional lumen imaging probe (FLIP) is a novel measurement catheter that can evaluate esophagogastric junction (EGJ) distensibility and esophageal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Intraoperative Endoflip: Real-time Assessment of Myotomy Adequacy
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, David C Kunkel, MD, Santiago Horgan, MD. UC San DiegoDysphagia following foregut surgery often presents a challenge in management.… Continue Reading
- Topic:
- Foregut
Is Barium Esophagram Enough to Guide Operative Technique for GERD Patients? Comparison of Esophageal Motility found on Barium Esophagram to High Resolution Manometry
Robert Roether, Amy Banks-Venegoni, MD, Brittany Kern, MD, David Scheeres, MD. Spectrum Health/Michigan State UniversityBackground: Practice patterns amongst surgeons in the preoperative evaluation of Gastro-Esophageal Reflux Disease (GERD) and the type of anti-reflux fundoplication procedures performed vary widely. The Esophageal Diagnostic Advisory Panel recommends tailoring the type of anti-reflux fundoplication based on findings of the… Continue Reading
Is that ‘Floppy’ Fundoplication Tight Enough?
Brexton Turner, BS, Melissa Helm, MS, Emily Hetzel, BS, Max Schumm, MD, Jon Gould, MD. Medical College of WisconsinBackground: Laparoscopic fundoplication is the treatment of choice for medically refractory gastroesophageal reflux disease (GERD). Surgeons seek to create a competent valve at the gastroesophageal junction (GEJ) but are careful to construct a ‘floppy’ fundoplication that is not… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparascopic trans-gastric resection of submucosal mass
Jason E Kuhn, DO, Robert Cunningham, MD, Jon Gabrielsen, MD, Anthony Petrick, MD, David Parker, MD. Geisinger Medical CenterGeisinger Medical Center is presenting a video submission for a pre-pyloric submucosal mass unamenable to wedge resection without compromising the pylorus. Resection was performed in a laparscopic trans-gastric manner with endoscopic assistance for retrieval. The defect was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoendoscopic Transgastric Resection of 2 masses of 8.5cm
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Richard A Perugini, MD. University of MassachusettsGastrointestinal stromal tumors (GISTs) are rare and the only opportunity for cure is total surgical resection with gross negative margins. National Comprehensive Cancer Network (NCCN) guidelines from 2010 recommend laparoscopic resection for tumors up to 5cm but recommend open surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic and Endoscopic Cooperative Surgery for Gastrointestinal Stromal Tumor of the Stomach
Norimasa Koide, Kazuyoshi Suda. Niigatakensaiseikai Sanjyo HospitalIntroduction: Gastrointestinal stromal tumors (GISTs) are the most common types of mesenchymal tumors of the gastrointestinal tract, and these tumors occur most frequently in the stomach. Complete resection is the curative treatment for limited gastric GIST. Many reports showed laparoscopic resection was useful procedure for gastric GIST. Recently several… Continue Reading