Outcomes of total and subtotal laparoscopic gastrectomy with D2 lymphadenectomy for advanced gastric cancer in a western setting
Luciana J El-Kadre, MD, PHD, FACS, Augusto C Tinoco, MD, PHD, FACS, Matheus R Netto, MD. Sao Jose do Avai HopsitalAlthough laparoscopic gastrectomy is becoming more popular as a curative option for gastric cancer, there are concerns about its oncological adequacy. We have compared the outcomes of laparoscopic total gastrectomy (LTG) and laparoscopic subtotal gastrectomy (LSG), both with D2 lymphadenectomies,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Magnetic Lower Esophageal Sphincter Augmentation: A Viable Rescue Therapy for Symptomatic Reflux Following Bariatric Surgery
Ryan C Broderick, MD, Joslin N Cheverie, MD, Arielle M Lee, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UC San DiegoIntroduction: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are the two most commonly performed bariatric procedures for management of obesity. Gastroesophageal reflux disease (GERD) is highly prevalent in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Comparison of 5-year oncological outcomes between robotic and laparoscopic gastrectomy for gastric cancer, propensity-score matched analysis
Masaya Nakauchi, Koichi Suda, Kenji Kikuchi, Shinichi Kadoya, Kazuki Inaba, Ichiro Uyama. Fujita Health UniversityBackground: More than 4000 da Vinci Surgical Systems (DVSS) have been installed worldwide. However, robotic gastrectomy (RG) reportedly has the disadvantages of longer operative time and higher cost compared with laparoscopic gastrectomy (LG). We previously examined 3-year outcomes of RG and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
LAPAROSCOPIC VENTRAL HERNIA REPAIR IN A LIVER TRANSPLANT PATIENT
Camila Ortiz Gomez, MD, Coney Bae, MD, Joel S Frieder, MD, Maria C Fonseca, MD, David Romero Funes, MD, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS. Cleveland Clinic FloridaA 40-year-old with prior orthotopic liver transplant for alcohol-induced cirrhosis presents with a large symptomatic ventral hernia… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Pyloroplasty and Sleeve Gastrectomy for Gastroparesis, after failed Per Oral endoscopic Pyloromyotomy (POP).
Michel Gagner, MD, FRCSC, FACS, FASMBS, Maxime Lapointe-Gagner. Clinique Michel Gagner MD, Inc.Gastroparesis, defined as a delay in gastric empting without clear obstruction, is increasing in incidence mainly due to a recent diabetes epidemic. The use of laparoscopic sleeve gastrectomy alone to treat gastroparesis is still controversial, as results have been inconsistent. This video is… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC RESECTION OF ESOPHAGEAL LEIOMYOMA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEsophageal leiomyoma are benign tumors that arise from smooth muscles. It is present in the distal third of the esophagus 60% of the time, 30% in the middle and 10% in the upper esophagus. Barium swallow shows a smooth a filling defect within… Continue Reading
- 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
Paraoesophageal Hernia Repair After Laparoscopic Sleeve Gastrectomy
Charlotte Horne, MD, Alisan Fathalizadeh, MD, John Rodriguez, MD, Kevin El-Hayek, MD, Jeffrey Ponsky, MD. Cleveland ClinicThis case presentation involves a 52-year-old female that underwent a laparoscopic sleeve gastrectomy in 2011. At this time, she was also noted to have a hiatal hernia but this was not repaired. Her medical comorbidities include diabetes mellitus, pulmonary… Continue Reading
- Topic:
- Foregut
Laparoscopic Redo Paraesophageal Hernia Repair, Takedown of Low Nissen Fundoplication with Conversion to Toupet, and Pyloroplasty
Amy L Holmstrom, MD, Ryan J Campagna, MD, Stephen F Chiu, MD, Ezra N Teitelbaum, MD, MEd. Northwestern Memorial HospitalThe patient is a 61 year old woman who had undergone a robotic converted to open paraesophageal hernia repair with Nissen fundoplication at an outside hospital in 2016. Following this surgery, she experienced severe epigastric pain,… Continue Reading
- Topic:
- Foregut
Crural Blowout Years After Laparoscopic Repair of Recurrent Paraesophageal Hernia
Michael A Antiporda, MD1, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Steven R Demeester, MD2, Christy M Dunst, MD2, Daniel Davila Bradley, MD2, Lee L Swanstrom, MD3, Kevin M Reavis, MD2. 1Providence Portland Medical Center, 2The Oregon Clinic, Portland, Oregon, 3Institute for Image Guided Surgery (IHU-Strasbourg), Strasbourg, FranceIntroduction: Paraesophageal hernia (PEH) repair is associated with… Continue Reading
- Topic:
- Foregut
LINX in GERD. The evolution of the technique. From none to full dissection of the crura
Rebeca V Dominguez, MD, Arielle M Lee, MD, Tokio Matsuzaki, MD, Kai Neki, Ryan C Broderick, Robert Cubas, Joslin N Cheverie, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UCSDWe present a video with 4 different scenarios, that represent the continuous evolution of this technique. Starting with the performing… Continue Reading
- Topic:
- Foregut
RECURRENT EPIPHRENIC DIVERTICULUM
Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEpiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure.… Continue Reading
- Topic:
- Foregut
Laparoscopic para-esophageal hernia repair including an anterior 180 degrees fundoplication & Mid-term outcomes in a single center
Anne-Sophie S Studer, MD, Teodoros Thomopoulos, MD, Michele Podetta, MD, Henri Atlas, MD, Ronald Denis, MD, Pierre Garneau, MD, Radu Pescarus, MD. Hopital Sacré Coeur de MontréalIntroduction: Surgical management of large paraesophageal hernias (PEH) remains challenging and may be associated with high morbidity. As an alternative to Nissen fundoplication, an anterior 180 degrees wrap has… Continue Reading
Pattern of Hiatal Hernia Repair: An Analysis of the National Inpatient Sample
Zhamak Khorgami, MD1, Guido M Sclabas, MD1, Jamin G Graham, MPH2, C. Anthony Howard, MD1, Geoffrey S Chow, MD1. 1University of Oklahoma, College of Medicine, Tulsa, USA, 2Trinity Medical Sciences UniversityIntroduction: Patients with symptomatic hiatal hernias undergo surgical repair as a primary operation or in conjunction with other gastric and esophageal operations. The purpose of… Continue Reading
Gastroparesis Cardinal Symptom Index Scoring does not predict Delayed Gastric Emptying in patients with GERD
Sarah Marowski, Yiwei Xu, Luke M Funk, Jacob A Greenberg, Anne O Lidor, Amber L Shada. University of Wisconsin School of Medicine and Public HealthGastroparesis (GP) causes nausea, vomiting, and reflux. These symptoms are also associated with gastroesophageal reflux disease (GERD), and it is often difficult to distinguish between the two. Currently, gastric emptying scans… Continue Reading