Interaction of the Lower Esophageal Sphincter and the Diaphragmatic Hiatus in Gastroesophageal Reflux Disease
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: Hypotension of the lower esophageal sphincter (hLES) and the presence of hiatal hernia (HH) have both been associated with gastroesophageal reflux disease… Continue Reading
Interim Analysis of a Prospective, Randomized Phase II Trial of Trastuzumab vs Trastuzumab + E75 for the Prevention of Recurrence in HER2 Overexpressing Breast Cancer Patients
Tommy A Brown, MD1, John W Myers, MD1, Kaitlin M Peace, MD1, Jennifer K Litton, MD2, Rashmi Murthy, MD3, Timothy J Vreeland, MD2, Diane F Hale, MD1, Garth S Herbert, MD1, Guy T Clifton, MD1, Mark O Hardin, MD4, George E Peoples, MD5, Elizabeth A Mittendorf, MD2. 1Department of Surgery, Brooke Army Medical Center, 2The… Continue Reading
Intermittent Intussusception and Microcytic Anemia Caused by a Submucosal Jejunal Lipoma: A Rare Case Report
Lindsay Tse, DO, Elizabeth Verrico, DO, Maurizio Miglietta, DO. HUMC PalisadesLipomas of the gastrointestinal tract are rare benign soft tissue tumors that are often discovered incidentally. These lesions are often asymptomatic, but have occasionally been reported to have clinical significance as will be described in this case report. A 40 year old male initially presented… Continue Reading
- Type:
- Posters
- Topic:
- Case Presentations
Internal Hernia after Gastrectomy for Gastric Cancer, A single center experience
Kyung Min Kang, Sa-Hong Min, Yoon Taek Lee, Ki Bum Park, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim. Seoul National University Bundang HospitalPurpose: Laparoscopic gastrecomy has been widely adopted as the treatment of choice by many countries and institutions. Internal hernia is a well-known complication after Rouxen-Y gastric bypass in the field… Continue Reading
Internal Hernia caused by a Free Intraperitoneal Staple after Laparoscopic Appendectomy.
Lisa M Angotti, MD, MS, Christopher Decker, MD, Todd Beyer, MD. Albany Medical CenterBackground: Laparoscopic appendectomy is the gold standard for treatment of acute appendicitis. Stapled closure of the appendiceal stump is often performed and has been shown to have several advantages. Few prior cases have been reported demonstrating complications from free staples left within… Continue Reading
- Type:
- Posters
- Topic:
- Case Presentations
Internet connection for Tele-endoscopy – own experience.
Rafal Solecki, MD, PhD1, Artur Pasternak1, Jan Krzak, MD2, Miroslaw Szura, MD, PhD1, Maciej Matyja, MD1. 1Jagiellonian University Medical College, 2Hospital of Southern Jutland, Aabenraa, DenmarkThe quality of endoscopic examination depends on the quality of endoscopic equipment, experience of the endoscopist and preparation of the patient. Contemporarily electronic endoscopes make feasible to transfer image directly… Continue Reading
- Type:
- Posters
Intertest Reliability of Hiatal Hernia Diagnosed By High Resolution Manometry, Video Esophagography or Endoscopy and Association with Gastroesophageal Reflux Disease
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: Multiple testing modalities are commonly performed on patients undergoing preoperative evaluation of gastroesophageal reflux symptoms. While hiatal hernia is classically associated with… Continue Reading
- Topic:
- Foregut
Intestinal Obstruction secondary to torsion / diverticular inflammation of a Meckel’s Diverticulum in an adult
Ryan Robalino, DO, Vadim Meytes, DO, Robert L Davis, MD. NYU Langone Hospital - BrooklynBackground: Acute abdominal pain caused by small bowel obstruction is amongst the most common entities facing acute care surgeons. The vast majority to these obstructions (>90%) are secondary to adhesions, hernias, and malignancy. Miscellaneous causes, such as Meckel’s diverticulum (MD), make… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Intra-Operative Colonoscopy during Colorectal Surgery Does Not Increase Postoperative Complications: An Assessment from the ACS-NSQIP Procedure-Targeted Cohort
Cigdem Benlice, Ahmet Rencuzogullari, James Church, Gokhan Ozuner, David Liska, Scott Steele, Emre Gorgun. Cleveland Clinic Background: Intraoperative colonoscopy (IOC) is an adjunct in colorectal surgery (CRS) especially in patients with malignancies in order to detect location of the primary or synchronous lesions as well as assessing anastomotic integrity. However, effects of intraoperative colonoscopy on… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Intra-Thoracic Sleeve Migration after Laparoscopic Sleeve Gastrectomy and Hiatal Hernia Repair Treated with Esophageal Stenting
Shintaro Chiba, MD, Anthony Dellituri, MD, Igor Brichkov, MD, Danny Sherwinter. Maimonides Medical CenterThis is a 34 year old female with a BMI of 37.9 and PMHx of morbid obesity and sleep apnea who had a laparoscopic sleeve gastrectomy and hiatal hernia repair. Patient was readmitted for dysphagia secondary to intra-thoracic sleeve migration (ITSM). Esophageal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Intraluminal Zenker’s Diverticulectomy
Jessica Ardila-Gatas, MD, Matthew Allemang, MD, James Villamere, MD, Matthew Kroh, John Rodriguez, Jeffrey Ponsky. Cleveland ClinicIntroduction: Zenker's diverticulum is a false diverticulum in the upper esophagus. Symptoms include dysphagia, regurgitation of food and foul breath. Diagnosis is made with a barium swallowing exam and treatment is surgical. Open and endoscopic techniques have been described.… Continue Reading
INTRAOPERATIVE AIR LEAK TEST REDUCES THE RATE OF POSTOPERATIVE ANASTOMOTIC LEAK: ANALYSIS OF 777 LAPAROSCOPIC LEFT-SIDED COLON RESECTIONS
Marco E Allaix, MD, PhD, Adriana Lena, MD, Maurizio Degiuli, MD, Alberto Arezzo, MD, Massimiliano Mistrangelo, MD, PhD, Mario Morino, MD. Department of Surgical Sciences, University of TorinoINTRODUCTION: The evidence supporting the use of the air leak test (ALT) after laparoscopic left-sided colon resection (LLCR) to test the colorectal anastomosis (CA) integrity aiming at reducing… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Intraoperative Complications of Laparoscopic Sleeve Gastrectomy
Michael C Morell, MD1, Brandon T Grover, DO2. 1Gundersen Medical Foundation, 2Gundersen Health SystemLaparoscopic sleeve gastrectomy is a common operation performed by bariatric surgeons for the treatment of obesity and its related diseases. This case study outlines the basic concepts of the gastric sleeve operation, highlights specific complications that may be encountered during surgery and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Intraoperative localization of insulinoma using near-infrared fluorescent light
David Gutierrez Blanco, MD1, Lisandro Montorfano, MD1, Lisandro Alle, MD2, Gonzalo Carles, MD2, Fernando Dip, MD1, Luis Sarroto, MD2, Emanuele Lo Menzo, MD1,Raul Rosenthal, MD1. 1Cleveland Clinic Florida, 2Hospital de Clinica Jose de San MartinThis video demonstrates the use of near-infrared fluorescent light in the localization of insulinoma. This is a 65-year-old man that came… Continue Reading
Intussusception from colonic lipoma
Jamie M O'Rear, MD, Andres E Giovannetti, Rami E Lutfi, MD, Francisco A Quinteros, MD. Mercy Hospital and Medical CenterColonic lipomas account for only 0.3% of cases treated for colorectal disease. These benign lesions may go unnoticed, but they cause clinically significant symptoms when they increase in size larger than 3.5 cm. We present a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal