CLINICAL OUTCOMES OF LAPAROSCOPIC VERSUS OPEN GASTRECTOMY FOR GASTRIC CANCER: A META-ANALYSIS
Caleb J Ba Mendoza1, Raúl Hernández Rubio1, Rafael Miret1, Madeline Jacobs1, Aliu Sanni, MD, FACS2. 1Philadelphia College of Osteopathic Medicine, 2Eastside Bariatric and General Surgery LLCIntroduction: According to the National Institute of Health and the National Cancer Institute, the yearly number of new cases and deaths from gastric cancer was 7.3 /100,000 and 3.2/100,000, respectively. With… Continue Reading
RECURRENT JEJUNOJEJUNOSTOMY AND GASTROJEJUNOSTOMY INTUSSUSCEPTION COMPLICATED BY ISCHEMIC BOWEL
Sheena Say Hoon Phua1, Bo Chuan Tan2, Chun Hai Tan2, Tzu-Jen Tan2. 1Khoo Teck Puat Hospital, National Healthcare Group, 2Khoo Teck Puat HospitalINTRODUCTION: Gastrojejunostomy intussuception is a rare but serious complication of previous gastric surgery, in particular gastrojejunal bypass and Bilroth II gastrectomy. The incidence is less than 0.1%. The incidence of double intussusception with a… Continue Reading
Learning curve from laparoscopic to robotic Heller myotomy. A myth?
James Kurtz, Joseph Lim, Rene Borscheid, Edward Cho, Houssam Osman, Rohan Jeyarajah. Methodist Richardson Medical CenterIntroduction: Heller myotomy is the standard surgical treatment for achalasia. Although robotic surgery is increasingly utilized in general surgery, the literature provides few guidelines on the learning curve for adoption. There have been no publications addressing the robotic learning curve… Continue Reading
Single Port Laparoscopic management of small bowel obstruction with intestinal resection
Fernando Arias, MD, FACS1, Gabriel Herrera, MD1, Manuel Arrieta, MD2. 1University Hospital Fundacion Santa Fe de Bogota - University of the Andes, Bogota, Colombia, 2University Of Sabana, ColombiaIntroduction: Laparoscopic surgery for small bowel obstruction have been accepted in guidelines. Reports indicates minimal invasive surgery results in less adhesion formation, less postoperative pain and shorter hospital stay.… Continue Reading
THE PARTICIPATION OF SURGEONS IN DIAGNOSTIC WORKUP OF GASTROESOPHAGEAL REFLUX DISEASE INCREASES UTILIZATION OF ANTI-REFLUX SURGERY.
Medhat Fanous, MD, FACS, Anja Jaehne, MD, David Lorenson, RN, Amanda Lambert, RN, Sarah Williams, RN. Aspirus Health SystemIntroduction: Patients presenting with putative symptoms of gastroesophageal reflux disease (GERD) are usually evaluated by gastroenterologists who perform the diagnostic workup and determine when to refer for surgical consideration. The multiple diagnostic studies can be overwhelming and leads… Continue Reading
Lymphnode Dissection along the Left Recurrent Laryngeal Nerve after Esophageal Stripping and Modified Circular Stapling for Safe Anastomotsis in VATS-E.
Hiroshi Makino1, Hiroshi Yoshida, PhD2, Hiroshi Maruyama1, Tadashi Yokoyama1, Atsushi Hirakata1, Junji Ueda1, Hideyuki Takata1, Yuta Kikuchi1, Takuma Iwai1, Masafumi Yoshioka1, Nobuyuki Sakurazawa3, Tsutomu Nomura2. 1Department of Surgery, Nippon Medical School, Tama-Nagayama Hospital, 2Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 3Department of Surgery, Nippon Medical School, Chiba-Hokusoh HospitalBackground: The working space in the upper… Continue Reading
Systematic review of laparoscopic partial splenectomies in adults
Noeline Rajarajan, Julie Pepe, Paula Veldhuis, Sebastian De La Fuente. Florida Hospital OrlandoIntroduction: Laparoscopic total splenectomy continues to be the operation of choice for lesions of the spleen. Total removal of the spleen, however, can result in severe early and late complications. Preservation of splenic parenchyma has been increasingly desired particularly when research has shown… Continue Reading
COMPLICATIONS AND READMISSION FOLLOWING SAME DAY DISCHARGE AFTER ELECTIVE LAPAROSCOPIC NISSEN FUNDOPLICATION
Tarik K Yuce, MD1, Ryan J Ellis, MD, MS1, Ryan P Merkow, MD, MS1, Nathaniel J Soper, MD2, Karl Y Bilimoria, MD, MS1, David D Odell, MD, MS1. 1Surgical Outcomes and Quality Improvement Center, 2Department of Surgery, Northwestern Memorial HospitalIntroduction: Traditionally, laparoscopic Nissen fundoplication (LNF) was associated with inpatient hospitalization. More recently, insurers and health… Continue Reading
Gastric volvulus in an elderly patient with recurrent hiatal hernia treated with laparoscopic surgery
Maria K Bejar, MD, Adolfo Leyva, MD, Eduardo Gonzalez, MD, Mario Rodarte, MD. Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud -- SSNL. Monterrey, N.L.Introduction: Gastric volvulus is an abnormal rotation of the stomach along its longitudinal or transverse axis. 80-90% occur in adults after the 5th decade of life and have… Continue Reading
Surgeon Management of PPIs Post Heller Myotomy
Andrew W White, MD, Taylor Wearda, Carl Westcott, MD. Wake Forest Baptist HospitalIntroduction: Most patients who present for achalasia surgery are already on PPI therapy. Achalasia surgery can cause reflux and the immediate cessation of PPIs can cause rebound hyperacidity. GI and family physicians often do not understand these nuisances as they relate to post-operative PPI… Continue Reading
LONG-TERM DYSPHAGIA RESOLUTION FOLLOWING POEM VERSUS LHM IN PATIENTS WITH ACHALASIA
Grace E Shea, BA, Kevin D Davies, MS, Manasa Venkatesh, MA, MS, Sally Jolles, MA, Tyler M Prout, MD, Amber Shada, MD, Jacob A Greenberg, MD, EdM, Anne O Lidor, MD, MPH, Luke M Funk, MD, MPH. University of Wisconsin Hospital and Clinics, Madison, WIIntroduction: The objective of this study was to evaluate patient-reported outcomes… Continue Reading
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
THE TIP OF THE ICEBERG: AN UNUSUAL CASE OF DIAPHRAGMATIC HERNIA PRESENTING AS A BREAST ABSCESS
Victoria Needham, MD, Alexandra Argiroff, MD, Diego Camacho, MD. Montefiore Medical CenterINTRODUCTION: While many diaphragmatic hernias (congenital or acquired) are asymptomatic, they may also present with subacute symptoms such as pain or dypsnea, or as a surgical emergency via organ strangulation. This case scenario illustrates an atypical presentation of a perforated viscus within the hernia… 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
Totally Laparoscopic Distal Esophagectomy with No Cervical or Thoracic access: A case series
Erik A Green, MD, MPH, Kais Rona, MD, Christopher Ducoin, MD, MPH. Tulane UniversityBackground: Esophagectomy remains a mainstay of treatment for esophageal malignancies as well as for refractory benign disease. Advances in laparoscopic and thoracosopic surgery have helped promote a variety of minimally invasive esophageal resection procedures. All of these, however, require a thoracic and/or neck… Continue Reading