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
Normal Johnson-DeMeester Scores should not preclude patients from Anti-Reflux Surgery
Alex Addo, MD, Zachary Sanford, MD, Adam S Weltz, MD, James Clemmens, Reza Zahiri, DO, Adrian Park, MD, FACS. Anne Arundel Medical CenterIntroduction: The Johnson-DeMeester (JD) score is one of the main parameters derived from pH testing as a means to determine a patient’s acid exposure and is often used as an objective data point to… Continue Reading
Robotic distal gastrectomy with indocyanine green fluorescence-guided lymphadenectomy and anastomotic perfusion assessment: preliminary experience.
Wanda Petz, MD, Emilio Bertani, MD, Simona Borin, MD, Alessandra Piccioli, MD, Uberto Fumagalli Romario, MD,Giuseppe Spinoglio, MD, FACS. European Institute of OncologyBackground: Robotic gastrectomy is a feasible alternative to laparoscopic gastrectomy, providing similar short-term clinical benefits over open gastrectomy for cancer. Robotic surgery, conceived to overcome technical limitations intrinsic to the laparoscopic approach, may be… Continue Reading
Minimally Invasive Options for Gastrointestinal Stromal Tumors of the Stomach
Laura Mazer, MD, Patrick Worth, MD, Brendan Visser, MD, FACS. Stanford UniversityINTRODUCTION: Gastrointestinal stromal tumors (GIST) are rare mesenchymal tumors, most commonly in the stomach. Surgical resection remains the mainstay of cure. Selecting a resection approach depends on tumor size and location. METHODS: Retrospective review of all patients undergoing surgery at one academic center between… Continue Reading
A Spade shaped Anastomosis Following Proximal Gastrectomy using Double suture fixing Posterior wall of Esophagus to Anterior wall of the stomach (SPADE operation)
Wonho Han, Bang Wool Eom, Hong Man Yoon, Junsun Ryu, Young-Woo Kim. National Cancer CenterObjective: Aim of this study was to show early clinical outcome compared with previous proximal gastrectomy (PG) cases. Background: PG has been performed as function-preserving surgery in proximally located early gastric cancer. As gastroesophageal reflux is a major pitfall of this… Continue Reading
Umbilical tape provides better correlation with final EndoFLIP distensibility index compared to LINX sizing device
Rodrigo Pedraza, MD, Edward Y Chan, MD, Ray K Chihara, MD, PhD, Leonora M Meisenbach, MSN, APRN, ACNPBC, Min P Kim, MD. Houston Methodist HospitalBackground and Aim: The use of a magnetic sphincter augmentation device (LINX) has been shown to be safe and efficacious for the management of gastroesophageal reflux disease (GERD). The endoluminal functional… Continue Reading
A Novel Laparoscopic Approach for Management of an Incarcerated Gastric Herniation Through a Percutaneous Endoscopic Gastrostomy Site
Alexander Gonzalez-Jacobo, DO, Faith Buchanan, Hubby Buehler, Jacob Eisdorfer, DO, Javier Andrade, MD. St. John's Episcopal HospitalIntroduction: Percutaneous endoscopic gastrostomy (PEG) is a common procedure frequently performed to provide nutrition via enteral access for patients that are unable to feed orally. PEG tube insertion has fallen into favor due to its minimally invasive technique in addition… Continue Reading