Esophagojejunostomy After Laparoscopic Total Gastrectomy: Extra- And Intra-corporeal Methods
Introduction: Simple and secure technique of reconstruction is necessary to facilitate acceptance of laparoscopic total gastrectomy for gastric cancer patients. We use a modified functional end-to-end anastomosis technique and make esophagojejunostomy using linear staplers without hand sewing. After experiences of reconstructions with an extra-corporeal method, we perform anastomosis mostly by an intra-corporeal method.Patients: All patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Jejunal Pouch Reconstruction for Early Gastric Cancer
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastomosis.Methods: We have performed this procedure in 82 patients from 2002-2007. The dissection was… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Comparative Study of Treatment Outcome in Achalasia :Surgical Myotomy VS Pneumatic Balloon Dilatation
Less was known regarding the effectiveness of surgical myotomy and pneumatic balloon dilatation in the treatment of achalasia particular in laparoscopic era.This study aimed to compare the treatment outcome of surgical myotomy and pneumatic balloon dilatation. Methods:There were 72 patients diagnosed as achalasia admitted to King Chulalongkorn hospital between 1998-2006. Medical records of these patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Anti-reflux Surgery Is Not Totally Effective Against Esophageal Adenocarcinoma, Despite the Regression or Disappearance of Barrett\’s Esophagus in Most Cases – A Study of 80 Barret\’s Patients.
BACKGROUND: Barrett’s Esophagus (BE) is a complication of gastroesophageal reflux disease (GERD) and can be a pre-malignant condition. laparascopic anti-reflux surgeries (LARS) significantly correct physiological and anatomical abnormalities in patients with GERD; nevertheless, there is no consensus about its effectiveness in preventing malignant transformation in patients with BE. The impact of LARS on those suffering… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy for the management of gastric cancer
Purpose: To conduct a systematic review to explore the role of laparoscopy for the management of gastric cancer. Methods: Randomized controlled trials were assessed when laparoscopy was utilized as an intervention. When utilized as a diagnostic test, trials were included if staging laparoscopy was compared to a predefined gold standard in addition to conventional staging… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A standard scoring system for contrast esophagography following anti-reflux operation
Objective: Contrast esophagram (CE) is commonly performed following anti-reflux operations for gastroesophageal reflux disease (GERD). However, utilization of this procedure is not uniform, and guidelines on its interpretation and clinical relevance are lacking. We hypothesized that a standardized scoring system for interpretation of CE would improve its clinical relevance, particularly when compared to clinical outcomes.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Different Outcome of GERD and NERD Patients after Laparoscopic Nissen Fundoplication.
INTRODUCTION: "Anatomic" or "organic" GERD is cured with antireflux Nissen fundoplication. Patients with symptom of "heartburn" but without erosive esophagitis or NERD are classified as "symptomatic GERD". In our experience the outcome of patients with GERD and patients with NERD following laparoscopic Nissen fundoplication (LNF) was quite different.METHODS: Since Jan1993, one of us (C.V.) has… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Double tract reconstruction after laparoscopy-Assisted distal gastrectomy
Background: Laparoscopy-assisted gastrectomy (LADG) was reported by Kitano et al. in 1994. It is currently one of the option for early gastric cancer treatment. The common reconstruction has been Billroth I method. The roux-en-Y anastomosis is recommended by some surgeons regarding alkaline reflux gastritis, esophagitis, dumping syndrome, and carcinogenesis of the remnant stomach. However, endoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
When does GERD testing become cost effective?
GERD affects as many as 40% of Americans. Millions of pts could potentially be treated with PPI therapy expectantly without a definitive diagnosis. This study looked at actual cost in an integrated healthcare system to determine when GERD testing might become cost effective when pts are placed on high dose PPI therapy. The primary care… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic approach to common gastric surgical problems: results and outcomes of 30 cases
Background: Despite large worldwide experience, laparoscopic gastric surgery in the US has been slow to gain acceptance into clinical practice because of a relative paucity of gastric surgical cases in general. Below we review the results and outcomes of 30 laparoscopic gastric operations performed at a large community hospital.Hypothesis: Laparoscopic gastric surgery for benign and… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic reduction and three-point gastropexy may be a preferred technique for management of acute gastric volvulus in high-risk patients.
Introduction: Laparoscopic repair of a large hiatal hernia with fundoplication is a procedure that may have significant morbidity in an old and high-risk patient. High recurrence rates after laparoscopic repair have been reported. Intra-thoracic stomach complicated by gastric volvulus consist a surgical emergency that, if untreated, will lead to mortality. We propose an alternative, minimally… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A laparoscopic vagus preserving Merendino procedure
Introduction: Laparoscopic vagal preserving oesophagectomy is a recognised treatment option for high grade dysplasia of the oesophagus[1]. A jejunal interposition, as described by Alvin Merendino in 1955[2], aims to substitute the lower oesophageal sphincter, thereby treating physiological disorders such as reflux oesophagitis. Methods: We aimed to combine these procedures in the treatment of an otherwise… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Results after laparoscopic Heller-Dor operation for esophageal achalasia in 100 consecutive patients
Background: Laparoscopic Heller-Dor operation (LHD) has been the procedure of choice for the treatment of esophageal achalasia. However since, the incidence of achalasia is low, at one in 100,000 in USA and Japan, reports on the outcome of surgical treatment for such a disease are limited. In this study, we investigated the therapeutic results after… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Surgical Treatment of Perforated Duodenal Ulcer
Objective: This study aims to know which access is chosen to operate perforated duodenal ulcer and to evaluate the intra operative and postoperative complications.Technique: Prospective analysis including all patients admitted with perforated duodenal ulcer. Open treatment is undertaken through midline laparotomy. Laparoscopic treatment is undertaken through 4 trocars. Suture of the ulcer, vagotomy or distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcome of Laparoscopic Gastrectomy for Gastric Cancer
As less-invasive operations have been noted in recent years, laparoscopic gastrectomy for gastric cancer has become popular in Japan. We have performed laparoscopic gastrectomy with regional lymph node dissection on 750 cases of gastric malignancies between March 1998 and August 2007. Here we present the outcome of laparoscopic gastrectomy for gastric cancer..Of all 750 cases,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery