Pattern of early esophageal adenocarcinoma in Long Segment Barrett’s esophagus
Introduction:The purpose of Barrett’s surveillance programs is to assess the precursor lesion for the development of invasive adenocarcinoma and detect cancer as early as possible. Previous studies have demonstrated that the length of Barrett’s esophagus is an independent risk factor for the development of esophageal adenocarcinoma and that cancer is typically located at the distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Patient factors predictive of 24 hour pH normalization following endoluminal gastroplication for GERD
Background: Endoluminal full thickness gastroplication has been shown to have significant and long lasting improvement of GERD symptoms and health related quality of life (HRQL) with very little patient morbidity. These treatments, however, are criticized for normalizing esophageal acid exposure in only 30 – 40% of patients treated. We hypothesize that there are objective criteria… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Is Outcome After Laparoscopic Nissen Fundoplication the Same for Patients with Disparate Indications?: The Impact of Reflux Vs. Dysphagia Before Fundoplication on Outcome
Introduction: It is possible that outcomes after laparoscopic Nissen fundoplication are different when patients are operated upon for disparate indications, e.g., symptoms due to excessive acid reflux or obstruction. This study was undertaken to compare symptomatic outcomes between patients undergoing fundoplication for the disparate indications of excessive acid reflux vs. dysphagia. Methods: Laparoscopic Nissen fundoplications… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic Ultrasound Does Not Accurately Predict Pathologic Stage in Clinical Early-Stage Esophageal Cancer
Background: Early-stage esophageal cancer can be cured by surgical resection with low mortality and excellent five-year survival. Recently, however, endoscopic therapies have been proposed as an acceptable alternative. Endoscopic ultrasound (EUS) is typically used for pretreatment staging; the presence of muscularis propria invasion and/or nodal metastasis are a contraindication to endoscopic therapy. We hypothesized that… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic repair of intra-thoracic stomach
Aim: Intra-thoracic stomach (ITS) represents the most extreme form of paraesophageal hernia (PEH). A high rate of recurrences after laparoscopic repair of PEH has prompted the widespread use of mesh for hiatal reinforcement. However mesh placement can have serious complications. We aim to show that mesh is not needed routinely as long as attention is… Continue Reading
- Type:
- Posters
- 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
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
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
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
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
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
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
Verification of the Effectiveness of Nissen Fundoplication Without Myotomy in the Treatment of Nutcracker Esophagus – a Study of 11 Patients.
BACKGROUND: Nutcracker esophagus (NE) is a primary motor disorder characterized by esophageal peristaltic contractions of high amplitude. There is a relationship between gastroesophageal reflux disease (GERD) and NE. However, in spite of this, there is no consensus regarding the use of surgery for these diseases.AIM: To evaluate the treatment of nutcracker esophagus (NE) using laparoscopic… Continue Reading
- Type:
- Posters
- 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
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