Old Age Does Not Affect Outcomes of Laparoscopic Esophagomyotomy and Dor Fundoplication for Achalasia
Introduction: The effectiveness of esophagomyotomy for improving swallowing in elderly patients with achalasia compared with younger ones has been questioned. This study was designed to provide an answer. Methods: 139 consecutive patients with esophageal achalasia who underwent laparoscopic esophagomyotomy and Dor fundoplication and who were available for telephone interview were divided into two groups by… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
One Year Symptom Scores After Laparoscopic Anti-reflux Surgery: Is There a Learning Curve?
Introduction: Laparoscopic anti-reflux surgery is the gold standard for surgical treatment of GERD and a well defined learning curve for the procedure has been described. Aim of this study is to assess if the surgeons experience has an effect on one year symptom scores and patient satisfaction.Methods: All patients undergoing anti-reflux surgery are entered into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Our Pouch Roux-y Reconstruction Technique After Laparoscopically Assisted Total Gastrectomy
[Introduction] In laparoscopically assisted total gastrectomy (LATG), Roux-Y (RY) reconstruction has been performed. We have performed pouch with Roux-en-Y (PRY) reconstruction in LATG on eight cases since 2007. We demonstrated the techniques in the surgical procedure by photos and compared them with those used in the RY method.[Point of the procedure] Under the laparoscope, the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Patient Satisfaction Best Determines the Management of Recurrent Dysphagia After Heller Myotomy for Achalasia
Heller myotomy (HM) is an effective treatment for achalasia, however failure to reliably achieve long-term palliation of dysphagia occurs in about 10%. It is unclear when and how best to manage these patients. We sought to characterize patients with recurrent dysphagia with particular focus on the management of this difficult patient population. METHODS: A prospectively… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Peritoneal Cytology in Upper Gi Cancers- Dilemma Continues
BackgroundTimely and accurate staging of oesophago-gastric cancer can prevent unnecessary surgical intervention and associated patient morbidity. Role of peritoneal cytology in staging of theses cancers is not well established. We conducted a survey among Upper GI surgeons to get their views regarding the role of peritoneal cytology in upper GI cancers. MethodsA questionnaire was designed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Physiology: The Key to Validating Management Techniques in Gord.
IntroductionMost studies validate treatment of gastro-oesophageal reflux disease (GORD) using improvement in symptoms alone. Symptoms are difficult to interpret due to the placebo effect of any intervention. We present data comparing pre and post operative physiology in our series of laparoscopic Nissen’s Fundoplication and compare this to a review of the current literature using meta-analytical… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Posterior Partial Fundoplication Provides Good Control of Reflux with a Low Incidence of Mechanical Complications: A Prospective Review.
Introduction: Laparoscopic Nissens fundoplication is the most common surgical procedure performed for gastroesophageal reflux disease (GERD). It is however associated with a number of mechanical complications with as many as one in three patients experiencing troublesome dysphagia or gas bloat . Partial fundoplication, either posterior or anterior, has been advocated in an attempt to reduce… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Preoperative Angulation of the Distal Esophagus and Outcome After Heller Myotomy and Anterior Fundoplication for Achalasia
Introduction: Achalasia is defined by esophageal dysmotility and obstruction. Over time, obstruction may result in esophageal elongation and angulation of the distal esophagus. The aim of this study was to determine if preoperative distal esophageal angulation correlates with symptom relief after laparoscopic Heller myotomy and anterior fundoplication. Methods: 63 patients undergoing laparoscopic Heller myotomy with… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Ivor Lewis Esophagogastrectomy for Esophageal Cancer
Objectives: Ivor Lewis esophagogastrectomy is a well established oncologic procedure for cancers at or near the gastro-esophageal junction. However, this procedure is associated with significant morbidity related to the thoracotomy, especially following induction chemo/radiation therapy. A thoracoscopic approach may obviate this problem. Currently, thoracoscopic approaches are limited by 2-D visualization and lack of instrument maneuverability.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Laparoscopic Belsey Fundoplasty for Gastroesophageal Reflux
Objectives: Belsey Mark IV fundoplasty is associated with less gas bloat and dysphagia compared to the Nissen wrap. Conventionally, a Belsey Mark IV fundoplasty requires a thoracotomy. Laparoscopic approaches to the Belsey procedure have not been satisfactory. By virtue of 3-D visualization and greater maneuverability, robot assistance can overcome the technical shortcomings of the laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Thoracoscopic Heller Myotomy for Achalasia
Objectives: The surgical treatment of achalasia remains controversial. Controversies include open vs. videoscopic approach, laparoscopic vs. thoracoscopic approach, and the need for an antireflux procedure. Laparoscopic Heller myotomy is hampered by the requirement of an added antireflux procedure. If the hiatus is not opened, thoracoscopic Heller myotomy does not require an antireflux procedure, but is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Roux-en-Y Reconstruction for Failed Fundoplication
.Objective: Post-fundoplication recurrence of symptoms occasionally requires surgical correction. Our objective is to review our initial experience with Roux-en-Y (RNY) reconstructions for failed anti-reflux surgery. Method: After Institutional Review Board approval, a retrospective review of data was performed on patients who had undergone RNY gastrojejunostomy or esophagojejunostomy, with or without gastric resection, after failure of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Submucosal Tumors At the Gastroesophageal Junction: The Laparoscopic Approach
Introduction: The objective of this study is to determine the feasibility of laparoscopic management of gastric submucosal tumors located at the gastroesophageal junction.Methods and Procedures: A retrospective, longitudinal study was designed including 13 patients operated on in our department from November 1999 to December 2007. Fifty three percent of patients were males, mean patients´age was… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Cost of Achalasia: Quantifying the Effect of Symptomatic Disease on Patient Cost Burden, Treatment Time and Decreased Work Productivity
OBJECTIVES – Achalasia is an uncommon disease of esophageal motility, characterized physiologically by failure of the lower esophageal sphincter to relax upon swallowing, and the absence of effective peristalsis in the body of the esophagus. Although the incidence of achalasia is low, the burden of suffering is high because it is a chronic incurable disease… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Impact of Gastric Tip Necrosis on Clinical Outcomes Following Esophagectomy.
IntroductionAnastomotic complications are frequently encountered in the setting of esophagectomy, with leak rates ranging from 10-20%. Complete necrosis of the gastric tip is a rare complication that can be associated with significant morbidity and impairment of quality of life. In the current study, we evaluated the perioperative outcomes of patients who developed gastric tip necrosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery