LINX® Implant and Explant in a Patient with Morbid Obesity and Refractory GERD
Ryan J Campagna, MD, Jeffrey S Fronza, MD, FACS. Department of Surgery, Northwestern University Feinberg School of MedicineWe submit the case of a 68-year-old female with a history of a sleeve gastrectomy and refractory GERD who underwent LINX® implantation and hiatal hernia repair. Three months post-operatively, the patient developed worsening reflux and dysphagia. She was… Continue Reading
- Topic:
- Foregut
Is epiphrenic diverticulectomy necessary at time of Heller myotomy?
Joshua E Preiss, MD, Meredith Duke, MD, MBA, Timothy M Farrell, MD, FACS. University of North Carolina, Chapel HillBackground: Epiphrenic diverticula (ED) arise from increased intraluminal pressures, often secondary to achalasia or another underlying esophageal motility disorder which causes “pulsion” physiology. ED are traditionally thought to contribute to patients’ symptoms of regurgitation and dysphagia, and… Continue Reading
Delayed Gastric Emptying in Median Arcuate Ligament Syndrome
Desmond T Huynh, MD, Mohan Mallipeddi, MD, Miguel Burch, MD, Edward Phillips, MD, Scott Cunneen, MD, Richard J Van Allan, MD, Daniel Shouhed, MD. Cedars-Sinai Medical CenterIntroduction: Median Arcuate Ligament Syndrome(MALS) has been described in the literature as presenting with a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. While many… Continue Reading
Patient Centered Outcomes After Laparoscopic Fundoplication: Which Factors Impact Satisfaction Two Years After Surgery?
Herbert M Hedberg, MD1, Tyler Hall, BS2, Kristine Kuchta, MS2, John Linn, MD2, Stephen Haggerty, MD2, Woody Denham, MD2, JoAnn Carbray2, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemBackground: Laparoscopic fundoplication (LF) is often performed to treat paraesophageal hernia and/or GERD. Care is taken to select the right patients for the… Continue Reading
Sutured Repair versus Biologic Mesh Reinforcement for Hiatal Closure in Laparoscopic Hiatal Hernia Repairs
Shubham Gupta, MS, Gagandeep Talwar, Jasmine Agarwal, Amol Wagh, MS, Saurabh Gandhi, MS, Eham Arora, MS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaOBJECTIVE: The study was performed to assess whether sutured crural closure or mesh reinforcement for hiatal closure yields better results with regards to symptom resolution and recurrence post-operatively.… Continue Reading
LAPAROSCOPIC RESECTIONS FOR GASTRIC AND DUODENAL GISTS: EXPERIENCE ON 72 PATIENTS. TECHNICAL ASPECTS OF DIFFERENT TYPES OF RESECTIONS.
Seda Dzhantukhanova, Yury Starkov, Mikhail Vybornyi. Vishnevsky Institute of SurgeryBackground: Gastrointestinal stromal tumor (GIST) is the neoplasm with malignant potential, which have determined active surgical tactics requiring complete resection for cure. Objective: To develop and demonstrate different surgical techniques for laparoscopic resection of gastric and duodenal GISTs in different clinical cases depending on the size… Continue Reading
Minimally Invasive Reconstruction after Resection of Neoplasms of the Foregut: Outcomes of the National Cancer Institute of Peru.
Francisco E Berrospi, MD, Ramiro M Fernández, MD, Eloy F Ruiz, MD, Ivan K Chávez, MD. National Cancer Institute - PeruIntroduction: Surgical resection remains the mainstay treatment for neoplasms of the hypopharynx, esophagus and esophago-gastric junction, although there are many options for reconstruction, in the last decades minimally-invasive surgery (MIS) has gained acceptance. The aim… Continue Reading
RECURRENT LARINGEAL NERVE INJURY AFTER MINIMALLY INVASIVE THREE FIELDS ESOPHAGECTOMY: FROM DISPHAGIA TO PULMONARY COMPLICATIONS. A DIAGNOSIS CHALLENGE.
Evelyn Dorado, DR. Fundacion Valle Del LiliINTRODUCTION: Minimal Invasive three-fields esophagectomy for minimal invasion is the surgical standard for oncological procedures and benign diseases. Cervical dissection has a risk of 2 to 59% in some series ,of,lesion or paralysis of the RNL, but the standard in Mckeon approach is 14%. A high level of suspicion… Continue Reading
Laparoscopic Nissen against Anterior Partial Fundoplication for treatment of gastroesophageal reflux disease – a prospective randomized trial for Chinese patients
Philip Chiu, MD1, Vivien Wong, FRCSEd1, Anthony Teoh, FRCSEd1, Justin Wu, MD2, Hon Chi Yip, FRCSEd1, Shannon Chan, FRCSEd1, Shirley Liu, FRCSEd1, Simon Wong, FRCSEd1, Enders Ng, FRCSEd1. 1Department of Surgery, Chinese University of Hong Kong, 2Department of Medicine, Chinese University of Hong KongBackground: This is a prospective randomized trial comparing laparoscopic Nissen against anterior partial… Continue Reading
Factors That Predict Same-Day Discharge Following Laparoscopic Antireflux Surgery
Laura Leonard, MD1, Turner Osler, MD2, Conor O'Neill2, Edward Borrazzo, MD2. 1University of Colorado School of Medicine, 2University of Vermont Larner College of MedicineOBJECTIVE: This study aimed to identify factors predictive of successful day-case laparoscopic antireflux surgery (LARS) and to develop a model which would allow clinicians to preoperatively predict which patients could safely undergo… Continue Reading
1cm or 2cm:Which one is the best cut-off for the small gastric GIST?
Zifeng Yang. Guangdong General HospitalIntroduction: The primary small gGIST should be treated as benign tumor without high-risk EUS features. But the size of the small GIST of the community continues to be controversial, 1cm or 2cm, is not yet a consensus on the formation of the problem. Methods: Retrospective collecte clinical pathology data and prognosis… Continue Reading
CASE REPORT: MULTIPLE ESOPHAGEAL DIVERTICULA ASSOCIATED WITH ACHALASIA
John M Swanson, MD, Jonathan Svahn, MD. UCSF - East BayIntroduction: Achalasia is well defined disorder of increased lower esophageal sphincter tone (1). Epiphrenic esophageal diverticulum are a rare disorder believed to result from increased intra-esophageal pressure often in conjunction with a motility disorder causing functional outflow obstruction. They are a pulsion-type pseudo-diverticulum with mucosal… Continue Reading
Laparoscopic transhiatal resection of Siewert type II cancer
Takahiro Kinoshita, MD, FACS, Masanori Tokunaga, MD, Akio Kaito, MD, Masahiro Watanabe, MD, Shizuki Sugita, MD. National Cancer Center Hospital East, JapanObjective: The optimal surgical approach for Siwert type II cancer is still controversial due to the anatomical complexity of the region. Potential advantages of laparoscopic transhiatal approach have not been fully investigated. Methods and… Continue Reading
USE OF FULLY BIORESORBABLE POLY-4-HYDROXYBUTYRATE MESH FOR REINFORCEMENT OF CRURAL CLOSURE DURING PARA-ESOPHAGEAL HERNIA REPAIR
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Filippo Filicori, MD1, Ahmed M Zihni, MD, MPH1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Lee L Swanstrom, MD, FACS2, Steven R DeMeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicIntroduction: Mesh use for reinforcement of primary crural closure is controversial. Synthetic… Continue Reading
SUBJECTIVE AND OBJECTIVE EVALUATION OF HIATAL CLOSURE TENSION DURING PARA-ESOPHAGEAL HERNIA REPAIR
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Ahmed M Sharata, MD3, Max Fisher4, Ahmed M Zihni, MD, MPH1, Filippo Filicori, MD1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Lee L Swanstrom, MD, FACS2, Steven R DeMeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon Clinic, 3Maricopa Integrated Health System, 4Washington… Continue Reading