PRESENCE OF CAMERON ULCERS IS ASSOCIATED WITH INCREASED LENGTH OF STAY AND ICU ADMISSION IN PATIENTS UNDERGOING HIATAL HERNIA REPAIR
Guillaume S Chevrollier, MD, Andrew M Brown, MD, Ellika Salari, BS, Charles P McCann, MD, Michael J Pucci, MD, Karen A Chojnacki, MD, Ernest L Rosato, MD, Francesco Palazzo, MD. Sidney Kimmel Medical College of Thomas Jefferson University, Department of SurgeryINTRODUCTION: Cameron ulcers (CU) are linear erosions or ulcerations in the gastric mucosa at the… Continue Reading
PREOPERATIVE ANEMIA PREDICTS WORSE OUTCOMES IN PATIENTS UNDERGOING HIATAL HERNIA REPAIR
Guillaume S Chevrollier, MD1, Andrew M Brown, MD1, Scott W Keith, PhD2, Joanne Scewczyk, BS1, Michael J Pucci, MD1, Karen A Chojnacki, MD1, Ernest L Rosato, MD1, Francesco Palazzo, MD1. 1Sidney Kimmel Medical College of Thomas Jefferson University, Department of Surgery, 2Thomas Jefferson University, Department of BiostatisticsINTRODUCTION: The increased incidence of anemia in patients with… Continue Reading
PNEUMATIC BALLOON DILATION FOR PALLIATION OF RECURRENT SYMPTOMS OF ACHALASIA AFTER ESOPHAGOMYOTOMY
Riley D Stewart, MD, MSc, FRCSC, Jeff Hawel, MD, FRCSC, Daniel French, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General and Thoracic SurgeryIntroduction: Achalasia is a chronic and progressive disease affecting the myenteric plexus of the esophagus and lower esophageal sphincter. Treatment is aimed at palliating symptoms to improve quality… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
PERI-OPERATIVE OUTCOMES AFTER ELECTIVE AND EMERGENT REPAIR OF GIANT PARA-ESOPHAGEAL HERNIA IN THE MODERN ERA – SHOULD EARLY LAPAROSCOPIC REPAIR BE OFFERED MORE LIBERALLY?
Rafik Sorial, Julio F. Fiore Jr, Jonathan Spicer, Melina Vassiliou, Gerald M Fried, Liane S Feldman, Lorenzo E Ferri, Lawrence Lee, Carmen L Mueller. McGill University Health CenterIntroduction: Historically, surgery was offered to all patients with giant paraesophageal hernia to avoid the risks of gastric volvulus and incarceration. A paradigm shift occurred 15 years ago… 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
Parahiatal Hernia: Diagnostic Dilemma & Therapeutic Controversy
Chintan Patel, MS, FMAS, FBMS1, Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS2, Dharmesh Dhanani, MS1, Gagandeep Talwar2, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS2, Saurabh Gandhi, MS, FMAS, FALS2, Rochana G Bakshi, MBBS, DNB (Anaesthesiology), DA, PGDHHM, PGDMLS, MNAMS3, Shubham Gupta, MS2, Eham Arora, MS2, Jasmine Agarwal2. 1Kiran Multi Superspeciality Hospital and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Paraesophageal hernia repair pearls and pitfalls: early recurrence and how to avoid it.
L. Renee Hilton, MD1, Andrew J Duffy, MD, FACS2, Kurt E Roberts, MD, FACS2. 1Augusta University, 2Yale UniversityEarly recurrence of paraesophageal hernias following repair is an infrequent complication but can result in significant morbidity or even mortality when it occurs. When an early complication arises it is important to be able to recognize the signs… Continue Reading
- Topic:
- Foregut
Paraesophageal hernia repair in the morbidly obese patient: Is a combined roux-en-y gastric bypass and paraesophageal hernia repair ideal?
Jai Prasad, MD, Claire I Lauer, MD, Jacob A Petrosky, MD, David K May, DO, Marcus Fluck, James T Dove, Jon D Gabrielsen, MD, Anthony T Petrick, David M Parker, MD. Geisinger Medical CenterIntroduction We hypothesize that laparoscopic paraesophageal hernia repair with concurrent roux-en-y gastric bypass (LRYGB/PEH) can be performed with no increase in morbidity… Continue Reading
PARAESOPHAGEAL HERNIA ASSOCIATED WITH POSTERIOR SLIPPAGE OF GASTRIC BAND
William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon ClinicThis video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due… Continue Reading
- Topic:
- Foregut
OUTCOMES OF ANTI-REFLUX PROCEDURES IN ADOLESCENTS
Anthony J Hesketh, MD, PhD, Jie Yang, PhD, Chencan Zhu, MS, Mark A Talamini, MD, Aurora D Pryor, MD. Stony Brook MedicineINTRODUCTION: Persistent gastroesophageal reflux disease is one of the most frequent indications for abdominal surgery in children, usually in the form of Nissen fundoplication. While outcomes of anti-reflux procedures have been well described in… Continue Reading
Outcomes after robotic versus laparoscopic Roux-en-Y gastric bypass: A Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program national database analysis
Eric S Wise, MD1, Eric H Mace, BS2, M. Katie Hanisee, MD1, Jessica M Felton, MD1, NIkhil Prasad, MBChB1, Yash A Choksi, MD2, Nabeel Zafar, MD1, Mark D Kligman, MD1. 1University of Maryland Medical Center, 2Vanderbilt University School of MedicineObjective: Robotic assistance for bariatric surgery represents a novel application of a rapidly emerging technology. Its… Continue Reading
OUR SIMPLIFIED PRACTICAL PROCEDURE IN LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MDPhD, Kenta Kitamura, MD, Tomonori Matsumura, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MD, PhD, Eishi Totsuka, Keigo Okada, Hiroyuki Suzuki, Shigeru Masamura, MD. Kashiwa Kousei General HospitalINTRODUCTION: Laparoscopic techniques in anti-reflux surgery for GERD patients are still considered complicated by many surgeons. We have established a simplified practical procedure with less bleeding and… Continue Reading
Novel Use of Keyhole Mesh for Robotic Repair of a Large Paraesophageal Hernia
Katherine D Gray, MD, Patrick Dolan, MD, Rasa Zarnegar, MD. New York-Presbyterian-CornellPatient Presentation: The patient is 58-year-old female who was referred for evaluation of a large paraesophageal hernia after undergoing esophagogastroduodenoscopy for an unrelated complaint. She reported symptoms of heartburn, regurgitation, and occasional post-prandial chest pain. Manometry showed intact esophageal motility and a hypotonic lower… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Novel Combination technic of laparoscopic and left thoracoscopic for gastroesophageal junction cancer
Yo Kurashima, MD, PhD. Hokkaido UniversityIntroduction: The number of Gastroesophageal junction cancer has been increasing in recent years, however the consensus has not yet been reached on the range of optimal lymph node dissection. In addition, the approach to lower mediastinal lymph node dissection and reconstruction has some options as laparoscopic and thoracoscopic surgery for… Continue Reading
- Topic:
- Foregut
NOT QUITE TYPE II: LAPAROSCOPIC REPAIR OF A PARAHIATAL HERNIA
Alejandro Rodriguez, MD, Rebecca G Lopez, MD, Dustin G Cummings, Andrew S Wright, MD, Brant K Oelschlager, MD. University of WashingtonWe present the case of a 68-year-old female referred for evaluation of paraesophageal hernia. Her symptoms included abdominal pain, early satiety, and weight loss. Abdominal CT and UGI films suggested a type II paraesophageal hernia.… Continue Reading
- Topic:
- Foregut