Long Term Outcomes following POEM for Non-Achalasia Motility Disorders of the Esophagus.
Filippo Filicori, MD, Christy M Dunst, MD, Ahmed Sharata, MD, Walaa F Abdelmoaty, MD, MBA, Ahmed M Zihni, MD, MPH, Steven R Demeester, MD, Lee L Swanstrom, MD. Portland Providence Medical CenterINTRODUCTION: Per-Oral Endoscopic Myotomy (POEM) is now a well accepted treatment for esophageal achalasia. Optimal treatment for symptomatic patients with non-achalasia motility disorders (NAD)… Continue Reading
Outcome of endoscopic naso-jejunal tube stenting in early postoperative jejunal limb obstruction after gastrectomy
Chadin Tharavej, Worawit Kattipatanapong, Supaut Pungpapong, Suthep Udomdaweangsup, Krit Kittisin, Patpong Navicharern. Chulalongkorn UniversityIntroduction: Early postoperative afferent/efferent limb obstruction is a rare complication following reconstruction of total or partial gastrectomy. The condition is mainly attributed to kinking of the jejunal limbs or gastro-jejunal or jejunojeunal anastomosis. Less was known regarding the treatment outcome of endoscopic… Continue Reading
Impact of Full-spectrum endoscopy on pathological lesion detection in different regions of the colon: randomised controlled trial.
Artur Pasternak, MD, PHD, Miroslaw Szura, MD, PhD, Solecki Rafal, MD, PhD, Pawel Bogacki, MD. Jagiellonian University Medical CollegeColonoscopy is crucial to detect and localize pathological lesions within the colon. Its quality is defined by a number of parameters such as cecal intubation rate (CIR), withdrawal time, adenoma detection rate (ADR) and polyp detection rate… Continue Reading
Multicenter collaborative retrospective review of peroral endoscopic myotomy for esophageal achalasia; examination of more than 1,300 cases at 8 facilities in Japan
Hironari Shiwaku1, Haruhiro Inoue2, Manabu Onimaru2, Hitomi Minami3, Hiroki Sato4, Chiaki Sato5, Shinwa Tanaka6, Ryo Ogawa7, Norihiko Okushima8. 1Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, 2Digestive Diseases Center, Showa University Koto-Toyosu Hospital, 3Department of Gastroenterology and Hepatology, Nagasaki University Hospital, 4Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, 5Division of… Continue Reading
Clinicopathological features and prognosis of 276 cases of primary small gastric gastrointestinal stromal tumours: a multi-cencer data review
Zifeng Yang, Yong Li. Guangdong General Hospital, Guangdong Academy of Medical SciencesCompared to large (> 2 cm) gastrointestinal stromal tumours (GIST) with a standard diagnosis and treatment model, controversy still exists around the epidemiology, pathological features and surgical treatment of primary small gastric GIST (gGIST). Methods: Primary small gGIST patients, admitted across four medical centres… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
ROUX-EN-Y GASTRIC BYPASS AS A SALVAGE PROCEDURE IN COMPLICATED PATIENTS WITH FAILED FUNDOPLICATION(S)
Cynthia E Weber, MD, Melissa C Helm, BS, Zia Kanani, BS, Max Schumm, MD, John C Gould, MD. Medical College of WisconsinINTRODUCTION: In patients with recurrent GERD or dysphagia secondary to failed fundoplication, reoperative fundoplication is the most commonly performed procedure. In complex patients with 2 or more failed fundoplication attempts or in patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Pyloroplasty Versus Endoscopic Per-Oral Pyloromyotomy for the Treatment of Gastroparesis
Joshua P Landreneau, MD1, Andrew T Strong, MD1, Kevin M El-Hayek, MD1, Matthew D Kroh, MD2, Jeffrey L Ponsky, MD1, John H Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Gastroparesis is a debilitating functional disorder of the stomach characterized by delayed gastric emptying absent an obstructive etiology. Surgical or endoscopic disruption of the pylorus… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Near-Total Gastrectomy for Refractory Gastroparesis: A Viable Means of Palliating a Debilitating Disease
Ashwin A Kurian, MD, Carolyn Dougherty. Denver Esophageal and Stomach Center Symptom Pre-op Score Post-op Score p value GCSI-2W 3.82 2.66 <0.0001 Nausea 5 3 <0.001 Vomitting 3 2 0.021 Fullness 5 3 0.00008 Early Satiety 5 4 0.001 Bloating 4 2 0.005 Abdominal Pain 4 3 0.04 Introduction: Gastroparesis is a chronic illness presenting… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
DE NOVO GASTROESOPHAGEAL REFLUX DISEASE AFTER SLEEVE GASTRECTOMY: ROLE OF PREOPERATIVE SILENT REFLUX
Yves Borbély, MD, Eva Moser, MD, Johannes Lenglinger, PhD, Gabriel Plitzko, MD, Dino Kröll, MD, Philipp Nett, MD. University Hospital Inselspital BernINTRODUCTION: Laparoscopic sleeve Gastrectomy (LSG) has become the most frequently performed bariatric procedure to date. However, LSG is known to worsen preoperative and result in de novo GERD. Preoperative evaluation reveals a high percentage… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Minimal vs. Obligatory Dissection of the Diaphragmatic Hiatus During Magnetic Sphincter Augmentation Surgery: An Intention to Treat Analysis
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameron Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Implantation of the magnetic sphincter augmentation device early after its introduction was accomplished with minimal hiatal dissection (MHD) at the diaphragmatic hiatus,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
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
The clinicopathologic features and optimal surgical treatment of duodenal gastrointestinal tumor
Seung Jae Lee, Sarang Hong, MD. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical CenterBackground: Because of unclear clinicopathologic features, the optimal surgical procedure for duodenal gastrointestinal stromal tumor (GIST) remains poorly defined. We aimed to analyze clinicopathological features and recommend optimal surgical treatment of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Regression of Intestinal Metaplasia After Magnetic Sphincter Augmentation
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameran Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Intestinal metaplasia (IM) is a known precursor to both dysplastic tissue changes and to carcinoma of the distal esophagus. We hypothesize that… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
ROUTINE ESOPHAGEAL MANOMETRY IS NOT USEFUL IN PATIENTS WITH NORMAL VIDEOESOPHAGRAM
Evan T Alicuben, MD, Nikolai Bildzukewicz, MD, Kamran Samakar, MD, Namir Katkhouda, MD, Adrian Dobrowolsky, MD, Kulmeet Sandhu, MD, John C Lipham, MD. University of Southern CaliforniaIntroduction: Videoesophagram (VEG) and esophageal manometry (EM) are components of the preoperative evaluation for foregut surgery. EM is able to identify significant motility disorders and diminished contractility that may… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Removing the Magnetic Sphincter Augmentation Device: Patient Characteristics, Immediate Management and Outcomes.
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kameran Samakar, MD, Kulmeet Sandhu, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Recurrent or persistent symptoms of reflux, dysphagia or device erosion can require removal of the magnetic sphincter augmentation (MSA) device. We describe… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut