Normal Johnson-DeMeester Scores should not preclude patients from Anti-Reflux Surgery
Alex Addo, MD, Zachary Sanford, MD, Adam S Weltz, MD, James Clemmens, Reza Zahiri, DO, Adrian Park, MD, FACS. Anne Arundel Medical CenterIntroduction: The Johnson-DeMeester (JD) score is one of the main parameters derived from pH testing as a means to determine a patient’s acid exposure and is often used as an objective data point to… Continue Reading
Robotic distal gastrectomy with indocyanine green fluorescence-guided lymphadenectomy and anastomotic perfusion assessment: preliminary experience.
Wanda Petz, MD, Emilio Bertani, MD, Simona Borin, MD, Alessandra Piccioli, MD, Uberto Fumagalli Romario, MD,Giuseppe Spinoglio, MD, FACS. European Institute of OncologyBackground: Robotic gastrectomy is a feasible alternative to laparoscopic gastrectomy, providing similar short-term clinical benefits over open gastrectomy for cancer. Robotic surgery, conceived to overcome technical limitations intrinsic to the laparoscopic approach, may be… Continue Reading
Minimally Invasive Options for Gastrointestinal Stromal Tumors of the Stomach
Laura Mazer, MD, Patrick Worth, MD, Brendan Visser, MD, FACS. Stanford UniversityINTRODUCTION: Gastrointestinal stromal tumors (GIST) are rare mesenchymal tumors, most commonly in the stomach. Surgical resection remains the mainstay of cure. Selecting a resection approach depends on tumor size and location. METHODS: Retrospective review of all patients undergoing surgery at one academic center between… Continue Reading
A Spade shaped Anastomosis Following Proximal Gastrectomy using Double suture fixing Posterior wall of Esophagus to Anterior wall of the stomach (SPADE operation)
Wonho Han, Bang Wool Eom, Hong Man Yoon, Junsun Ryu, Young-Woo Kim. National Cancer CenterObjective: Aim of this study was to show early clinical outcome compared with previous proximal gastrectomy (PG) cases. Background: PG has been performed as function-preserving surgery in proximally located early gastric cancer. As gastroesophageal reflux is a major pitfall of this… Continue Reading
Umbilical tape provides better correlation with final EndoFLIP distensibility index compared to LINX sizing device
Rodrigo Pedraza, MD, Edward Y Chan, MD, Ray K Chihara, MD, PhD, Leonora M Meisenbach, MSN, APRN, ACNPBC, Min P Kim, MD. Houston Methodist HospitalBackground and Aim: The use of a magnetic sphincter augmentation device (LINX) has been shown to be safe and efficacious for the management of gastroesophageal reflux disease (GERD). The endoluminal functional… Continue Reading
A Novel Laparoscopic Approach for Management of an Incarcerated Gastric Herniation Through a Percutaneous Endoscopic Gastrostomy Site
Alexander Gonzalez-Jacobo, DO, Faith Buchanan, Hubby Buehler, Jacob Eisdorfer, DO, Javier Andrade, MD. St. John's Episcopal HospitalIntroduction: Percutaneous endoscopic gastrostomy (PEG) is a common procedure frequently performed to provide nutrition via enteral access for patients that are unable to feed orally. PEG tube insertion has fallen into favor due to its minimally invasive technique in addition… Continue Reading
Optimal Surgical Management of Medically Refractory Gastroesophageal Reflux Disease and Concurrent Esophagogastric Junction Outlet Obstruction
Michael A Antiporda, MD1, Christy M Dunst, MD2, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Kevin M Reavis, MD2, Daniel Davila Bradley, MD2, Steven R Demeester, MD2, Lee L Swanstrom, MD3. 1Providence Portland Medical Center, 2The Oregon Clinic, 3Institute for Image Guided Surgery (IHU-Strasbourg)Introduction: The significance of manometric esophagogastric junction outlet obstruction (EGJOO) in the setting… Continue Reading
Increased Morbidity after Paraesophageal Hernia Repair is associated with Collis Gastroplasty and Open Approach
Sarah Samreen, MD, Bhavani Pokala, MD, Laura E Flores, Priscila R Armijo, MD, Dmitry Oleynikov, MD. University of Nebraska Medical CenterIntroduction: Paraesophageal hernia repair (PEH) requires an adequate length of intra-abdominal esophagus. For the management of short esophagus, a collis gastroplasty can be performed to lengthen the functional distal esophagus. A fundoplication can then be performed… Continue Reading
REGRESSION OF ULTRA-SHORT SEGMENT BARRETT’S ESOPHAGUS AND INTESTINAL METAPLASIA OF THE GASTRIC CARDIA AFTER ANTI-REFLUX SURGERY: A SINGLE CENTER EXPERIENCE
Ashwin Kurian, MD, Loren Estoesta. SurgOne, P.C. - Denver Esophageal and Stomach CenterINTRODUCTION: Barrett’s esophagus (BE) is a precancerous condition that results from gastroesophageal reflux disease. Recent studies have demonstrated that Cardiac Intestinal Metaplasia (CIM) progresses to endoscopically confirmed Barrett’s over time. The regression rates of ultra-short segment BE and CIM following anti-reflux surgery has… Continue Reading
Laparoscopic synchronous left hepatectomy and distal gastrectomy with lymphnodal dissection for carcinoid tumor of the gastric antrum with left lobe liver metastasis
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Center of Excellence for GastroenterologyBackground: Surgery remains the mainstay of treatment for neuroendocrine tumors of stomach with resectable liver metastasis. Distal gastrectomy with lymphnodal dissection is increasingly being performed laparoscopically by several centres across the world. Also, laparoscopic left hepatectomy is being performed… Continue Reading
Magnetic Sphincter Augmentation (MSA) is an effective treatment in patients with severe reflux disease
Shahin Ayazi, MD, Ping Zheng, MD, Kirsten Newhams, MD, Fahim Habib, MD, Jonathan Levy, MD, Tameka Scott, DO, Kristy Chovanec, BS, Philip Jackson, BS, Yoshihiro Komatsu, MD, Toshitaka Hoppo, MD, Ali H Zaidi, MD, Blair A Jobe, MD. The Esophageal and Lung Institute, Allegheny Health NetworkIntroduction: The performance and durability of the various types of fundoplication… Continue Reading
Experience with U-Shaped and Keyhole-Shaped Configuration of Urinary Bladder Extracellular Surgical Device in Repair of Paraesophageal and Recurrent Hiatal Hernia
Lauren Rabach, MD, Sarah Keville, BS, Adham Saad, MD, Vic Velanovich, MD. University of South FloridaBackground: Paraesophageal hernia (PEH) and recurrent hiatal hernia (RHH) with mesh utilization is performed for patients with large symptomatic hiatal hernias and/or reflux. The urinary bladder matrix surgical device (UBMSD) for PEH/RHH repair has shown promising results. U-shaped and keyhole are… Continue Reading
MANAGEMENT OF GASTROINTESTINAL STROMAL TUMORS;OUR EXPERIENCE
Samiullah Bhatti, Dr, Muhammad W Farooka, Prof, Mahmood Ayyaz, Prof. Services Hospital LahoreIntroduction: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. Surgical (open/laparoscopic) treatment is the only chance of cure for patients with a primary localized GIST. Materials and Methods: We present our experience of managing gastrointestinal stromal tumors… Continue Reading
Minimally invasive surgery for Siewert type II adenocarcinoma based on the distribution of lymph node metastasis or recurrence
Kazuo Koyanagi, MD, PhD1, Soji Ozawa, MD, PhD1, Kentaro Yatabe, MD1, Yamato Ninomiya, MD1, Miho Yamamoto, MD1, Akihito Yamamoto, MD1, Yuji Tachimori2. 1Department of Gastroenterological Surgery, Tokai University School of Medicine, 2Cancer Care Center, Kawasaki Saiwai HospitalAim: Based on the distribution of lymph node (LN) metastasis and LN recurrence of Siewert type II adenocarcinoma, appropriate… Continue Reading
PET positive esophageal leiomyoma: a case series and literature review
James Kurtz, Rene Borscheid, Edward Cho, Houssam Osman, Rohan Jeyarajah. Methodist Richardson Medical CenterIntroduction: Esophageal leiomyomas are rare, benign tumors that can be adequately treated with limited resection or enucleation. Distinguishing a leiomyoma from a more aggressive entity can present a diagnostic challenge. It has been suggested that positron emission tomography (PET) scanning can help… Continue Reading