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
Case Report: Minimally invasive approach to SMA syndrome with a Review of diagnostic criteria and treatment options
Lindsay Tse, DO. Houston Methodist HospitalSuperior Mesenteric Artery Syndrome is a rare and potentially life threatening entity that has a reported incidence in medical literature of 0.1 to 0.3%. SMA syndrome occurs when the third portion of the duodenum is compressed by a narrowed angle ranging from six and twenty -five degrees between the abdominal… Continue Reading
Does Preoperative Splenic Embolization Facilitate Laparoscopic Splenectomy in Massive Splenomegaly?
Hamda Al Zarooni, MD, Ajda Altinoz, MD, Shadi Al Bahri, Guido Mannaerts, MD, PhD. Tawam Hospital Johns Hopkins InternationalIntroduction: Massive splenomegaly is defined as a palpable spleen more than 8 cm below the costal margin, > 20 cm in diameter , or weighs > 1000 gm. We present a case of massive splenomegaly who underwent splenic artery… Continue Reading
Elective versus Non-elective Laparoscopic Paraesophageal Hernia Repairs: Comparison Using the NSQIP Database
William Sherrill, MD, Brent D Matthews, MD, Caroline E Reinke, MD, MSHP. Carolinas Medical CenterBackground: Utilization of minimal invasive surgery (MIS) is on the rise, and laparoscopic paraesophageal hernia (lapPEH) repairs are an increasingly common procedure. Most lapPEH repairs are performed electively, but a subset are performed during an unplanned admission. We aimed to investigate… Continue Reading
OUR GASTRO-ESOPHAGEAL REFLUX TEST DECIDING SURGICAL INDICATION AND RESULTS OF LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MD, PhD, Kenta Kitamura, MD, Ayato Obana, MD, Norio Mizuguchi, MD, Mayuko Nakayama, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MD, PhD, Yoshinobu Sato, MD, PhD, Ryuji Yoshida, MD, Hiroyuki Suzuki, MD, Shigeru Masamura, MD, PhD. Kashiwa Kousei General HospitalIntroductions: The indication of laparoscopic anti-reflux surgery for GERD patients is difficult to be judged fairly.… Continue Reading
Dynamic evaluation of luminal esophageal pressures during anti-reflux procedures: a pilot study.
Dessislava I Stefanova, MD, Timothy M Ullmann, MD, Adham Elmously, MD, Katherine D Gray, MD, Jessica N Limberg, MD, Thomas J Fahey III, MD, Felice H Schnoll-Sussman, MD, Philip O Katz, MD, Rasa Zarnegar, MD. NYP-Weill Cornell Medical CenterIntroduction: Anti-reflux surgery involves augmentation of the lower esophageal sphincter (LES), however to date little is known about… Continue Reading
An Unusual Case of an Esophageal Polyp
Ernest G Chan, MD, MPH, Patrick G Chan, MD, MPH, Omar Awais, DO, Rajeev Dhupar, MD, James D Luketich, MD, Matthew J Schuchert, MD. UPMCINTRODUCTION: Polyps can develop at any portion of the gastrointestinal tract and are most common in the colon. In the esophagus, an overwhelming majority of these polyps are benign lesions originating… Continue Reading