Minimally Invasive Approach To Paraesophageal Hernia Repair Is Superior To Open, Even In The Emergent Setting: A Large National Database Analysis.
Salim Hosein, MD, Laura Flores, Priscila R Armijo, MD, Tyson Carlson, Dmitry Oleynikov, MD. University of Nebraska Medical CenterIntroduction: We aimed to examine the utilization of various operative approaches to hiatal hernia repair (HHR) in elective and emergent/urgent (U) settings and to compare outcomes. Methods: Vizient database was queried from 2015 to 2017 for adult patients with… Continue Reading
Three-dimensional (3D) visualization provides better outcome in single-port laparoscopic distal gastrectomy
So Hyun Kang, Yo-Seok Cho, Sa-Hong Min, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim. Seoul National University Bundang HospitalIntroduction: The use of a three-dimensional (3D) camera for laparoscopic surgery has been reported in literature. However, there are only few comparative studies demonstrating its benefits, and no reports on the application of 3D… Continue Reading
Male Sex Is an Independent Predictor of 30-Day Mortality in PEH Repair
Alexis Graham, MD, Miloslawa Stem, MS, Alisa Coker, MD, Gina Adrales, MD. Johns Hopkins HospitalINTRODUCTION: Increased age, higher American Society of Anesthesiologists (ASA) score, and frailty are known risk factors for morbidity and mortality following paraesophageal hernia (PEH) repair. Understanding the effect of sex on outcomes may impact the approach to repair. METHODS: A retrospective… Continue Reading
MAGNETIC SPHINCTER AUGMENTATION: POOR CONSENSUS AMONG EXPERTS REGARDING KEY TECHNICAL ASPECTS OF LINX IMPLANTATION
Steven Leeds, MD, Marc Ward, MD. Baylor University Medical Center at DallasINTRODUCTION: Magnetic sphincter augmentation (MSA) of the lower esophageal sphincter (LES) by LINX implantation is a highly effective GERD treatment. Reports describe significant improvements in GERD-HRQL, normalization of esophageal acid exposure, and freedom from PPIs for more than 85% of carefully-selected GERD patients at 5… Continue Reading
Outcomes of lung transplantation in patients with absent esophageal body motility
Takahiro Masuda, MD, Sumeet K Mittal, MD, Balazs Kovacs, MD, Michael A Smith, MD, Rajat Walia, MD, Jasmine Huang, MD, Ross M Bremner. Norton Thoracic Institute; St. Joseph's Hospital and Medical CenerINTRODUCTION: Impaired esophageal motility results in poor esophageal clearance, and can exacerbate gastroesophageal reflux which is a potential risk for allograft dysfunction in lung… Continue Reading
Laparoscopic and Endoscopic Cooperative Surgery for Gastrointestinal Stromal Tumor of the Stomach
Norimasa Koide, Kazuyoshi Suda. Niigatakensaiseikai Sanjyo HospitalIntroduction: Gastrointestinal stromal tumors (GISTs) are the most common types of mesenchymal tumors of the gastrointestinal tract, and these tumors occur most frequently in the stomach. Complete resection is the curative treatment for limited gastric GIST. Many reports showed laparoscopic resection was useful procedure for gastric GIST. Recently several… Continue Reading
Endoluminal Functional Luminal-Imaging Probe (ENDOFLIP®) can help prevent significant dysphagia after magnetic sphincter augmentation device (LINX®) Placement
Rodrigo Pedraza, MD, Edward Y Chan, Ray K Chihara, MD, PhD, Leonora M Meisenbach, MSN, APRN, ACNPBC, Min P Kim. Houston Methodist HospitalBackground: Magnetic sphincter augmentation device (LINX) placement has been demonstrated to provide optimal mid-term outcomes for the management of gastroesophageal reflux disease (GERD). However, dysphagia following LINX placement has been reported as frequently… Continue Reading
Comparison of ERCP versus laparoscopic bile duct exploration for the management of choledocholithiasis: an analysis of NSQIP
Victor Vakayil, MD, MS1, Samuel T Klinker, BS1, Megan L Sulciner, BS1, Reema Mallick, MD2, Stuart Amateau, MD, PhD1, Guru Trikudanathan, MD1, Martin Freeman, MD1, James Harmon, MD, PhD1. 1University of Minnesota, 2University of Pittsburgh,BACKGROUND: Up to 18% of patients undergoing laparoscopic cholecystectomies (LC) for cholelithiasis have concurrent choledocholithiasis. While the majority of common bile… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
DOES ETIOLOGY OF GASTROPARESIS DETERMINE CLINCIAL OUTCOMES IN GASTRIC ELECTRICAL STIMULATION TREATMENT OF GASTROPARESIS?
Doris Kim, MD, Shelby Allen, MD, Ryan Gedney, BS, Haley Zlombke, MD, Elizabeth Winter, BS, John Craver, BS, William Lancaster, MD, David Adams, MD. Medical University of South CarolinaINTRODUCTION: Gastric electrical stimulation (GES) in the management of gastroparesis has had mixed clinical response, which may in part be due to the variety in underlying etiology. The most… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Roux-en-Y Gastric Bypass versus Gastrectomy with Roux-en-Y Reconstruction for the Treatment of Gastroparesis
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Kevin El-Hayek, MD1, Ricard Corcelles, MD2, Matthew Kroh, MD2, John Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Gastroparesis is a debilitating functional disorder of the stomach marked by delayed gastric emptying in the absence of mechanical obstruction. Patients with severe, refractory symptoms may ultimately be… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Comparison of surgical cost and implication on the healthcare expenses between Laparoscopic Magnetic Sphincter Augmentation (MSA) and Laparoscopic Nissen Fundoplication (LNF) in a large healthcare system
Shahin Ayazi, MD, Ali H Zaidi, MD, Kirsten Newhams, MD, Ping Zheng, MD, Yoshihiro Komatsu, MD, Fahim Habib, MD, Tameka Scott, DO, Kristy Chovanec, BS, Jonathan Levy, MD, Toshitaka Hoppo, MD, Blair A Jobe, MD. Esophageal and Lung Institute, Allegheny Health NetworkIntroduction: Magnetic sphincter augmentation (MSA) is a promising anti-reflux surgical treatment. The cost associated with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Clinical outcome after magnetic sphincter augmentation (MSA) is independent of the status of hiatal hernia
Shahin Ayazi, MD, Kirsten Newhams, MD, Ali H Zaidi, MD, Tameka Scott, DO, Jonathan Levy, MD, Yoshihiro Komatsu, MD, Kristy Chovanec, BS, Fahim Habib, MD, Adam Alleyne, Ping Zheng, MD, Toshitaka Hoppo, MD, Blair A Jobe, MD. The Esophageal and Lung Institute, Allegheny Health NetworkIntroduction: Magnetic sphincter augmentation (MSA) is an effective treatment for patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic resection is better than endoscopic dissection for gastric gastrointestinal stromal tumor between 2 and 5 centimeter: a case-matched study in a gastrointestinal center
Xiaoyu Dong, Ziming Cui, Meiting Fu, Jixiang Zheng, Ying Lin, Jiaying Liao, Huijuan Le, Jun Yan. Department of General Surgery, Nanfang Hospital, Southern Medical UniversityBackground: The feasibility of the endoscopic dissection for gastric gastrointestinal stromal tumor (gGIST) between 2 and 5 centimeter (cm) has been demonstrated. However, its impact on short-term and long-term outcomes remains… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Does Underlying Anxiety or Depression Modulate Subjective Outcomes After Nissen Fundoplication?
Carla N Holcomb, MD, MSPH, Anahita Jalilvand, MD, Patricia Belle, Monet Mcnally, Kyle Perry, MD. Ohio State University Medical CenterIntroduction: Anxiety and depression have been associated with increased perception of gastroesophageal reflux, but there is a paucity of data regarding the outcomes of laparoscopic anti-reflux surgery in this patient population. We hypothesized that the presence… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Endoluminal Functional Lumen Imaging Probe as a Tool to Standardize Anti-Reflux Surgery
Aaron N Sachs, MD, Howard M Mccollister, MD, Timothy P Lemieur, MD, Shawn A Roberts, MD, Lea M Carlson, RNC, Paul A Severson, MD. Minnesota Institute for Minimally Invasive SurgeryINTRODUCTION: Objective, intraoperative measurement of anti-reflux surgery is not standardized and the Endoluminal Functional Lumen Imaging Probe (EndoFLIP) has the potential to serve this purpose. There… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut