USING IMPEDANCE PLANIMETRY (ENDOFLIP®) IN THE OPERATING ROOM TO ASSESS THE GASTROESOPHAGEAL JUNCTION AND PREDICT PATIENT OUTCOMES FOLLOWING FUNDOPLICATION
Bailey Su, MD, Stephanie Novak, MS, Zachary Callahan, MD, Kristine Kuchta, MS, Joann Carbray, BS, Michael Ujiki, MD. NorthShore University Health SystemIntroduction: Our purpose is to evaluate the utility of using a functional luminal imaging probe (EndoFLIP®) intra-operatively to assess adequacy of hiatal hernia repair and fundoplication. Additionally, we hypothesize that these measurements correlate with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Is that ‘Floppy’ Fundoplication Tight Enough?
Brexton Turner, BS, Melissa Helm, MS, Emily Hetzel, BS, Max Schumm, MD, Jon Gould, MD. Medical College of WisconsinBackground: Laparoscopic fundoplication is the treatment of choice for medically refractory gastroesophageal reflux disease (GERD). Surgeons seek to create a competent valve at the gastroesophageal junction (GEJ) but are careful to construct a ‘floppy’ fundoplication that is not… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
INTRAOPERATIVE ASSESSMENT OF ESOPHAGEAL MOTILITY USING THE FUNCTIONAL LUMEN IMAGING PROBE DURING MYOTOMY FOR ACHALASIA
Ryan J Campagna, MD, Dustin A Carlson, MD, Eric S Hungness, MD, Amy L Holmstrom, MD, John E Pandolfino, MD, Nathaniel J Soper, MD, Ezra N Teitelbaum, MD, MEd. Northwestern University Feinberg School of MedicineIntroduction: The functional lumen imaging probe (FLIP) is a novel measurement catheter that can evaluate esophagogastric junction (EGJ) distensibility and esophageal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
IMPACT OF FUNCTIONAL ESOPHAGOGASTRIC OUTFLOW OBSTRUCTION ON OUTCOMES OF LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD
Noah J Switzer, Anahita D Jalilvand, Monet Mcnally, Alexandra Power, Patricia Belle, Kyle Perry. The Ohio State UniversityINTRODUCTION: We hypothesized that GERD patients with manometric findings of EJOO on preoperative manometry do not have increased rates of postoperative dysphagia compared to those with normal or hypotensive LES pressures. With the advent of high-resolution manometry, esophageal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
USE OF COMPUTED TOMOGRAPHY (CT) VOLUMETRIC MEASUREMENTS TO PREDICT OPERATIVE TECHNIQUES IN PARAESOPHAGEAL HERNIA REPAIR (PEHR)
Angela M Kao, MD, Javier Otero, MD, Sean R Maloney, MD, Tanushree Prasad, MA, Vedra A Augenstein, MD, B. Todd Heniford, MD, Paul D Colavita, MD. Carolinas Medical CenterBackground:Despite advances in diagnostic imaging capabilities, little information exists concerning the impact of physical dimensions of a paraesophageal hernia (PEH) on intraoperative decision-making and postoperative outcomes. Computerized… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
The utility of MII testing in making surgical decisions
Matt Glasgow1, Christy M Dunst, MD2, Walaa Abdelmoaty, MD3, Rosen Ilchev, BA3, Naly Setthavongsack4, Hannah Creasey5, Daniel Davilla Bradley, MD2, Kevin M Reavis, MD2, Lee L Swanstrom, MD2, Steve R Demeester, MD2. 1Bates College, 2The Oregon Clinic, 3Providence Portland Medical Center, 4Portland State University, 5Lewis and Clark CollegeIntroduction: Abnormal esophageal acid exposure, as measured by… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
THE RELATIONSHIP BETWEEN GASTROESOPHAGEAL JUNCTION INTEGRITY AND SYMPTOMATIC FUNDOPLICATION OUTCOMES
Brexton Turner, BS, Melissa Helm, Emily Hetzel, Max Schumm, Jon Gould. Medical College of WisconsinBackground: Satisfaction rates following laparoscopic fundoplication for gastroesophageal reflux (GERD) may vary based on the integrity of the gastroesophageal junction (GEJ) at the time of surgery. We hypothesized that patients with a competent GEJ do not fare as well following fundoplication… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
BASELINE SYMPTOM SCALE SCORES MAY PREDICT EARLY READMISSIONS AFTER MINIMALLY INVASIVE FOREGUT SURGERY
Anahita D Jalilvand, MD, Patricia Belle, Monet Mcnally, Kyle A Perry, MD. The Ohio State Wexner Medical CenterINTRODUCTION: A significant proportion of early readmissions following elective surgery have been characterized as non-urgent and potentially avoidable with appropriate patient education and post-operative follow-up. The goal of this study was to characterize early readmissions after laparoscopic paraesophageal… Continue Reading
- Topic:
- Foregut
Laparoscopic Roux-en-Y Reconstruction as a Salvage Operation after Failed Nissen Fundoplication
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Matthew Kroh, MD2, John Rodriguez, MD1, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Conversion of Nissen fundoplication to Roux-en-Y (RnY) anatomy may be indicated in patients with post-surgical complications or who fail to achieve durable control of their disease. Herein we describe the largest… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Third-Time “Redo” Anti-Reflux Surgery: An Operation Needing a Scalpel
Nikhil Panda, MD, Christopher R Morse, MD, David W Rattner, MD. Massachusetts General HospitalBackground: Approximately 3-6% of patients undergoing anti-reflux surgery require “redo” surgery for persistent gastroesophageal reflux disease (GERD). Further surgery for patients with two failed prior anti-reflux operations is controversial due to the morbidity of reoperation and poor reported results. We therefore examined our… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Robotic and peroral endoscopic myotomy have less technical complications compared to laparoscopic heller myotomy
Aman B Ali, MD, Najah A Khan, Duc T Nguyen, MD, PhD, Ray K Chihara, MD, PhD, Edward Y Chan, MD, Edward A Graviss, PhD, MPH, Min P Kim, MD. Houston Methodist HospitalIntroduction: Achalasia is an uncommon disease treated by decreasing the lower esophageal sphincter resting pressure. We compared the safety and efficacy of esophago-gastric myotomy… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Heller versus POEM: Should obesity influence a surgeon’s decision?
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FACSFASGE. Case Western Reserve UniversityObjective: Achalasia is a lifestyle-crippling disease characterized by failure of lower esophageal relaxation leading to progressive dysphagia and recurrent aspiration. Since 2008, Per Oral Esophageal Myotomy (POEM) has become an increasingly-accepted alternative to laparoscopic Heller myotomy as the procedure of choice for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
USE OF A REPORT CARD TO EVALUATE OUTCOMES OF ACHALASIA SURGERY: BEYOND THE ECKARDT SCORE
Ealaf Shemmeri, MD, Ralph W Aye, MD, Alexander S Farivar, MD, Adam Bograd, MD, Brian E Louie, MD. Swedish Thoracic SurgeryINTRODUCTION: Achalasia outcome is primarily defined using the Eckardt score with failure recognized as >3. However, patients experience many changes after myotomy including new onset GERD and potential need for additional treatment. We devised a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Resolution of Anemia and Improved Quality of Life Following Laparoscopic Hiatal Hernia Repair
Alex Addo, MD, Reilly Scott, Moneim M Ali, MD, Zachary Sanford, MD, Adam S Weltz, MD, Richard Lu, MD, Reza Zahiri, DO, Adrian Park, MD, FACS. Anne Arundel Medical CenterBackground: Cameron lesions (CL) are one of the complications of large hiatal hernia (HH) disease, which my lead to chronic blood loss with resultant microcytic anemia. There… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Anemia and Paraesophageal hernia repair – An Incomplete Correction
Joslin N Cheverie, MD, Jenny Lam, Kai Neki, MD, Tokio Matsuzaki, MD, PhD, Santiago Horgan, MD. UC San DiegoChronic anemia is often found to be a coincident diagnosis in patients with paraesophageal hernia (PEH). The presence of endoscopically identified ulceration (e.g. Cameron’s lesion) will frequently prompt surgical consultation in the otherwise asymptomatic patient with refractory… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut