Median Arcuate Ligament Syndrome, Case Series and Review of the Literature
Jesse Conner, MD, Joshua Gierman, MD, Laura Fischer, MD. Oklahoma University Health Science CenterIntroduction: Median arcuate ligament syndrome is a rare cause of abdominal pain. Symptoms include vague epigastric pain, post prandial pain, nausea, vomiting, and weight loss. The pathophysiology has been thought to be secondary to compression of the celiac artery by a thick… Continue Reading
- Topic:
- Foregut
Laparoscopic Repair of A Large Morgagni Hernia
Walaa F Abdelmoaty, MD, MBA1, Daniel Davila Bradley, MD2, Michael Antiporda, MD1, Kelly Haisly, MD1, Kevin M Reavis, MD, FACS2, Christy M Dunst, MD, FACS2, Lee L Swanstrom, MD, FACS, FASGE, FRCSEng2, Steven R Demeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicMorgagni hernia is a rare congenital diaphragmatic defect that can present symptomatically… Continue Reading
- Topic:
- Foregut
LINX in GERD. The evolution of the technique. From none to full dissection of the crura
Rebeca V Dominguez, MD, Arielle M Lee, MD, Tokio Matsuzaki, MD, Kai Neki, Ryan C Broderick, Robert Cubas, Joslin N Cheverie, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UCSDWe present a video with 4 different scenarios, that represent the continuous evolution of this technique. Starting with the performing… Continue Reading
- Topic:
- Foregut
RECURRENT EPIPHRENIC DIVERTICULUM
Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEpiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure.… Continue Reading
- Topic:
- Foregut
Thoracoscopic pericardial patch closure of iatrogenic tracheal injury during esophagectomy
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaIntroduction: Iatrogenic tracheo-bronchial injury is an uncommon complication following esophagectomy with a reported incidence of 0.6-10% 1-3. Repair of a tracheal injury encountered in a patient during thoracoscopic esophagectomy in prone position is reported. Methods: Fifty six year old lady… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC EXCISION OF EPIPHRENIC DIVERTICULUM WITH HELLER MYOTOMY IN AN OCTAGENARIAN.
Maria C Fonseca, MD, Cristian Milla, MD, Carlos Rivera, MD, Joel S Frieder, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaEpiphrenic esophageal diverticulum is considered a false diverticulum as only compromises de mucosa and submucosa. Clinical manifestations appear when it achieves approximately… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC VENTRAL HERNIA REPAIR IN A LIVER TRANSPLANT PATIENT
Camila Ortiz Gomez, MD, Coney Bae, MD, Joel S Frieder, MD, Maria C Fonseca, MD, David Romero Funes, MD, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS. Cleveland Clinic FloridaA 40-year-old with prior orthotopic liver transplant for alcohol-induced cirrhosis presents with a large symptomatic ventral hernia… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic double-flap technique after proximal gastrectomy for gastrointestinal stromal tumor in the esophagogastric junction
Wei Wang. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic surgery for gastric gastrointestinal stromal tumors (GISTs) is now widely performed. However, laparoscopic resection of GIST in the esophagogastric junction (EGJ) is technically difficult and rarely reported. When the tumor invaded the esophagogastric line or if the cardia integrity could not be maintained during local resection, laparoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Repair of Hiatal Hernia after Esophagectomy
James Nguyen, MD, Luke Putnam, MD, Sahil Gambhir, MD, Brian Smith, MD, Ninh Nguyen, MD. University of California Irvine Medical CenterWe present a case of a laparoscopic repair of a hital hernia after prior esophagectomy. Our patient is a 61 year old male with stage III Esophageal Cancer who underwent neoadjuvant chemoradiation followed by laparoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC INTRAGASTRIC RESECTION VIA COMBINED LAPAROENDOSCOPIC TECHNIQUE WITH MUCOSAL CLOSURE
Alexandra W Elias, MD, Timothy A Woodward, MD, Steven P Bowers, MD. Mayo Clinic FLThis video demonstrates laparoscopic intragastric resection via combined laparoendoscopic technique with mucosal closure. A 43-year-old female underwent an upper endoscopy for chronic nausea, and a submucosal tumor was revealed in the gastric cardia, just distal to the gastroesophageal junction. Endoscopic ultrasound… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic D2 gastrectomy with therapeutic para-aortic lymph node dissection for advanced gastric cancer
Wei Wang. Guangdong Provincial Hospital of Chinese MedicinePatients with advanced gastric cancer and locally enlarged para-aortic lymph nodes were selected for this study. They were all received a neoadjuvant chemotherapy. If the curative effect was at least partial response, then the patient would underwent laparoscopic D2 gastrectomy with para-aortic lymph node dissection. After a standard… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Repair of Recurrent Type II Hiatal Hernia in Patient with Prior Whipple
Courtney L Devin, MD, Andrew M Brown, MD, Jessica A Latona, MD, Michael J Pucci, Francesco Palazzo. Thomas Jefferson UniversityThe video shows the steps undertaken for a laparoscopic repair of recurrent type II hiatal hernia in a patient with a prior Whipple procedure. Redo laparoscopic paraesophageal hernia repairs can be performed safely in experienced centers.Presented at… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Heller Myotomy in a Patient with Situs Inversus of Liver
Syed Abbas, MD, Ziad T Awad, MD, FACS, Ruchir Puri, MD, FACS. UFlorida - JacksonvilleAchalasia is a rare esophageal motility disorder that has an incidence of 1 in 100,000 Americans. The predominant symptom is dysphagia. Three distinct subtypes are described based on high resolution manometry. A surgical or endoscopic myotomy is the treatment of choice.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Per-Oral Endoscopic Myotomy (POEM) of Posterior Wall after Multiple Failed Foregut Operations
Armando Rosales, MD, Tymothy A Woodward, MD, Steven P Bowers, MD. Mayo Clinic FloridaIntroduction: Recurrent or persistent symptoms after Heller myotomy occur in approximately 10-20% of patients. Per-Oral Endoscopy Myotomy (POEM) is a possible treatment modality available to avoid a reoperation at the gastroesophageal junction in patients with failed Heller myotomy (HM). POEM can be… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
single-port thoracic-assisted laparoscopic proximal esophagogastrectomy for Siewert type 2 adenocarcinoma of esophagogastric junction
Wei Wang. Guangdong Provincial Hospital of Chinese MedicineThe first 12-mm trocar was inserted at the level of the umbilicus for the laparoscope. Then two trocars were inserted on the left side for the operating surgeon and two trocars were placed on the right side for the assistant surgeon. After completly abdominal procedure with No.1, 2,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut