Outcome of Laparoscopic Gastrectomy for Gastric Cancer
As less-invasive operations have been noted in recent years, laparoscopic gastrectomy for gastric cancer has become popular in Japan. We have performed laparoscopic gastrectomy with regional lymph node dissection on 750 cases of gastric malignancies between March 1998 and August 2007. Here we present the outcome of laparoscopic gastrectomy for gastric cancer..Of all 750 cases,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Patient factors predictive of 24 hour pH normalization following endoluminal gastroplication for GERD
Background: Endoluminal full thickness gastroplication has been shown to have significant and long lasting improvement of GERD symptoms and health related quality of life (HRQL) with very little patient morbidity. These treatments, however, are criticized for normalizing esophageal acid exposure in only 30 – 40% of patients treated. We hypothesize that there are objective criteria… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Pattern of early esophageal adenocarcinoma in Long Segment Barrett\’s esophagus
Introduction:The purpose of Barrett’s surveillance programs is to assess the precursor lesion for the development of invasive adenocarcinoma and detect cancer as early as possible. Previous studies have demonstrated that the length of Barrett’s esophagus is an independent risk factor for the development of esophageal adenocarcinoma and that cancer is typically located at the distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Pre-operative predictors of the short esophagus
Background: Short esophagus is a common cause of failure of anti-reflux surgery. Minimally invasive intervention for short esophagus is technically difficult. Reliable predictors of short esophagus would allow appropriate referral and better outcomes.Methods: Between January 1994 and August 2007, a total of 84 patients underwent antireflux surgery with Collis gastroplasty (Group A) at Creighton University… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Prognostic value of endoscopic ultrasound in re-staging after neoadjuvant treatment in esophageal cancer
Introduction:Endoscopic ultrasound (EUS) in patients with esophageal cancer is a useful diagnostic tool for locoregional tumor staging. Patients with advanced esophageal cancer receive neoadjuvant radiochemotherapy to downstage the tumor prior to surgery. The role and accuracy of EUS after neoadjuvant therapy is uncertain.Methods:Between 2002 and 2005 we prospectively enrolled 70 consecutive patients with localized esophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Results after laparoscopic Heller-Dor operation for esophageal achalasia in 100 consecutive patients
Background: Laparoscopic Heller-Dor operation (LHD) has been the procedure of choice for the treatment of esophageal achalasia. However since, the incidence of achalasia is low, at one in 100,000 in USA and Japan, reports on the outcome of surgical treatment for such a disease are limited. In this study, we investigated the therapeutic results after… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Short-term Outcome with Acellular Dermal Matrix Reinforcement of Cruroplasty for Laparoscopic Large Hiatal Hernia Repair in a Community Hospital
Objective: To determine the efficacy of acellular dermal matrix reinforcement of cruroplasty for large hiatal hernia (HH) repairs. Method and Procedure: Prospective study over a 1 year period enrolling ten patients with symptomatic large HH. Patients were included in the study if the HH contained more than one-third of the stomach (Type III or IV).… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Surgical Treatment of Perforated Duodenal Ulcer
Objective: This study aims to know which access is chosen to operate perforated duodenal ulcer and to evaluate the intra operative and postoperative complications.Technique: Prospective analysis including all patients admitted with perforated duodenal ulcer. Open treatment is undertaken through midline laparotomy. Laparoscopic treatment is undertaken through 4 trocars. Suture of the ulcer, vagotomy or distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Diagnosis of Gastroesophageal Reflux: Which is Correct; Multichannel Intraluminal Impedance or pH Monitoring?
Background: Accurate identification of gastroesophageal reflux episodes is fundamental to the objective diagnosis of GERD. The diagnosis of GERD by multichannel intraluminal impedance (MII) is based on the detection of retrograde bolus propagation, irrespective of its pH. It is suggested that both the number and duration of acidic reflux episodes varies depending on the method… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The effects of obesity by the learning curve for Laparoscopy Assisted Distal Gastrectomy in patient with early gastric cancer
Background. Laparoscopy-assisted distal gastrectomy(LADG) has become a viable alternative treatment for patients suffering with early gastric cancer. Surgeons have long thought that obesity might increase the rate of intraoperative or postoperative complications. We set out to clarify the effect that obesity has on performing LADG for the treatment of early gastric cancer.Methods. We retrospectively reviewed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The ratio of metastic lymph nodes to total number of nodes resected is prognostic for survival after en bloc lymphadenectomy in oesophageal carcinoma
Introduction: The extent of lymphadenectomy in oesophageal cancer surgery may affect prognosis, and the role of the number of nodes affected by tumour is of interest. We assess predictors of survival with oesophagectomy and systematic 2-field lymphadenectomy for oesophageal and gastro-oesophageal junction malignancyMethods: Prospective data was collected for 178 consecutive patients with oesophageal malignancy undergoing… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The simple and practical procedure in laparoscopy-Assisted distal gastrectomy
The procedure of laparoscopy-assisted distal gastrectomy iLADGj is usually complicated and needs specialized techniques for advanced laparoscopic surgery, more surgeons during the procedure and longer operation time. But we have recently developed simple and practical LADG procedure that needs only two surgeons and shorter operation time. OPERATIVE PROCEDURE -1. A 5 cm incision was made… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Utility of Preoperative Evaluation Using 3D-CT and Standardization of Laparoscopy-Assisted Gastrectomy for Gastric Cancer
Introduction) Laparoscopy-assisted gastrectomy including lymph nodes dissection consists of complicated procedures. The aim of this study is to clarify the utility of preoperative evaluation using 3D-CT and standardization of the procedures.Patients and methods) The 50 patients with gastric cancer (Stage I: 40, Stage II: 4, StageIIIA: 3, Stage IV: 3 Japanese Classification of Gastric Carcinoma)… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Tracheo-esophageal Fistula Treated by Esophageal Stent and Ultrasound-Guided Suture Fixation
Background: Current option for patients with a tracheo-esophageal fistula are limited. Because of stent migration, newer stents have been developed to prevent movement, but stents placed high in the esophagus continue to migrate.Methods: This video describes the procedure of placing an esophageal stent with two different fixation techniques. The first technique involves the use of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Trigger Based Evaluation of Laparoscopic Antireflux Surgery in Gastro-oesophageal Reflux Disease
AIM: It is well known that certain diet and posture can aggravate gastro-oesophageal reflux(GOR) symptoms. The alleviation of reflux symptoms precipitated by these specific triggers after surgery is usually evaluated by global satisfaction scores or grading systems. The aim of this study is to assess the effect of laparoscopic antireflux surgery(LARS) on selected precipitants of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery