Most Likely Level of Impaired Bolus Transit Measured By Multichannel Intralumenal Impedance
Introduction: Although multiple esophageal motility disorders have been defined manometrically, the underlying esophageal pathology is not always clear. Esophageal function testing(EFT), which combines manometry and multichannel intraluminal impedance (MII), has been increasingly useful in assessment of the Esophageal Motility disorders. MII allows the assessment of bolus transit. Impairments in bolus transit remain poorly understood. This… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Simplified Technique for Intrathoracic Stomach Repair: Laparoscopic Fundoplication with Vicryl Mesh and Bioglue Crural Reinforcement
Background: The laparoscopic repair of an intrathoracic stomach has been associated with a high recurrence rate of up to 50%. Studies describing the use of biological and non-absorbable mesh report a more durable repair. The aim of our study was to assess a simplified technique for intrathoracic stomach repair using absorbable vicryl mesh and bioglue… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Nissen Fundoplication with Highly Selective Vagotomy. A Pilot Approach for the Management of Gastroesophageal Reflux Disease.
Introduction: Laparoscopic Nissen fundoplication became the standard of care for the surgical treatment of gastroesophageal reflux disease. Its longevity has been under scrutiny lately as the wrap gets looser by time. The hypothesis of adding highly selective vagotomy (HSV), which will reduce gastric acid secretion by 60% and improve the transient lower esophageal relaxations, could… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Cost of Achalasia: Quantifying the Effect of Symptomatic Disease on Patient Cost Burden, Treatment Time and Decreased Work Productivity
OBJECTIVES – Achalasia is an uncommon disease of esophageal motility, characterized physiologically by failure of the lower esophageal sphincter to relax upon swallowing, and the absence of effective peristalsis in the body of the esophagus. Although the incidence of achalasia is low, the burden of suffering is high because it is a chronic incurable disease… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Laparoscopic Belsey Fundoplasty for Gastroesophageal Reflux
Objectives: Belsey Mark IV fundoplasty is associated with less gas bloat and dysphagia compared to the Nissen wrap. Conventionally, a Belsey Mark IV fundoplasty requires a thoracotomy. Laparoscopic approaches to the Belsey procedure have not been satisfactory. By virtue of 3-D visualization and greater maneuverability, robot assistance can overcome the technical shortcomings of the laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
“the Use of Small Porcine Bowel Submucosa Mesh, in the Treatment of Gastroesophagic Reflux. Long Term Results “
IntroductionGastroesophagic reflux disease is present worldwide, it has a ratio of 360 in 100,000 persons, being the most common esophagic disease, accounting for 75% of casesOne of the most common complications after antireflux surgery is the migration of the fundoplication into the mediastinum , leading to recurrent GERD symptoms. To prevent postoperative intrahoracic wrap herniation,… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy-Assisted Pancreas- And Spleen-preserving Total Gastrectomy for Gastric Cancer As Compared with Open Total Gastrectomy
Background: Laparoscopy-assisted total gastrectomy (LATG) is not widely used for the treatment of gastric cancer located in the upper or middle third of the stomach. To assess the safety and usefulness of LATG, we compared the outcomes of LATG with those of open total gastrectomy (OTG).Methods: From July 2004 to July 2007, we performed pancreas-… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Intragastric Resection of Gastric Mesenchymal Tumor Located Close to the Esophago-gastric Junction
Introduction: Local resection with adequate margins has been an effective treatment for a gastrointestinal mesenchymal tumor (GIMT). However, the treatment strategy for a GIMT that is located close to the esophago-gastric junction (EGJ) remains controversial. We evaluate the surgical techniques and clinical outcomes of laparoscopic intragastric resection (LIR) for GIMT located close to the esophago-gastric… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Management of Esophageal Perforations
Background: Perforation of the esophagus remains a life threatening event, which requires rapid diagnosis and treatment. Possible therapeutic modalities are surgical repair, interventional endoscopic or conservative treatment.Objectives: We were interested to examine our experience on the management of esophageal perforations with the aim to find parameters for the recommendation of the best therapeutic modality.Methods: From… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A Case of Mucosa Associated Lymphoid Tissue (MALT) Lymphoma of the Esophagus, Treated By Endoscopic Mucosal Resection
We report an extremely rare case of primary low grade mucosa associated lymphoid tissue (MALT) lymphoma of the esophagus. An 74-year-old man was referred to our department in June 2006 for further examination, because of the slight elevation of serum squamous cell carcinoma antigen level and an abnormal accumulation in the mediastinum on the PET-CT.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical Research of Digestive Tract Reconstruction Performed with the Nickel-titanium Temperature-dependent Memory-shape Device After Distal Gastrectomy
Clinical research of digestive tract reconstruction performed with the nickel-titanium temperature-dependent memory-shape device after distal gastrectomy 1,2Xinxiang Li MD, 1Shanjun Cai MD, 2Jianxin Ye MD, 2Zheng Shi, MD3Chengzhu zheng MD, 4Raul J. Rosenthal MD 1Department of Colorectal Surgery, Fudan University Cancer Hospital,Shanghai CHINA 2000322Department of Surgery, The First Hospital Affiliated To Fujian Medical University ,Fuzhou… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A New Procedure for the Treatment of Gastroesophageal Reflux Disease in Morbidly Obese Patients
Objective: Gastroesophageal reflux disease (GERD) is frequently associated with obesity (BMI>30), being reported in up to 51% of patients. The optimal surgical procedure for the combined treatment of morbid obesity and GERD has yet to be defined. Roux-en-Y gastric bypass has had favorable results on GERD in the morbidly obese but has the disadvantage of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery