Are rural general surgeons performing valid colonoscopies?
Introduction: A recent Canadian study reviewed the effectiveness of colonoscopy. Colonoscopy reduced the death rate for left colon cancers, but not the right. Were right colon missed? Since the majority of colonoscopies were performed by non-gastroenterologists (69%), questions were raised as to who is qualified to perform colonoscopies. Method: A standard colonoscopy recording form was… Continue Reading
- Type:
- Posters
Assessing the Validity of Simulating the Fundamentals of Laparoscopy (fls) Tasks in Virtual Reality
Objectives: The Fundamentals of Laparoscopy Surgery (FLS) is a validated program endorsed by SAGES to teach and assess laparoscopic technical skill. One of the common criticisms of the FLS program, however, is the necessity of the presence of an experienced proctor, to set up the system, as well as to provide assessment and constructive feedback.… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Assessment of the Outcomes of Hand-Assisted Laparoscopy Vs. Laparoscopy in Elective Colorectal Surgery in Obese Patients – Are There Advantages?
Introduction: Obesity has been challenging for both laparoscopic (LA) surgery and hand-assisted laparoscopic (HAL) surgery. The aim of this study was to compare the outcomes of LA and. HAL colorectal surgery in obese patients. Methods and procedures: An IRB approved retrospective chart review of a prospectively maintained database was conducted to identify obese patients (BMI>30)… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
B-type Natriuretic Peptide Increases After Gastric Bypass and Correlates to Weight Loss
Background: B-type natriuretic peptide (BNP) is a recognized serologic marker of heart failure and has been associated with cachexia of heart failure. In addition, BNP is positively correlated to adiponectin which is inversely correlated to weight gain. We are aware that gastric bypass leads to early satiety and increases in adiponectin. Our study hypothesis is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Bariatric Surgery Outcomes for Patients Undergoing Preoperative Ivc Filter Placement
Introduction: Pulmonary embolism remains a major risk after bariatric surgery. Current practice is to identify those patients who are at high risk for VTE and treat with preoperative inferior vena cava (IVC) filter to prevent postoperative pulmonary embolism. The purpose of this study is to analyze the postoperative complications observed in a large series of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bariatric Surgery Significantly Improves Body Proportion
Introduction: Multiple studies have shown a patient's risk of disease including cardiovascular risk and diabetes can be associated with waist:hip ratio. The metabolic syndrome in particular has been associated with an "apple" shape (waist:hip ratio > 0.80 for females, waist:hip ratio > 0.90 for males). Our project was to evaluate body shape change after bariatric… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Barrett\’s Esophagitis in Patients Undergoing Preoperative Screening Endoscopy for Bariatric Surgery
Introduction: Some surgeons perform routine preoperative screening endoscopy in all patients undergoing bariatric surgery. Various pathologies have been noted and reported during preoperative endoscopy. This investigation explores the incidence of Barrett’s esophagitis in patients undergoing preoperative screening endoscopy for bariatric surgery. The hypothesis that was tested was that Barrett’s esophagitis would be common in patients… Continue Reading
- Type:
- Posters
Barrett\’s Esophagus Treatment Dilemma: Pills Versus Operation: Statistical Analysis and Cost/effectiveness
INTRODUCTION:Controversy over the management of barrett's esophagus has been difficult to resolve due to the low incidence of progression to adenocarcinoma. A prospective study comparing thousands of patients with barretts esophagus randomized either into PPI or antireflux surgery group is costly and no likely to be perfomed. This study examined possible clinical outcomes of the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Benefits of Laparoscopy for Ventriculoperitoneal Shunt Placement
INTRODUCTION: Traditional insertion of a ventriculoperitoneal shunt (VPS) involves a small laparotomy incision. In addition to significant postoperative discomfort, the laparotomy portion of the procedure affects hospital stay and convalescence. Moreover, laparotomy incision may also contribute to wound /shunt infections and incisional hernias. Although laparoscopic approach to VPS has been reported, it has not been… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Bile Duct Injury After Laparoscopic Cholecystectomy in Hospitals with and Without Surgical Training Programs. Is There a Difference?
Introduction: Laparoscopic cholecystectomy (LC) is one of the most common surgical procedures performed by non academic surgeons as well as general surgery residents, under the supervision of academic surgeons. Bile duct injury is a catastrophic complication of this procedure. There is a general perception that performance of LC in a facility with a surgical training… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Body Composition: Early Changes After Weight Loss Induced By Laparoscopic Gastric Bypass.
Objective- To examine the early effects of an oral supplement enriched in beta-hydroxy-beta-methylbutyrate, arginine and glutamine on body composition after weight loss induced by laparoscopic gastric bypass (LGB). There have been several studies demonstrating the late effects of LGB on lean body mass (LBM), fat mass (FM) and bone mineral density (BMD) after LGB but… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bouveret\’s Syndrome: Gallstone Ileus of the Duodenum
Introduction: This is a case of a 59 year old female with Bouveret’s syndrome. An initial endoscopic approach to management is described. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula or a choledochoduodenal fistula into the GI tract and causes obstruction, usually at the ileocecal valve. Bouveret’s syndrome is a variant of… Continue Reading
Camera-less Peritoneal Entry for Urologic (c-pet) Laparoscopy: Description of a Novel Technique
Background: Use of the EndoTIP rotational access port (Karl Storz, GMBH) with visual recognition and without prior insufflation has previously been shown to be a safe and efficient technique for obtaining peritoneal access for laparoscopic surgery1. An alternative peritoneal entry detection technique using a fluid column instead of a camera lens was evaluated. Methods: After… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Can Case Selection Minimise Conversion Rate in Laparoscopic Colorectal Surgery?
INTRODUCTIONThe aim was to systematically review the literature and determine patient factors that increase the risk for conversion.Laparoscopic colorectal surgery (LCS) is notoriously difficult surgery and the dissemination of the technique throughout the UK has been gradual. For trainees in their early LCS learning curve, it is essential to select appropriate patient cases. Although conversion… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Can Dysphagia Be Objectively Characterized Using Multichannel Intraluminal Impedance?
Introduction:The purpose of this study is to determine if the subjective sensation of dysphagia can be objectively characterized using esophageal function testing.Dysphagia is one of the most difficult symptoms to diagnose and to treat unless a patient has achalasia. Esophageal function testing (EFT) now combines standard manometry, which measures pressures in the esophagus, with multichannel… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery