Laparoscopic Repair of Recurrent Paraesophageal Hernia is Safe and Effective
Ahmed M Zihni, MD, MPH, Christy M Dunst, MD, Walaa F Abdelmoaty, MD, MBA, Filippo Filicori, MD, Rosen Ilchev, BS, Daniel Davila-Bradley, MD, Kevin Reavis, MD, Lee Swanstrom, MD, Steven R DeMeester, MD. The Oregon ClinicIntroduction: Paraesophageal hernia repairs are increasing in prevalence, and unfortunately carry a high recurrence rate. Consequently, reoperation is expected to… Continue Reading
Interaction of the Lower Esophageal Sphincter and the Diaphragmatic Hiatus in Gastroesophageal Reflux Disease
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameran Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Hypotension of the lower esophageal sphincter (hLES) and the presence of hiatal hernia (HH) have both been associated with gastroesophageal reflux disease… Continue Reading
Healthcare utilization and costs associated with antireflux surgery.
Kyle L Kleppe, MD, Yiwei Xu, Xing Wang, Jeff Havlena, Luke M Funk, MD, MPH, Jake A Greenberg, MD, EdM, Anne O Lidor, MD, MPH. University of WisconsinBackground: While clinical outcomes have been reported for antireflux surgery, there is limited data on postoperative outpatient encounters and their associated costs. The aim of this study is… Continue Reading
Investigating Rates of Reoperation or Postsurgical Gastroparesis Following Fundoplication or Paraesophageal Hernia Repair in New York State
Danni Lu, BS1, Maria Altieri, MD1, Jie Yang, PhD1, Nabeel Obeid, MD2, Donglei Yan, MS1, Konstantinos Spaniolas, MD1, Mark Talamini, MD, MBA1, Aurora Pryor, MD1. 1Stony Brook, 2Michigan MedicineINTRODUCTION: The development of postsurgical gastroparesis following Nissen fundoplication is poorly understood. In this study, we analyze the development of gastroparesis requiring intervention and other subsequent procedures… Continue Reading
SURGICAL INDICATION USING REFLUX TEST AND RESULTS OF LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MDPhD, Kenta Kitamura, MD, Tomonori Matsumura, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MDPhD, Eishi Totsuka, MDPhD, Keigo Okada, MD, Hiroyuki Suzuki, MD, Shigeru Masamura, MD. Kashiwa Kousei General HospitalINTRODUCTION: The indication of laparoscopic anti-reflux surgery for GERD patients is difficult to be judged fairly. We have established “Reflux Test“ as the tool for… Continue Reading
Giant Paraesophageal Hernia Repair without Antireflux Procedure as management of GERD
Lauren McCormack, MD, Carl Westcott, MD. Wake ForestIntroduction: Fundoplication at the time of giant paraesophageal hernia repair is controversial. The proposed advantages are better reflux control and lower recurrence. Disadvantages include fundoplication specific complications, might be unnecessary and may not decrease recurrence. We retrospectively reviewed giant paraesophageal hernia repairs (PEH) with two point gastropexy in… Continue Reading
Paraesophageal hernia repair in the morbidly obese patient: Is a combined roux-en-y gastric bypass and paraesophageal hernia repair ideal?
Jai Prasad, MD, Claire I Lauer, MD, Jacob A Petrosky, MD, David K May, DO, Marcus Fluck, James T Dove, Jon D Gabrielsen, MD, Anthony T Petrick, David M Parker, MD. Geisinger Medical CenterIntroduction We hypothesize that laparoscopic paraesophageal hernia repair with concurrent roux-en-y gastric bypass (LRYGB/PEH) can be performed with no increase in morbidity… Continue Reading
Sleeve Gastrectomy with Simultaneous Pyloroplasty SignificantlyIimproves Gastric Emptying in Patients with Medically Refractory Gastroparesis
Ryan Fairley, DO1, Danial Cottam, MD2, Helmuth T Billy, MD3. 1Community Memorial Hospital of SanBuenaventura, 2Bariatric Medicine Institute, Salt Lake City Utah, 3Ventura Advanced Surgical Associates, Ventura, CaliforniaBackground: Gastroparesis is a chronic disorder that significantly impairs the quality of life in affected patients. Surgical options for patients that have failed medical management include placement of… Continue Reading
The Effect of Robotic Hiatal Hernia Repair with Concomitant Esophagopexy in Patients with Gastroesophageal Reflux Disease
Allison C Estep, MD1, Christopher J You, MD2. 1MedStar Union Memorial Hospital, 2MedStar Franklin Square Medical CenterBackground: Gastroesophageal reflux disease (GERD) is a highly prevalent disorder with a multitude of treatment options ranging from lifestyle modifications and medical management to surgical options. Despite the numerous treatments available, there is still debate over which approach is… Continue Reading
Laparoscopic D2 Gastrectomy for Gastric Cancer – A Single Institution Experience
Chaya Shwaartz, Nadav Zilka, Mustapha Siddiq, Yuri Goldes, MD. Sheba Medical Center, IsraelBackground: D2 gastrectomy for gastric carcinoma is a well-established procedure in patients undergoing surgery for gastric cancer and is the standard of care in our institution. Reduced pain, early ambulation, and better cosmetics are some of the benefits of minimally invasive surgery for… Continue Reading
MINIMALLY INVASIVE MANAGEMENT OF DIAPHRAGMATIC HERNIAS AFTER ESOPHAGECTOMY: A CASE REPORT
Morgan M Bonds, MD, Subrato Deb, MD. University of Oklahoma Health Science CenterIntroduction: Esophagectomy is a common treatment for both benign and malignant pathologies of the foregut. Hiatial paraconduit hernias are rare complications following esophagectomy. In this study, we review our experience with these rare diaphragmatic hernias. Methods: A retrospective analysis of all patients presenting… Continue Reading
Esophago-gastrostomy reconstruction after laparoscopic proximal gastrectomy with special attention to postoperative motor function
Daisuke Ichikawa, MD, Yoshihiko Kawaguchi, MD, Hienori Akaike, MD, Yuki Nakata, MD, Mitsuaki Watanabe, MD, Naohiro Hosomura, MD, Hideya Amemiya, MD, Hiromitsu Kawaida, MD, Makoto Sudoh, MD, Hiroshi Kohno, MD. University of YamanashiINTRODUCTION: Recently, the frequency of early gastric cancer in the upper third of the stomach has especially increased. We report here our recent… Continue Reading
Surgical outcomes of circular-stapled and linear-stapled esophagojejunostomy in gastric cancer: a propensity-matched analysis.
So Hyun Kang, Dr, Jan Bueno, Dr, Sa-Hong Min, Dr, Yoontaek Lee, Dr, Ki Bum Park, Dr, Young Suk Park, Prof, Sang-Hoon Ahn, Prof, Do Joong Park, Prof, Hyung-Ho Kim, Prof. Seoul National University Bundang HospitalAim: There have been several reports illustrating the safety and efficacy of various surgical techniques in performing laparoscopic esophagojejunostomy(EJ). This… Continue Reading
Short- and long-term outcomes of laparoscopic gastrectomy for advanced gastric cancer
Masahiro Watanabe, Masanori Tokunaga, Akio Kaito, Shizuki Sugita, Takahiro Kinoshita. National Cancer Center Hospital East, Gastric Surgery DivisionBackground: Although the current standard treatment for advanced gastric cancer (AGC) is open gastrectomy, laparoscopic gastrectomy (LG) is increasingly performed, especially in the East. However, it is a technically demanding procedure, and the feasibility remains unclear. The aim… Continue Reading
A Systematic Review and Meta-Analysis on the Use of Indocyanine Green for the Prevention of Anatomic Leaks Following Esophagectomy
Farah Ladak, MD, MPH, Jerry Dang, MD, Noah Switzer, MD, MPH, Chunhong Tian, PhD, Daniel Birch, MSc, MD, FRCSC, FACS, Simon Turner, MD, FRCSC, Shahzeer Karmali, MD, FRCSC, FACS. University of AlbertaIntroduction: The present study aims to evaluate the predictive value of indocyanine green (ICG) for the detection and prevention of anastomotic leak following esophagectomy.… Continue Reading