Case Report: Minimally invasive approach to SMA syndrome with a Review of diagnostic criteria and treatment options
Lindsay Tse, DO. Houston Methodist HospitalSuperior Mesenteric Artery Syndrome is a rare and potentially life threatening entity that has a reported incidence in medical literature of 0.1 to 0.3%. SMA syndrome occurs when the third portion of the duodenum is compressed by a narrowed angle ranging from six and twenty -five degrees between the abdominal… Continue Reading
Does Preoperative Splenic Embolization Facilitate Laparoscopic Splenectomy in Massive Splenomegaly?
Hamda Al Zarooni, MD, Ajda Altinoz, MD, Shadi Al Bahri, Guido Mannaerts, MD, PhD. Tawam Hospital Johns Hopkins InternationalIntroduction: Massive splenomegaly is defined as a palpable spleen more than 8 cm below the costal margin, > 20 cm in diameter , or weighs > 1000 gm. We present a case of massive splenomegaly who underwent splenic artery… Continue Reading
Elective versus Non-elective Laparoscopic Paraesophageal Hernia Repairs: Comparison Using the NSQIP Database
William Sherrill, MD, Brent D Matthews, MD, Caroline E Reinke, MD, MSHP. Carolinas Medical CenterBackground: Utilization of minimal invasive surgery (MIS) is on the rise, and laparoscopic paraesophageal hernia (lapPEH) repairs are an increasingly common procedure. Most lapPEH repairs are performed electively, but a subset are performed during an unplanned admission. We aimed to investigate… Continue Reading
OUR GASTRO-ESOPHAGEAL REFLUX TEST DECIDING SURGICAL INDICATION AND RESULTS OF LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MD, PhD, Kenta Kitamura, MD, Ayato Obana, MD, Norio Mizuguchi, MD, Mayuko Nakayama, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MD, PhD, Yoshinobu Sato, MD, PhD, Ryuji Yoshida, MD, Hiroyuki Suzuki, MD, Shigeru Masamura, MD, PhD. Kashiwa Kousei General HospitalIntroductions: The indication of laparoscopic anti-reflux surgery for GERD patients is difficult to be judged fairly.… Continue Reading
Dynamic evaluation of luminal esophageal pressures during anti-reflux procedures: a pilot study.
Dessislava I Stefanova, MD, Timothy M Ullmann, MD, Adham Elmously, MD, Katherine D Gray, MD, Jessica N Limberg, MD, Thomas J Fahey III, MD, Felice H Schnoll-Sussman, MD, Philip O Katz, MD, Rasa Zarnegar, MD. NYP-Weill Cornell Medical CenterIntroduction: Anti-reflux surgery involves augmentation of the lower esophageal sphincter (LES), however to date little is known about… Continue Reading
An Unusual Case of an Esophageal Polyp
Ernest G Chan, MD, MPH, Patrick G Chan, MD, MPH, Omar Awais, DO, Rajeev Dhupar, MD, James D Luketich, MD, Matthew J Schuchert, MD. UPMCINTRODUCTION: Polyps can develop at any portion of the gastrointestinal tract and are most common in the colon. In the esophagus, an overwhelming majority of these polyps are benign lesions originating… Continue Reading
Minimally Invasive Approach To Paraesophageal Hernia Repair Is Superior To Open, Even In The Emergent Setting: A Large National Database Analysis.
Salim Hosein, MD, Laura Flores, Priscila R Armijo, MD, Tyson Carlson, Dmitry Oleynikov, MD. University of Nebraska Medical CenterIntroduction: We aimed to examine the utilization of various operative approaches to hiatal hernia repair (HHR) in elective and emergent/urgent (U) settings and to compare outcomes. Methods: Vizient database was queried from 2015 to 2017 for adult patients with… Continue Reading
Three-dimensional (3D) visualization provides better outcome in single-port laparoscopic distal gastrectomy
So Hyun Kang, Yo-Seok Cho, Sa-Hong Min, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim. Seoul National University Bundang HospitalIntroduction: The use of a three-dimensional (3D) camera for laparoscopic surgery has been reported in literature. However, there are only few comparative studies demonstrating its benefits, and no reports on the application of 3D… Continue Reading
Male Sex Is an Independent Predictor of 30-Day Mortality in PEH Repair
Alexis Graham, MD, Miloslawa Stem, MS, Alisa Coker, MD, Gina Adrales, MD. Johns Hopkins HospitalINTRODUCTION: Increased age, higher American Society of Anesthesiologists (ASA) score, and frailty are known risk factors for morbidity and mortality following paraesophageal hernia (PEH) repair. Understanding the effect of sex on outcomes may impact the approach to repair. METHODS: A retrospective… Continue Reading
MAGNETIC SPHINCTER AUGMENTATION: POOR CONSENSUS AMONG EXPERTS REGARDING KEY TECHNICAL ASPECTS OF LINX IMPLANTATION
Steven Leeds, MD, Marc Ward, MD. Baylor University Medical Center at DallasINTRODUCTION: Magnetic sphincter augmentation (MSA) of the lower esophageal sphincter (LES) by LINX implantation is a highly effective GERD treatment. Reports describe significant improvements in GERD-HRQL, normalization of esophageal acid exposure, and freedom from PPIs for more than 85% of carefully-selected GERD patients at 5… Continue Reading
Outcomes of lung transplantation in patients with absent esophageal body motility
Takahiro Masuda, MD, Sumeet K Mittal, MD, Balazs Kovacs, MD, Michael A Smith, MD, Rajat Walia, MD, Jasmine Huang, MD, Ross M Bremner. Norton Thoracic Institute; St. Joseph's Hospital and Medical CenerINTRODUCTION: Impaired esophageal motility results in poor esophageal clearance, and can exacerbate gastroesophageal reflux which is a potential risk for allograft dysfunction in lung… Continue Reading
Laparoscopic and Endoscopic Cooperative Surgery for Gastrointestinal Stromal Tumor of the Stomach
Norimasa Koide, Kazuyoshi Suda. Niigatakensaiseikai Sanjyo HospitalIntroduction: Gastrointestinal stromal tumors (GISTs) are the most common types of mesenchymal tumors of the gastrointestinal tract, and these tumors occur most frequently in the stomach. Complete resection is the curative treatment for limited gastric GIST. Many reports showed laparoscopic resection was useful procedure for gastric GIST. Recently several… Continue Reading
Endoluminal Functional Luminal-Imaging Probe (ENDOFLIP®) can help prevent significant dysphagia after magnetic sphincter augmentation device (LINX®) Placement
Rodrigo Pedraza, MD, Edward Y Chan, Ray K Chihara, MD, PhD, Leonora M Meisenbach, MSN, APRN, ACNPBC, Min P Kim. Houston Methodist HospitalBackground: Magnetic sphincter augmentation device (LINX) placement has been demonstrated to provide optimal mid-term outcomes for the management of gastroesophageal reflux disease (GERD). However, dysphagia following LINX placement has been reported as frequently… Continue Reading
Comparison of ERCP versus laparoscopic bile duct exploration for the management of choledocholithiasis: an analysis of NSQIP
Victor Vakayil, MD, MS1, Samuel T Klinker, BS1, Megan L Sulciner, BS1, Reema Mallick, MD2, Stuart Amateau, MD, PhD1, Guru Trikudanathan, MD1, Martin Freeman, MD1, James Harmon, MD, PhD1. 1University of Minnesota, 2University of Pittsburgh,BACKGROUND: Up to 18% of patients undergoing laparoscopic cholecystectomies (LC) for cholelithiasis have concurrent choledocholithiasis. While the majority of common bile… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
DOES ETIOLOGY OF GASTROPARESIS DETERMINE CLINCIAL OUTCOMES IN GASTRIC ELECTRICAL STIMULATION TREATMENT OF GASTROPARESIS?
Doris Kim, MD, Shelby Allen, MD, Ryan Gedney, BS, Haley Zlombke, MD, Elizabeth Winter, BS, John Craver, BS, William Lancaster, MD, David Adams, MD. Medical University of South CarolinaINTRODUCTION: Gastric electrical stimulation (GES) in the management of gastroparesis has had mixed clinical response, which may in part be due to the variety in underlying etiology. The most… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut