Novel Technique of Reduced Port Nissen Fundoplication Using a Single Incision Multiport Access Device with Flexible Instrumentation
John G Linn, MD, Kyle A Perry, MD, W. Scott Melvin, MD. The Ohio State University Medical Center INTRODUCTION: Laparoscopic Nissen fundoplication has become the standard surgical treatment for refractory gastroesophageal reflux disease (GERD). Though normally performed via four or five laparoscopic ports, the potential cosmetic and physiologic benefits of single and reduced port laparoscopy… Continue Reading
Oncologic Outcomes of Laparoscopic Surgery for Gastrointestinal Stromal Tumor (gist) of the Stomach
Norihito Wada, MD PhD, Tsunehiro Takahashi, MD PhD, Hiroya Takeuchi, MD PhD, Rieko Nakamura, MD PhD, Takashi Ohyama, MD PhD, Yoshiro Saikawa, MD PhD, Makio Mukai, MD PhD, Yuko Kitagawa, MD PhD. Department of Surgery, School of Medicine, Keio University INTRODUCTION: Standard treatment for gastrointestinal stromal tumor (GIST) of the stomach, if localized to the… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Foregut
Outcomes of Minimally Invasive Ivor Lewis Esophagogastrectomy: Analysis of 105 Cases
Ninh T Nguyen, MD, Xuan-Mai T Nguyen, PhD, Anderson H Shih, Taraneh Matin, Kevin M Reavis, MD, Brian Smith, MD. UC Irvine Medical Center Introduction: The thoracoscopic-laparoscopic approach to esophagectomy with a cervical anastomosis has been described; however, the literature is limited regarding the feasibility and safety of performing a minimally invasive Ivor Lewis esophagogastrectomy… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Foregut
Overall and Disease Free Survival After Minimally Invasive Esophagectomy
Abhishek Sundaram, MBBS MPH, Brittany L Willer, MD, Zachary H Torgersen, BA, Arpad Juhasz, MD PhD, Masato Hoshino, MD, Tommy H Lee, MD, Sumeet K Mittal, MD. Division of General Surgery, Creighton University Medical Center Objective: The objective of this study was to compare overall survival (OS) and disease free survival (DFS) among patients who… Continue Reading
Pepsin Detection in Patients with Laryngopharyngeal Reflux Before and After Fundoplication
Eelco B Wassenaar, MD PhD, Nikki Johnston, PhD, Albert L Merati, MD, Martin Montenovo, MD, Rebecca P Petersen, MD MSc, Roger P Tatum, MD, Carlos A Pellegrini, MD, Brant K Oelschlager, MD. Department of Surgery, University of Washington, Seattle WA Background:Laryngopharyngeal reflux (LPR) is an extreme manifestation of gastroesophageal reflux disease that can lead to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Perforated Duodenal Ulcer Masquerading As Acute Cholecystitis
Negar M Salehomoum, MD, Meredith S Tinti, MD. UMDNJ- Robert Wood Johnson Medical School, New Brunswick, NJ, USA Introduction: This report aims to evaluate the rare and unusual presentation of a perforated duodenal ulcer as acute cholecystitis. Methods and Procedures: Our patient is a 59 year old male who presented with a several day history… Continue Reading
Pledgeted Repair of Large Hiatal Hernia Provides Excellent Long Term Results
T kang, MD, H Urrego, MD, A Gridley, MD, W S Richardson, MD. Ochsner clinic foundation Introduction: To reduce recurrence large hiatal hernias are commonly repaired with mesh. There have been few papers on long term follow up of large hiatal hernias with pledgeted (non-mesh) repairs.Methods: All laparoscopic anti-reflux procedures done at Ochsner Medical Center… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Postoperative Dysphagia Does Not Predict Higher Long-Term Failure Rates for Laparoscopic Antireflux Surgery
Konstantinos I Makris, MD, Maria A Cassera, BS, Andrew S Kastenmeier, MD, Christy M Dunst, MD, Lee L Swanström, MD. Legacy Health Introduction: Dysphagia is a fairly common postoperative symptom after laparoscopic anti-reflux surgery, usually attributed to postoperative edema or a "too tight" fundoplication. It is associated with discomfort, the occasional need for endoscopic dilation… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Predicting Continued Or Recurrent Symptoms Following Laparoscopic Paraesophageal Hernia Repair
E L Albright, MD, M Plymale, MSN RN, D L Davenport, PhD, J S Roth, MD. University of Kentucky Introduction: Recurrent complaints of abdominal pain, bloating and dysphagia are problematic in the post-operative period following laparoscopic paraesophageal hernia repair and often lead to radiologic evaluation or intervention. While the majority of patients do well, recurrence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prevalence of Autoimmune Disease in Patients with Esophageal Achalasia
Jason D Booy, BSc, Julie Takata, George Tomlinson, David R Urbach, MD MSc. Division of General Surgery, University Health Network; and Departments of Surgery and Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada BackgroundAchalasia is a rare disease of the esophagus that has an unknown etiology. Genetic, infectious, and autoimmune mechanisms have… Continue Reading
Previous Hiatal Mesh Is Associated with Significant Morbidity After Laparoscopic Revisional Paraesphageal Hernia Repair (pehr)
Vladan N Obradovic, MD, Horatiu C Dancea, MD, Aamir Akmal, MD, Wai M Yeung, MD, Mohanbabu Alaparthi, MD, Jon D Gabrielsen, MD, Anthony T Petrick, MD. Geisinger Medical Center - Danville, PA Introduction: Recent studies have suggested increased morbidity associated with revisional foregut surgery utilizing mesh reinforcement. Optimizing the outcome of revisional PEHR remains a… Continue Reading
Prone Esophageactomy with Rope Way Technique Intending Complete Removal of Mediastinal Lymph Nodes
Haruhiro Inoue, MD PhD, Hitoshi Satodate, MD PhD, Michitaka Suzuki, MD, Noriko Odaka, MD PhD, Horoaki Itoh, MD PhD, Shin-ei Kudo, MD PhD. Digestive Dissease Center [Background] In surgical treatment of esophageal squamous cell carcinoma, usefulness of 3-field lymph node dissection has been advocated for a long time. In order to complete lymph node dissecction… Continue Reading
Quality of Life Outcomes After Heller Myotomy for Achalasia Comparing Dor and Toupet Fundoplications
Michael K Fishman, MD, Seth Judd, MD, Jerome Lyn Sue, MD, Jonathan Tomasko, MD, Christopher S Hollenbeak, PhD, Ann Rogers, MD, Randy Haluck, MD. Penn State Milton S. Hershey Medical Center BackgroundLaparoscopic Heller cardiomyotomy (LHC) has become the gold standard therapy for achalasia. Traditionally, an antireflux procedure has accompanied the myotomy. This study was undertaken… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Relationship Between Lower Esophageal Sphincter Length and Acid Exposure
Masato Hoshino, MD, Abhishek Sundaram, MBBS MPH, Arpad Juhasz, MD, Tommy H Lee, MD, Sumeet K Mittal, MD. Department of Surgery, Creighton University Medical Center, Omaha, Nebraska. Introduction: This objective of this study was to evaluate the relationship between lower esophageal sphincter (LES) length and and acid exposure with the aid of manometry and 24hr… Continue Reading
Role of Laparoscopic Duodenojejunostomy After Jaded Lysis of the Ligament of Treitz for Superior Mesenteric Artery Syndrome
Eric J Velazquez, MD, Elizabeth Renza, MD, Ashutosh Kaul, MD. Department of Surgery. Westchester Medical Center, Valhalla, New York. INTRODUCTION: Superior mesenteric artery (SMA) syndrome is an atypical, rare cause of both acute and chronic high intestinal obstruction secondary to extrinsic vascular compression. Symptoms usually are postprandial epigastric pain, eructation, fullness, and vomiting. Symptoms are… Continue Reading