Roux-en-Y Gastric Bypass versus Gastrectomy with Roux-en-Y Reconstruction for the Treatment of Gastroparesis
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Kevin El-Hayek, MD1, Ricard Corcelles, MD2, Matthew Kroh, MD2, John Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Gastroparesis is a debilitating functional disorder of the stomach marked by delayed gastric emptying in the absence of mechanical obstruction. Patients with severe, refractory symptoms may ultimately be… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Comparison of surgical cost and implication on the healthcare expenses between Laparoscopic Magnetic Sphincter Augmentation (MSA) and Laparoscopic Nissen Fundoplication (LNF) in a large healthcare system
Shahin Ayazi, MD, Ali H Zaidi, MD, Kirsten Newhams, MD, Ping Zheng, MD, Yoshihiro Komatsu, MD, Fahim Habib, MD, Tameka Scott, DO, Kristy Chovanec, BS, Jonathan Levy, MD, Toshitaka Hoppo, MD, Blair A Jobe, MD. Esophageal and Lung Institute, Allegheny Health NetworkIntroduction: Magnetic sphincter augmentation (MSA) is a promising anti-reflux surgical treatment. The cost associated with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Clinical outcome after magnetic sphincter augmentation (MSA) is independent of the status of hiatal hernia
Shahin Ayazi, MD, Kirsten Newhams, MD, Ali H Zaidi, MD, Tameka Scott, DO, Jonathan Levy, MD, Yoshihiro Komatsu, MD, Kristy Chovanec, BS, Fahim Habib, MD, Adam Alleyne, Ping Zheng, MD, Toshitaka Hoppo, MD, Blair A Jobe, MD. The Esophageal and Lung Institute, Allegheny Health NetworkIntroduction: Magnetic sphincter augmentation (MSA) is an effective treatment for patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic resection is better than endoscopic dissection for gastric gastrointestinal stromal tumor between 2 and 5 centimeter: a case-matched study in a gastrointestinal center
Xiaoyu Dong, Ziming Cui, Meiting Fu, Jixiang Zheng, Ying Lin, Jiaying Liao, Huijuan Le, Jun Yan. Department of General Surgery, Nanfang Hospital, Southern Medical UniversityBackground: The feasibility of the endoscopic dissection for gastric gastrointestinal stromal tumor (gGIST) between 2 and 5 centimeter (cm) has been demonstrated. However, its impact on short-term and long-term outcomes remains… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Does Underlying Anxiety or Depression Modulate Subjective Outcomes After Nissen Fundoplication?
Carla N Holcomb, MD, MSPH, Anahita Jalilvand, MD, Patricia Belle, Monet Mcnally, Kyle Perry, MD. Ohio State University Medical CenterIntroduction: Anxiety and depression have been associated with increased perception of gastroesophageal reflux, but there is a paucity of data regarding the outcomes of laparoscopic anti-reflux surgery in this patient population. We hypothesized that the presence… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Endoluminal Functional Lumen Imaging Probe as a Tool to Standardize Anti-Reflux Surgery
Aaron N Sachs, MD, Howard M Mccollister, MD, Timothy P Lemieur, MD, Shawn A Roberts, MD, Lea M Carlson, RNC, Paul A Severson, MD. Minnesota Institute for Minimally Invasive SurgeryINTRODUCTION: Objective, intraoperative measurement of anti-reflux surgery is not standardized and the Endoluminal Functional Lumen Imaging Probe (EndoFLIP) has the potential to serve this purpose. There… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
USING IMPEDANCE PLANIMETRY (ENDOFLIP®) IN THE OPERATING ROOM TO ASSESS THE GASTROESOPHAGEAL JUNCTION AND PREDICT PATIENT OUTCOMES FOLLOWING FUNDOPLICATION
Bailey Su, MD, Stephanie Novak, MS, Zachary Callahan, MD, Kristine Kuchta, MS, Joann Carbray, BS, Michael Ujiki, MD. NorthShore University Health SystemIntroduction: Our purpose is to evaluate the utility of using a functional luminal imaging probe (EndoFLIP®) intra-operatively to assess adequacy of hiatal hernia repair and fundoplication. Additionally, we hypothesize that these measurements correlate with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Is that ‘Floppy’ Fundoplication Tight Enough?
Brexton Turner, BS, Melissa Helm, MS, Emily Hetzel, BS, Max Schumm, MD, Jon Gould, MD. Medical College of WisconsinBackground: Laparoscopic fundoplication is the treatment of choice for medically refractory gastroesophageal reflux disease (GERD). Surgeons seek to create a competent valve at the gastroesophageal junction (GEJ) but are careful to construct a ‘floppy’ fundoplication that is not… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
INTRAOPERATIVE ASSESSMENT OF ESOPHAGEAL MOTILITY USING THE FUNCTIONAL LUMEN IMAGING PROBE DURING MYOTOMY FOR ACHALASIA
Ryan J Campagna, MD, Dustin A Carlson, MD, Eric S Hungness, MD, Amy L Holmstrom, MD, John E Pandolfino, MD, Nathaniel J Soper, MD, Ezra N Teitelbaum, MD, MEd. Northwestern University Feinberg School of MedicineIntroduction: The functional lumen imaging probe (FLIP) is a novel measurement catheter that can evaluate esophagogastric junction (EGJ) distensibility and esophageal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
IMPACT OF FUNCTIONAL ESOPHAGOGASTRIC OUTFLOW OBSTRUCTION ON OUTCOMES OF LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD
Noah J Switzer, Anahita D Jalilvand, Monet Mcnally, Alexandra Power, Patricia Belle, Kyle Perry. The Ohio State UniversityINTRODUCTION: We hypothesized that GERD patients with manometric findings of EJOO on preoperative manometry do not have increased rates of postoperative dysphagia compared to those with normal or hypotensive LES pressures. With the advent of high-resolution manometry, esophageal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
USE OF COMPUTED TOMOGRAPHY (CT) VOLUMETRIC MEASUREMENTS TO PREDICT OPERATIVE TECHNIQUES IN PARAESOPHAGEAL HERNIA REPAIR (PEHR)
Angela M Kao, MD, Javier Otero, MD, Sean R Maloney, MD, Tanushree Prasad, MA, Vedra A Augenstein, MD, B. Todd Heniford, MD, Paul D Colavita, MD. Carolinas Medical CenterBackground:Despite advances in diagnostic imaging capabilities, little information exists concerning the impact of physical dimensions of a paraesophageal hernia (PEH) on intraoperative decision-making and postoperative outcomes. Computerized… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
The utility of MII testing in making surgical decisions
Matt Glasgow1, Christy M Dunst, MD2, Walaa Abdelmoaty, MD3, Rosen Ilchev, BA3, Naly Setthavongsack4, Hannah Creasey5, Daniel Davilla Bradley, MD2, Kevin M Reavis, MD2, Lee L Swanstrom, MD2, Steve R Demeester, MD2. 1Bates College, 2The Oregon Clinic, 3Providence Portland Medical Center, 4Portland State University, 5Lewis and Clark CollegeIntroduction: Abnormal esophageal acid exposure, as measured by… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
THE RELATIONSHIP BETWEEN GASTROESOPHAGEAL JUNCTION INTEGRITY AND SYMPTOMATIC FUNDOPLICATION OUTCOMES
Brexton Turner, BS, Melissa Helm, Emily Hetzel, Max Schumm, Jon Gould. Medical College of WisconsinBackground: Satisfaction rates following laparoscopic fundoplication for gastroesophageal reflux (GERD) may vary based on the integrity of the gastroesophageal junction (GEJ) at the time of surgery. We hypothesized that patients with a competent GEJ do not fare as well following fundoplication… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
BASELINE SYMPTOM SCALE SCORES MAY PREDICT EARLY READMISSIONS AFTER MINIMALLY INVASIVE FOREGUT SURGERY
Anahita D Jalilvand, MD, Patricia Belle, Monet Mcnally, Kyle A Perry, MD. The Ohio State Wexner Medical CenterINTRODUCTION: A significant proportion of early readmissions following elective surgery have been characterized as non-urgent and potentially avoidable with appropriate patient education and post-operative follow-up. The goal of this study was to characterize early readmissions after laparoscopic paraesophageal… Continue Reading
- Topic:
- Foregut
Laparoscopic Roux-en-Y Reconstruction as a Salvage Operation after Failed Nissen Fundoplication
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Matthew Kroh, MD2, John Rodriguez, MD1, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: Conversion of Nissen fundoplication to Roux-en-Y (RnY) anatomy may be indicated in patients with post-surgical complications or who fail to achieve durable control of their disease. Herein we describe the largest… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut