Minimally Invasive Repair of a Delayed Stricture and Salvage of a Reversed Gastric Tube
John J Tiedeken, MD, Lance Uradomo, MD, Fred Brody, MD MBA. The George Washington University Medical Center Ingestion of caustic agents may result in severe scarring and stricture formation of the esophagus. Unfortunately, these injuries occur in pediatric patients. A reversed gastric tube esophagoplasty is an option for definitive surgical management of severe esophageal… Continue Reading
- Topic:
- Foregut
Modern Management of Esophageal Diverticula
Armando Rosales-velderrain, MD, Steven P Bowers, MD, Ross F Goldberg, MD, Tatyan M Clarke, MD, Lauren M Olsen, Mauricia A Buchanan, RN, John A Stauffer, MD, Horacio J Asbun, MD, C D Smith, MD. Mayo Clinic in Florida Introduction: Esophageal diverticula are rare, with the largest series in the literature including less than 25… Continue Reading
Motor Response to Multiple Rapid Swallows (mrs) Can Predict Dysphagia in Patients Scheduled for Laparoscopic Antireflux Surgery
Nathaniel Stoikes, MD, Jesse Drapekin, RA, Anisa Shaker, MD, Vladimir Kushnir, MD, L. Michael Brunt, MD, C. Prakash Gyawali, MD. Division of Gastroenterology and Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis INTRODUCTION: When multiple swallows (MRS) are rapidly administered, esophageal peristalsis is inhibited, and pronounced lower esophageal sphincter (LES) relaxation… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Non-operative Management of Delayed Esophagojejunostomy Anastomotic Leak With Endoscopically Placed Stent
Richard Y Greco, DO, Dennis Bordan, MD FACS, Sohail Shaikh, MD, Erwin Douyon, MD. St. Joseph's Regional Medical Center Introduction: Gastric ischemia secondary to volvulus is an uncommon entity that is a life-threatening surgical emergency and carries a high morbidity and mortality rate. It typically involves a hiatal hernia. The repair consists of operative… Continue Reading
Our Experience With Laparasopic Nissen Fundoplication in Patients With Gastroesophageal Reflux
M.tahir Oruc, MD, M. Umit Ugurlu, MD, H. Taner Turgut, MD, Emel Canbey, MD, Mehmet Ozyildiz, MD, Zehra Boyacioglu, MD. KOCAELI DERINCE TEACHING AND RESEARCH HOSPITAL GENERAL SURGERY CLINIC, KOCAELI, TURKEY Background: Laparoscopic Fundoplication for gastroesophageal reflux disease (GERD) is common performed procedure in worldwide. We analyzed our laparoscopic Nissen Fundoplication (LNF) procedures performed… Continue Reading
Paraesophageal Hernia Repair in the Elderly Patient
Isabelle Raiche, MD FRCSC, Fatima Haggar, MPH, Joseph Mamazza, MDCM FRCSC, Husein Moloo, MD FRCSC MSc, Guillaume Martel, MD FRCSC, Eric C Poulin, MD MSc FRCS C, James Masters, MD, Christopher Smith, MD FRCSC, Balpreet Brar, MD FRCSC. The Minimally Invasive Surgery Research Group, The Ottawa Hospital, University of Ottawa Background: The elderly population… Continue Reading
Paraesophageal Hernia Repair With Gastric Bypass As a Parietal Cell Separating Procedure: A Novel Treatment for Idiopathic Pulmonary Fibrosis
Kalman P Bencsath, MD, Roberto Ramirez, MD, Philip Schauer, MD, Stacy Brethauer, MD, Bipan Chand, MD, Steven Shay, MD, Matthew Kroh, MD. Cleveland Clinic Idiopathic Pulmonary Fibrosis is a relatively rare, but progressive and incapacitating disease, frequently leading to end-stage lung disease and the need for lung transplantation. Only recently, gastroesophageal reflux has been… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Partial Fundoplication Results in Excellent Outcomes and Better Dysphagia Control Than Total Fundoplication After Laparoscopic Paraesophageal Hernia Repair
Vladan N Obradovic, MD, Girish Luthra, MD, Aamir Akmal, MD, Dancea C Horatiu, MD, Wai M Yeung, MD, Mohanbabu Alaparti, MD, Mathew E Plank, PAC, Andrea L Plank, Jon D Gabrielsen, MD FACS, Anthony T Petrick, MD FACS. Geisinger Medical Center, Danville Pennsylvania Background: The objective of this study was to identify whether partial… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Partial Longitudinal Gastrectomy: A Novel Curative Approach for Gastroparesis
Avishai Meyer, MD, Pradeep Pallati, MD, Abhijit Shaligram, MBBS, Dmitry Oleynikov, MD, Matthew Goede, MD. University of Nebraska Medical Center Background: Gastroparesis is a disorder that affects thousands of worldwide. It is marked by a stomach’s inability to properly empty its contents. The mainstay of treatment to date has been pharmaco-therapeutic in nature (e.g.… Continue Reading
Peg Placement Outcomes in the Obese Patient Population
Onur C Kutlu, MD, Diana Vega-burgueno, MD, Ari Halldorsson, MD, Sharmila Dissanaike, MD. Texas Tech University, Department of General Surgery Obesity has reached a state of a global epidemic. No society therefore no health system is spared from the effects of the disease. Percutaneous Endoscopic Gastrostomy (PEG) tube is frequently used in patients with… Continue Reading
Persistent Gerd: Different Approach
Alaa Eldin Badawy, consultant of surgery, Ahmed Talha, Lecturer of surgery, Amani El-bana, Lecturer of Medicine, Ahmed Hemimi, Assistant professor of radiology. Alexandria university hospitals, Alexandria Medical research institute and faculty of medicine Objective: To evaluate the intra-abdominal esophageal length (IAEL) in GERD by MRI or multi-slice CT after upper GIT endoscopy in relation… Continue Reading
Pneumatic Balloon Dilation Has Limited Effectiveness in Patients After Foregut Surgery
Alla Zemlyak, MD, Sofiane El-djouzi, MD, Paul D Colavita, MD, Dimitrios Stefanidis, MD, Brant T Heniford, MD. Carolinas Medical Center IntroductionPneumatic balloon dilation has been used successfully for the treatment of esophageal pathology. Our objective was to analyze the outcomes of pneumatic balloon dilation after foregut procedures. Methods and ProceduresProspectively collected data between 2007-2010… Continue Reading
Postoperative Outcomes of Roux-en Y Reconstruction With Double Stapling and Intracorporeal Sutures; in a Totally Laparoscopic Distal Gastrectomy
Jung Ho Shim, MD, Kyo Young Song. Department of Surgery, College of Medicine, The Catholic University of Korea Background: This study was designed to evaluate the feasibility and clinical outcomes of a Roux-en Y reconstruction in a totally laparoscopic distal gastrectomy (TLDG).Methods: Between January 2011 and August 2011, we had performed 84 totally laparoscopic… Continue Reading
Pre-operative Endoscopic Treatment Does Not Adversely Impact Laparoscopic Myotomy Outcomes
S El Djouzi, MD, V B Tsirline, MD, P D Colavida, MD, A Brokamp, A Walters, MS, D Stefanidis, MD PhD, T B Heniford, MD. Carolinas Medical Center BACKGROUNDAchalasia patients often present for laparoscopic Heller myotomy (LHM) after multiple endoscopic dilations and/or botox injections. Previously, surgeons documented concern that LHM may be substantially more… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Preservation of Vagus Nerve Technique Using Left-sided Approach in Laparoscopic Gastrectomy.
Tetsu Fukunaga, PhD MD, Shinya Mikami, PhD MD, Takehito Ohtsubo, PhD MD, Nobuyoshi Miyajima, PhD MD. St. Marianna University School of Medicine Laparoscopic gastrectomy is mainly performed for early gastric cancer, and it is preferable to perform the vagus nerve preserving operation to maintain long-term quality of life. In preservation of vagus nerve, celiac… Continue Reading