Third-Time “Redo” Anti-Reflux Surgery: An Operation Needing a Scalpel
Nikhil Panda, MD, Christopher R Morse, MD, David W Rattner, MD. Massachusetts General HospitalBackground: Approximately 3-6% of patients undergoing anti-reflux surgery require “redo” surgery for persistent gastroesophageal reflux disease (GERD). Further surgery for patients with two failed prior anti-reflux operations is controversial due to the morbidity of reoperation and poor reported results. We therefore examined our… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Robotic and peroral endoscopic myotomy have less technical complications compared to laparoscopic heller myotomy
Aman B Ali, MD, Najah A Khan, Duc T Nguyen, MD, PhD, Ray K Chihara, MD, PhD, Edward Y Chan, MD, Edward A Graviss, PhD, MPH, Min P Kim, MD. Houston Methodist HospitalIntroduction: Achalasia is an uncommon disease treated by decreasing the lower esophageal sphincter resting pressure. We compared the safety and efficacy of esophago-gastric myotomy… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Heller versus POEM: Should obesity influence a surgeon’s decision?
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FACSFASGE. Case Western Reserve UniversityObjective: Achalasia is a lifestyle-crippling disease characterized by failure of lower esophageal relaxation leading to progressive dysphagia and recurrent aspiration. Since 2008, Per Oral Esophageal Myotomy (POEM) has become an increasingly-accepted alternative to laparoscopic Heller myotomy as the procedure of choice for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
USE OF A REPORT CARD TO EVALUATE OUTCOMES OF ACHALASIA SURGERY: BEYOND THE ECKARDT SCORE
Ealaf Shemmeri, MD, Ralph W Aye, MD, Alexander S Farivar, MD, Adam Bograd, MD, Brian E Louie, MD. Swedish Thoracic SurgeryINTRODUCTION: Achalasia outcome is primarily defined using the Eckardt score with failure recognized as >3. However, patients experience many changes after myotomy including new onset GERD and potential need for additional treatment. We devised a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Resolution of Anemia and Improved Quality of Life Following Laparoscopic Hiatal Hernia Repair
Alex Addo, MD, Reilly Scott, Moneim M Ali, MD, Zachary Sanford, MD, Adam S Weltz, MD, Richard Lu, MD, Reza Zahiri, DO, Adrian Park, MD, FACS. Anne Arundel Medical CenterBackground: Cameron lesions (CL) are one of the complications of large hiatal hernia (HH) disease, which my lead to chronic blood loss with resultant microcytic anemia. There… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Anemia and Paraesophageal hernia repair – An Incomplete Correction
Joslin N Cheverie, MD, Jenny Lam, Kai Neki, MD, Tokio Matsuzaki, MD, PhD, Santiago Horgan, MD. UC San DiegoChronic anemia is often found to be a coincident diagnosis in patients with paraesophageal hernia (PEH). The presence of endoscopically identified ulceration (e.g. Cameron’s lesion) will frequently prompt surgical consultation in the otherwise asymptomatic patient with refractory… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Outcomes of total and subtotal laparoscopic gastrectomy with D2 lymphadenectomy for advanced gastric cancer in a western setting
Luciana J El-Kadre, MD, PHD, FACS, Augusto C Tinoco, MD, PHD, FACS, Matheus R Netto, MD. Sao Jose do Avai HopsitalAlthough laparoscopic gastrectomy is becoming more popular as a curative option for gastric cancer, there are concerns about its oncological adequacy. We have compared the outcomes of laparoscopic total gastrectomy (LTG) and laparoscopic subtotal gastrectomy (LSG), both with D2 lymphadenectomies,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Magnetic Lower Esophageal Sphincter Augmentation: A Viable Rescue Therapy for Symptomatic Reflux Following Bariatric Surgery
Ryan C Broderick, MD, Joslin N Cheverie, MD, Arielle M Lee, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UC San DiegoIntroduction: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are the two most commonly performed bariatric procedures for management of obesity. Gastroesophageal reflux disease (GERD) is highly prevalent in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Comparison of 5-year oncological outcomes between robotic and laparoscopic gastrectomy for gastric cancer, propensity-score matched analysis
Masaya Nakauchi, Koichi Suda, Kenji Kikuchi, Shinichi Kadoya, Kazuki Inaba, Ichiro Uyama. Fujita Health UniversityBackground: More than 4000 da Vinci Surgical Systems (DVSS) have been installed worldwide. However, robotic gastrectomy (RG) reportedly has the disadvantages of longer operative time and higher cost compared with laparoscopic gastrectomy (LG). We previously examined 3-year outcomes of RG and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Pyloroplasty and Sleeve Gastrectomy for Gastroparesis, after failed Per Oral endoscopic Pyloromyotomy (POP).
Michel Gagner, MD, FRCSC, FACS, FASMBS, Maxime Lapointe-Gagner. Clinique Michel Gagner MD, Inc.Gastroparesis, defined as a delay in gastric empting without clear obstruction, is increasing in incidence mainly due to a recent diabetes epidemic. The use of laparoscopic sleeve gastrectomy alone to treat gastroparesis is still controversial, as results have been inconsistent. This video is… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC RESECTION OF ESOPHAGEAL LEIOMYOMA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEsophageal leiomyoma are benign tumors that arise from smooth muscles. It is present in the distal third of the esophagus 60% of the time, 30% in the middle and 10% in the upper esophagus. Barium swallow shows a smooth a filling defect within… Continue Reading
- Topic:
- Foregut
Intraoperative Endoflip: Real-time Assessment of Myotomy Adequacy
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, David C Kunkel, MD, Santiago Horgan, MD. UC San DiegoDysphagia following foregut surgery often presents a challenge in management.… Continue Reading
- Topic:
- Foregut
Paraoesophageal Hernia Repair After Laparoscopic Sleeve Gastrectomy
Charlotte Horne, MD, Alisan Fathalizadeh, MD, John Rodriguez, MD, Kevin El-Hayek, MD, Jeffrey Ponsky, MD. Cleveland ClinicThis case presentation involves a 52-year-old female that underwent a laparoscopic sleeve gastrectomy in 2011. At this time, she was also noted to have a hiatal hernia but this was not repaired. Her medical comorbidities include diabetes mellitus, pulmonary… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC IMPLANTATION OF GASTRIC STIMULATOR AND ENDOSCOPIC PYLOROMYOTOMY
Maria Fonseca, MD, Cristian Milla Matute, MD, Rene Aleman, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the ideal surgical treatment for medically refractory gastroparesis (GS). More evidence however exists on the benefits of… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC MANAGEMENT OF DUODENAL PERFORATION DURING CONCOMITANT PER-ORAL PYLOROPLASTY AND LAPAROSCOPIC IMPLANTATION OF GASTRIC ELECTRIC STIMULATOR
Rene Aleman, MD, Maria C Fonseca, MD, Joel S Frieder, MD, Kandace Kichler, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the most effective surgical approach for gastroparesis (GP). The combination of implantable gastric stimulator… Continue Reading
- Topic:
- Foregut