Early Experience with Transgastric NOTES Cholecystectomy in Humans
Natural orifice transluminal endoscopic surgery has enjoyed an accelerated development, going from theory to clinical application in less than 4 years. Early concepts of NOTES procedures seldom included cholecystectomy as it was considered too complex and challenging to approach with current technology. An unprecedented evolution of flexible endoscopes and endoscopic tools changed this and currently… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Early Post Procedure Fever After Radiofrequency Ablation of Barrett\’s Esophagus Using the Halo® Procedure.
Introduction: Barrett’s esophagus, or intestinal metaplasia of the esophagus, is a premalignant condition related to Gastro-Esophageal Reflux Disease. The presence of Barrett’s Esophagus leads to an increased risk of development of esophageal adenocarcinoma. The incidence of esophageal adenocarcinoma is increasing, while its cure rate has changed little in recent years. The Halo® procedure is an… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Early reoperation – a quality parameter for monitoring laparoscopic surgery ?
Background:The science of surgical quality measurement is evolving!The need for unplanned early reoperation usually represents a major adverse event in the patient’s postoperative course. Unplanned early reoperations were suggested as a possible quality indicator in general surgery .There are only a small number of prospective studies concerning this issue in general surgery, and no reports… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Early results after laparoscopic sleeve gastrectomy for morbid obesity
From December 2004 and June 2007 74 patients (9 men) had a laparoscopic sleeve gastrectomy for morbid obesity. They were aged 43.8 ± 9.4 years with a Body mass index (BMI) of 44.5 ± 8.24. Comorbidities included sleep apnea (34 patients), type 2 diabetes (11) and high blood pressure (21). 40 patients presented with at… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early US Outcomes after Laparoscopic Adjustable Gastric Banding in Patients with BMI <35
Introduction: Many mild-to-moderately obese individuals (BMI Session: Podium Presentation Program Number: S084 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Effect of the gastro-jejunal anastomotic stricture on weight loss after laparoscopic Roux-en-Y gastric bypass
IntroductionIn the morbidly obese, laparoscopic Roux-en-Y gastric bypass (LRYGB) effectively achieves weight loss with the resolution of co-morbidities. One of the complications of this procedure is the development of gastro-jejunal anastomotic stricture. The purpose of this study is to compare the effect of post-operative stricture on weight loss.Methods and proceduresWe performed a retrospective review of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Effect of Yoga exercises on outcome of Stapled Hemorrhoidectomy: Results of a Prospective Randomized Controlled Study.
Objectives of study-The aim of this study was to evaluate the effect of yoga exercsies on outcome of stapled hemorrhoidectomy, a safe, popular, day care procedure for prolapsing hemorrhoids (PPH).Methods and Procedures-Consecutive patients with indications for PPH were randomized into Yoga exercises (YE) i.e. study group and no Yoga exercise (NYE) i.e. control group.PPH was… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Efficiency of LARS for the treatment of extraesophageal GERD symptoms
Introduction. Gastroesophageal reflux disease (GERD) is common pathology with typical and atypical clinical presentation. Currently, the efficiency of laparoscopic antireflux surgery (LARS) for the treatment of extraesophageal GERD symptoms have not been completely studied. The aim was to study the efficiency of LARS for the treatment of extraesophageal GERD symptoms.Methods and procedures. From 1994 till… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Elective Laparoscopy for Herald Symptoms of Mesenteric/Internal Hernia after Laparoscopic Roux-en-Y Gastric Bypass
Elective Laparoscopy for Herald Symptoms of Mesenteric/Internal Hernia after Laparoscopic Roux-En-Y Gastric BypassAlok D. Gandhi DO, Robert E. Brolin, MD, FACSUniversity Medical Center at Princeton Background: Mesenteric/internal hernia (MIH) is a potentially life-threatening complication of laparoscopic Roux-En-Y gastric bypass (RYGB). Many patients with MIH have herald symptoms prior to developing acute small bowel obstruction (SBO).Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Eliminating Paradoxical Imaging During Laparoscopic Surgery in the Age of Head-Mounted Display
BACKGROUND: Complex laparoscopic tasks are nearly impossible to complete when the telescope is pointed toward the operator (paradoxical image). Attempts at image manipulation have been reported, but altered monitor displays may introduce even more confusion. The availability of high-quality, lightweight head-mounted displays (HMD) now allows individualization of the laparoscopic image. We sought to demonstrate that… Continue Reading
- Type:
- Posters
Endo-Laparoscopic Intragastric Tumor Excision (ELITE) of Intragastric GIST – Combined Endoscopic and Laparoscopic Technique
Introduction: Gastric GIST is a mesenchymal neoplasm of gastrointestinal tract with uncertain malignant potential. Complete surgical excision is usually recommended . However, local excision is difficult for GIST located at cardia or prepyloric region and partial gastrectomy may be necessary. Method: For small intragastric GIST ( Session: Podium Presentation Program Number: V028 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Endolumenal Anastomosis Creation with Magnets
Objective: Creation of a safe endolumenal gastro-jejunal anastomosis with neodymium magnets.Background: This paper describes a new technique for performing an endolumenal gastro-jejunal anastomosis using neodymium magnets.Methods: An experimental survival study was conducted in seven swine with open translumenal placement of variable shaped magnets in the stomach and jejunum. An anastomosis was created between magnets in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endolumenal gastro-gastrostomy for astomia complicating Roux-En-Y Gastric Bypass.
A 45 year old female underwent an uncomplicated laparoscopic (divided) gastric bypass with circular stapled gastro-jejunostomy. Two years later, she developed a marginal ulcer which perforated and was treated with open Graham patch repair. Within 2 weeks post operatively, she developed progressive dysphagia. EGD and UGIS revealed a tight anastamotic stricture not amenable to dilation.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoluminal suturing for weight loss following Roux en Y Gastric Bypass
BackgroundCurrently millions of patients have undergone Roux en Y Gastric Bypass (RYGBP) and a large percentage of these have not obtained a BMI Session: Poster Program Number: P231 Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoscopic Endoluminal Radiofrequency Ablation of Barrett\’s Esophagus: Initial Results and Lessons Learned
Background: Ablating Barrett’s epithelium may reduce the risk of developing esophageal adenocarcinoma. This study reports the initial experience of a single surgeon using an endoscopic endoluminal device delivering radiofrequency energy (the BARRx device) in ablating Barrett’s esophagus.Methods: All patients who underwent ablation of Barrett’s epithelium with the BARRx system were reviewed for length of Barrett’s… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES