Laparoscopic Transgastric GIST Resection
Colette S Inaba, MD, Michael Tran, MD, Brian R Smith, MD. University of California IrvineThis video demonstrates a transgastric resection of a gastrointestinal stromal tumor. Cuffed trocars are used to gain laparoscopic entry into the lumen of the stomach. The tumor is dissected using an energy device and the resulting gastric defect is repaired using… Continue Reading
- Topic:
- Foregut
Laparoscopic Longitudinal Pancreaticojejunostomy (Puestow) on a patient with a history of a RY gastric bypass and a pancreaticoduodenectomy (Whipple)
Ariel Shuchleib, Pearl Ma, Ikemefuna I Akusoba, Aaron Sabbota, Daniel Swatrz, Keith B Boone, Kelvin D Higa. UCSF FresnoThis is a case from a 45 y/o F with a history of a laparoscopic RY gastric bypass on 2005 who developed a highly differentiated pancreatic neuroendocrine tumor that was resected with a laparoscopic pancreaticoduodenectomy (Whipple procedure)… Continue Reading
- Topic:
- Foregut
Robotic-assisted Conversion of Slipped Nissen Fundoplication to Toupet Fundoplication and Hiatal Hernia Repair
Joseph R Broucek, MD, Enrique Elli, MD, FACS. Mayo Clinic - FloridaFailure rates of laparoscopic Nissen fundoplication occur in the range of 2-17%. The most common recurrent symptoms include reflux and regurgitation. If the patient fails medical therapy, revisional surgery is known to be successful in more than 90% of cases. This is a case… Continue Reading
- Topic:
- Foregut
Robotic Median Arcuate Ligament Release
Desmond T Huynh, MD, Miguel Burch, MD, Kevin Shamash, Richard Van Allan, Daniel Shouhed, MD. Cedars-Sinai Medical CenterMedian Arcuate Ligament Syndrome (MALs) is a rare vascular condition in which the median arcuate ligament compresses the celiac trunk which presents as a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. The treatment… Continue Reading
- Topic:
- Foregut
Laparoscopic Redo Paraesophageal Hernia Repair, Takedown of Low Nissen Fundoplication with Conversion to Toupet, and Pyloroplasty
Amy L Holmstrom, MD, Ryan J Campagna, MD, Stephen F Chiu, MD, Ezra N Teitelbaum, MD, MEd. Northwestern Memorial HospitalThe patient is a 61 year old woman who had undergone a robotic converted to open paraesophageal hernia repair with Nissen fundoplication at an outside hospital in 2016. Following this surgery, she experienced severe epigastric pain,… Continue Reading
- Topic:
- Foregut
Crural Blowout Years After Laparoscopic Repair of Recurrent Paraesophageal Hernia
Michael A Antiporda, MD1, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Steven R Demeester, MD2, Christy M Dunst, MD2, Daniel Davila Bradley, MD2, Lee L Swanstrom, MD3, Kevin M Reavis, MD2. 1Providence Portland Medical Center, 2The Oregon Clinic, Portland, Oregon, 3Institute for Image Guided Surgery (IHU-Strasbourg), Strasbourg, FranceIntroduction: Paraesophageal hernia (PEH) repair is associated with… Continue Reading
- Topic:
- Foregut
Median Arcuate Ligament Syndrome, Case Series and Review of the Literature
Jesse Conner, MD, Joshua Gierman, MD, Laura Fischer, MD. Oklahoma University Health Science CenterIntroduction: Median arcuate ligament syndrome is a rare cause of abdominal pain. Symptoms include vague epigastric pain, post prandial pain, nausea, vomiting, and weight loss. The pathophysiology has been thought to be secondary to compression of the celiac artery by a thick… Continue Reading
- Topic:
- Foregut
Laparoscopic Repair of A Large Morgagni Hernia
Walaa F Abdelmoaty, MD, MBA1, Daniel Davila Bradley, MD2, Michael Antiporda, MD1, Kelly Haisly, MD1, Kevin M Reavis, MD, FACS2, Christy M Dunst, MD, FACS2, Lee L Swanstrom, MD, FACS, FASGE, FRCSEng2, Steven R Demeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicMorgagni hernia is a rare congenital diaphragmatic defect that can present symptomatically… Continue Reading
- Topic:
- Foregut
LINX in GERD. The evolution of the technique. From none to full dissection of the crura
Rebeca V Dominguez, MD, Arielle M Lee, MD, Tokio Matsuzaki, MD, Kai Neki, Ryan C Broderick, Robert Cubas, Joslin N Cheverie, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UCSDWe present a video with 4 different scenarios, that represent the continuous evolution of this technique. Starting with the performing… Continue Reading
- Topic:
- Foregut
RECURRENT EPIPHRENIC DIVERTICULUM
Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEpiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure.… Continue Reading
- Topic:
- Foregut
Thoracoscopic pericardial patch closure of iatrogenic tracheal injury during esophagectomy
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaIntroduction: Iatrogenic tracheo-bronchial injury is an uncommon complication following esophagectomy with a reported incidence of 0.6-10% 1-3. Repair of a tracheal injury encountered in a patient during thoracoscopic esophagectomy in prone position is reported. Methods: Fifty six year old lady… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC EXCISION OF EPIPHRENIC DIVERTICULUM WITH HELLER MYOTOMY IN AN OCTAGENARIAN.
Maria C Fonseca, MD, Cristian Milla, MD, Carlos Rivera, MD, Joel S Frieder, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaEpiphrenic esophageal diverticulum is considered a false diverticulum as only compromises de mucosa and submucosa. Clinical manifestations appear when it achieves approximately… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC VENTRAL HERNIA REPAIR IN A LIVER TRANSPLANT PATIENT
Camila Ortiz Gomez, MD, Coney Bae, MD, Joel S Frieder, MD, Maria C Fonseca, MD, David Romero Funes, MD, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS. Cleveland Clinic FloridaA 40-year-old with prior orthotopic liver transplant for alcohol-induced cirrhosis presents with a large symptomatic ventral hernia… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic double-flap technique after proximal gastrectomy for gastrointestinal stromal tumor in the esophagogastric junction
Wei Wang. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic surgery for gastric gastrointestinal stromal tumors (GISTs) is now widely performed. However, laparoscopic resection of GIST in the esophagogastric junction (EGJ) is technically difficult and rarely reported. When the tumor invaded the esophagogastric line or if the cardia integrity could not be maintained during local resection, laparoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Repair of Hiatal Hernia after Esophagectomy
James Nguyen, MD, Luke Putnam, MD, Sahil Gambhir, MD, Brian Smith, MD, Ninh Nguyen, MD. University of California Irvine Medical CenterWe present a case of a laparoscopic repair of a hital hernia after prior esophagectomy. Our patient is a 61 year old male with stage III Esophageal Cancer who underwent neoadjuvant chemoradiation followed by laparoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut