Pattern of Hiatal Hernia Repair: An Analysis of the National Inpatient Sample
Zhamak Khorgami, MD1, Guido M Sclabas, MD1, Jamin G Graham, MPH2, C. Anthony Howard, MD1, Geoffrey S Chow, MD1. 1University of Oklahoma, College of Medicine, Tulsa, USA, 2Trinity Medical Sciences UniversityIntroduction: Patients with symptomatic hiatal hernias undergo surgical repair as a primary operation or in conjunction with other gastric and esophageal operations. The purpose of… Continue Reading
Per-Oral Endoscopic Myotomy (POEM) of Posterior Wall after Multiple Failed Foregut Operations
Armando Rosales, MD, Tymothy A Woodward, MD, Steven P Bowers, MD. Mayo Clinic FloridaIntroduction: Recurrent or persistent symptoms after Heller myotomy occur in approximately 10-20% of patients. Per-Oral Endoscopy Myotomy (POEM) is a possible treatment modality available to avoid a reoperation at the gastroesophageal junction in patients with failed Heller myotomy (HM). POEM can be… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
PET positive esophageal leiomyoma: a case series and literature review
James Kurtz, Rene Borscheid, Edward Cho, Houssam Osman, Rohan Jeyarajah. Methodist Richardson Medical CenterIntroduction: Esophageal leiomyomas are rare, benign tumors that can be adequately treated with limited resection or enucleation. Distinguishing a leiomyoma from a more aggressive entity can present a diagnostic challenge. It has been suggested that positron emission tomography (PET) scanning can help… Continue Reading
Post-operative Dysphagia Following Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease
Catherine Tsai, Ulf Kessler, Rudolf Steffen, Joerg Zehetner. Clinic Beau-SiteBackground: Gastroesophageal reflux disease (GERD) is the most prevalent gastrointestinal disorder of the esophagus in the Western population. The magnetic lower esophageal sphincter augmentation (MSA) device is a novel treatment technique with promising results. As it becomes an increasingly common surgical option, understanding the temporary early… Continue Reading
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
Recurrent Hiatal Hernia with Dysphagia s/p Heller Myotomy with Dor Fundoplication
Robert Polak, MD, Theophilus Pham, BA, MBA, Adel Alhaj Saleh, MD, MRCS, Amir H Aryaie, MD, FACS. Texas Tech University, Health Sciences Center 48 y.o. female presented as a referral for possible achalasia s/p Heller Myotomy and DorFundoplication in 2001. Initially helped for 3 years Has since undergone 10+ endoscopic esophageal dilations Symptoms: difficulty eating/swallowing,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
RECURRENT JEJUNOJEJUNOSTOMY AND GASTROJEJUNOSTOMY INTUSSUSCEPTION COMPLICATED BY ISCHEMIC BOWEL
Sheena Say Hoon Phua1, Bo Chuan Tan2, Chun Hai Tan2, Tzu-Jen Tan2. 1Khoo Teck Puat Hospital, National Healthcare Group, 2Khoo Teck Puat HospitalINTRODUCTION: Gastrojejunostomy intussuception is a rare but serious complication of previous gastric surgery, in particular gastrojejunal bypass and Bilroth II gastrectomy. The incidence is less than 0.1%. The incidence of double intussusception with a… Continue Reading
REGRESSION OF ULTRA-SHORT SEGMENT BARRETT’S ESOPHAGUS AND INTESTINAL METAPLASIA OF THE GASTRIC CARDIA AFTER ANTI-REFLUX SURGERY: A SINGLE CENTER EXPERIENCE
Ashwin Kurian, MD, Loren Estoesta. SurgOne, P.C. - Denver Esophageal and Stomach CenterINTRODUCTION: Barrett’s esophagus (BE) is a precancerous condition that results from gastroesophageal reflux disease. Recent studies have demonstrated that Cardiac Intestinal Metaplasia (CIM) progresses to endoscopically confirmed Barrett’s over time. The regression rates of ultra-short segment BE and CIM following anti-reflux surgery has… Continue Reading
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
RESULTS OF COLON BY-PASS SURGERY WITH LEFT COLON IN TREATMENT OF ESOPHAGEAL CHEMICAL STRICTURE
Viet Trung Lam, MD, PhD, Dung Tien Tran Phung, MD, PhD. Cho Ray hospital, Ho Chi Minh City, VietnamBackground: Esophagectomy to treat esophageal chemical stricture is often combined with high morbidity due to extended adhesion and cicatrisation around the affected esophagus. Aim: To evaluate the feasibility and results of colon by-pass surgery with left colon… Continue Reading
REVISION OF DOR TO NISSEN FUNDOPLICATION WITH COLLIS GASTROPLASTY AND PLACEMENT OF BIOABSORBABLE MESH
Ellen Wicker, DO, Evan Liggett, MD, Carlos Lodeiro, BS, Benjamin Clapp, MD. Texas Tech HSC Paul Foster School of MedicineIntroduction: Recurrence after fundoplications is a common surgical problem. Revision of foregut surgery can be very difficult and requires a clear understanding of the previous operation. Currently used fundoplications include the Nissen, Dor and Belsey fundoplications… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robot assisted hiatal hernia repair demonstrates favorable outcomes compared to laparoscopic hiatal hernia repair
Basem G Soliman, MD, Duc T Nguyen, MD, PhD, Edward Y Chan, MD, Ray K Chihara, MD, PhD, Edward A Graviss, PhD, MPH, FIDSA, Leonora M Meisenbach, DNP, RN, ACNPBC, Min P Kim, MD, FACS. Houston Methodist HospitalIntroduction: We postulated that the use of robotics may significantly improve outcomes in hiatal hernia repair. Methods and Procedures: We… Continue Reading
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
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-Assisted Laparoscopic Redo Hiatal Hernia Repair with Redo Nissen Fundoplication
Usah Khrucharoen, Ian T Macqueen, Yijun Chen, Erik P Dutson. UCLAMinimally-invasive techniques have been implemented in the repair of giant hiatal hernias with successful outcomes; however, recurrence rates have also been reported up to 30 to 40%. In this video, we demonstrated robotic-assisted laparoscopic redo hiatal hernia repair with redo Nissen fundoplication performed at our… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut