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
IMPROVING ATTAINMENT OF THE CRITICAL VIEW OF SAFETY DURING LAPAROSCOPIC CHOLECYSTECTOMY
Tetsuya Nakazato, MD, PhD1, Shanley Deal, MD2, Stephanie Novak, MS1, Bailey Su, MD1, Kristine Kuchta, MS1, Michael Ujiki, MD1. 1NorthShore University Health System, 2Virginia Mason Medical CenterINTRODUCTION: We hypothesized that practicing surgeons would achieve a better critical view of safety (CVS) during laparoscopic cholecystectomy after participation in a structured curriculum. Three criteria are required to achieve… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Video Based Assessment for Laparoscopic Fundoplication: Initial development of a robust tool for operative performance assessment.
E. Matthew Ritter, MD1, Aimee K Gardner, PhD2, Brian J Dunkin, MD, Linda Schultz4, Liane Feldman, MD5. 1Uniformed Services University/Walter Reed National Military Medical Center, 2Baylor College of Medicine, 3Houston Methodist, Weill Cornell Medical College, 4Society of American Gastrointestinal and Endoscopic Surgeons, 5Department of Surgery, McGill UniversityIntroduction: While better technical performance correlates with improved outcomes,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Gender Distribution of Invited Speakers on Panels at the SAGES Annual Meeting
Teodora C Dumitra, MD, Larry Lee, MD, Carmen L Mueller, MD, Liane S Feldman, MD. McGill University Health CentreBackground: There is a significant gender imbalance in academic medicine. Speaking invitations are used by faculty promotion and tenure committees as evidence of external recognition. However, women are underrepresented as speakers at specialty society conferences. Having women… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
ERAS Following Per-Oral Pyloromyotomy (POP): A Comparison of Safety and Cost with Same-Day Discharge vs. Inpatient Recovery
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Jeffrey L Ponsky, MD1, Michael Cline, MD1, Matthew Kroh, MD2, John Rodriguez, MD1, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiIntroduction: While per-oral pyloromyotomy (POP) has shown promise as a novel endoscopic procedure to treat medically refractory gastroparesis, standardized care pathways are not well defined.… Continue Reading
Modification of Child Pugh Score Improves Prognostication in Variceal Bleeding
Richard T Spence1, Jake Krige2, Marius Hoogerboord1, James Ellsmere1. 1Dalhousie University, 2University of Cape TownBackground: There is currently no consensus which specific risk factors or scores predict early rebleeding and early mortality after a major variceal bleed. The objective of this study was to investigate the relative predictive performances of the Child-Pugh and MELD scores for… Continue Reading
Post-POEM Reflux: Who’s at Risk?
Gabriel Arevalo, MD, Megan Sippey, MD, Jack He, MD, Ahmed Ali, MD, Luis Martin Del Campo, MD, Jeffrey Marks, MD, FACS, FASGE. Case Western Reserve UniversityIntroduction: Per Oral Endoscopic Myotomy (POEM) is a less invasive alternative to laparoscopic Heller myotomy for patients with achalasia. While a partial fundoplication is often performed concurrently with a laparoscopic… Continue Reading
HEALTH ECONOMIC SAVINGS OF SINGLE USE FLEXIBLE ENDOSCOPES VS CURRENT RE-USABLE ENDOSCOPES AND DISPOSABLE SHEATH SYSTEMS
Deepak Kumar Sahu, MBA1, Giacomo Basadonna, MD, PhD2. 1Alira Health, 2University of Massachusetts Medical SchoolIntroduction: The transmission of endoscopy-associated infections is frequently linked to inadequate reprocessing. Regulatory organizations including FDA have published reprocessing guidelines resulting in an increase of associated time and costs. Flexible single use endoscopes represent the solution to complex re-processing procedures and… Continue Reading
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
The Impact of Internet Based Patient Self-Education of Surgical Mesh on Patient Attitudes and Health-care Decisions Prior to Surgery
Matthew P Miller, Saeed Arefanian, MD, Jeffrey A Blatnik, MD. Washington University School of MedicineIntroduction: As internet access improves, patient self-education is increasing. However, patient surgical background, e-literacy and media exposure influences how and what information patients search for on-line. This impacts patient concern, healthcare decisions and subsequent patient-physician interactions. The purpose of this study is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
EVALUATING EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY WITHIN MULTIMODAL TREATMENT FOR CHRONIC GROIN PAIN AFTER INGUINAL HERNIA REPAIR
Miles Landry, MBBS, Rachel Lewis, MD, Michael Lew, MD, Brandie Forman, Hernia Clinician, Bruce Ramshaw, MD. UTMCKIntroduction: The development of chronic groin pain after inguinal hernia repair is a complex problem with many potential factors contributing to its development. Factors interacting to result in the development of chronic pain include medical conditions, surgical technique, mesh choice… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
THE CONTRIBUTION OF SPECIFIC ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL ELEMENTS TO REDUCED LENGTH OF HOSPITAL STAY AFTER VENTRAL HERNIA REPAIR
Walker Ueland, BS, Margaret A Plymale, DNP, RN, Daniel L Davenport, PhD, Mary C Plymale, BS, John S Roth, MD, FACS. University of KentuckyIntroduction: Ventral hernia repair (VHR) is a commonly-performed procedure that may be associated with prolonged hospitalization. Enhanced Recovery after Surgery (ERAS) protocols are intended to decrease hospital length of stay (LOS). This… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias