MANAGEMENT OF GASTROINTESTINAL STROMAL TUMORS;OUR EXPERIENCE
Samiullah Bhatti, Dr, Muhammad W Farooka, Prof, Mahmood Ayyaz, Prof. Services Hospital LahoreIntroduction: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. Surgical (open/laparoscopic) treatment is the only chance of cure for patients with a primary localized GIST. Materials and Methods: We present our experience of managing gastrointestinal stromal tumors… Continue Reading
MCKEOWN ESOPHAGECTOMY. HOW WE PERFORM THORACOSCOPIC TIME
Aurelio Francisco Aranzana Gomez, Jara Hernandez Gutierrez, Juan Malo Corral, Soledad Buitrago Sivianes, Rafael Lopez Pardo, Beatriz Muñoz Jimenez. Hospital Virgen De La Salud, ToledoObjectives: We present a video that shows the thoracoscopic time of esophagectomy in three fields. To demonstrate the safety and efficacy of the minimally invasive approach in patients with malignant oesophageal… Continue Reading
- Type:
- Video Loop Presentations
- 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
Minimally Invasive Approach To Paraesophageal Hernia Repair Is Superior To Open, Even In The Emergent Setting: A Large National Database Analysis.
Salim Hosein, MD, Laura Flores, Priscila R Armijo, MD, Tyson Carlson, Dmitry Oleynikov, MD. University of Nebraska Medical CenterIntroduction: We aimed to examine the utilization of various operative approaches to hiatal hernia repair (HHR) in elective and emergent/urgent (U) settings and to compare outcomes. Methods: Vizient database was queried from 2015 to 2017 for adult patients with… Continue Reading
Minimally Invasive Options for Gastrointestinal Stromal Tumors of the Stomach
Laura Mazer, MD, Patrick Worth, MD, Brendan Visser, MD, FACS. Stanford UniversityINTRODUCTION: Gastrointestinal stromal tumors (GIST) are rare mesenchymal tumors, most commonly in the stomach. Surgical resection remains the mainstay of cure. Selecting a resection approach depends on tumor size and location. METHODS: Retrospective review of all patients undergoing surgery at one academic center between… Continue Reading
Minimally invasive surgery for Siewert type II adenocarcinoma based on the distribution of lymph node metastasis or recurrence
Kazuo Koyanagi, MD, PhD1, Soji Ozawa, MD, PhD1, Kentaro Yatabe, MD1, Yamato Ninomiya, MD1, Miho Yamamoto, MD1, Akihito Yamamoto, MD1, Yuji Tachimori2. 1Department of Gastroenterological Surgery, Tokai University School of Medicine, 2Cancer Care Center, Kawasaki Saiwai HospitalAim: Based on the distribution of lymph node (LN) metastasis and LN recurrence of Siewert type II adenocarcinoma, appropriate… Continue Reading
Normal Johnson-DeMeester Scores should not preclude patients from Anti-Reflux Surgery
Alex Addo, MD, Zachary Sanford, MD, Adam S Weltz, MD, James Clemmens, Reza Zahiri, DO, Adrian Park, MD, FACS. Anne Arundel Medical CenterIntroduction: The Johnson-DeMeester (JD) score is one of the main parameters derived from pH testing as a means to determine a patient’s acid exposure and is often used as an objective data point to… Continue Reading
Novel Technique Using Intraoperative Impedance Planimetry for Magnetic Sphincter Augmentation Following Laparoscopic Sleeve Gastrectomy
Keith J King, MD, Ragui Sadek, MD, FACS, Andrew M Wassef, BS. Rutgers Robert Wood Johnson Medical SchoolBackground: Magnetic sphincter augmentation (MSA) using the LINX® Reflux Management System provides an alternative surgical option for patients experiencing medically refractory gastroesophageal reflux disease (GERD) following laparoscopic sleeve gastrectomy (LSG). A critical component in successful MSA, particularly in… Continue Reading
Omental Free shaped Flap Reinforcement on Anastomosis and Dissected Area (OFFROAD) Following Gastrectomy : video article
Wonho Han, Kyonglin Park, Deokhee Kim, Young-Woo Kim. National Cancer CenterThe frequency of anastomotic leakage after gastrectomy is reported to be 0.9–8%. To reduce deleterious outcomes of anastomotic leakage, we devised the “Omental Free-shaped Flap Reinforcement On Anastomosis and Dissected area” procedure not only to prevent fatal complications following anastomotic leakage but also to promote… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Optimal Surgical Management of Medically Refractory Gastroesophageal Reflux Disease and Concurrent Esophagogastric Junction Outlet Obstruction
Michael A Antiporda, MD1, Christy M Dunst, MD2, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Kevin M Reavis, MD2, Daniel Davila Bradley, MD2, Steven R Demeester, MD2, Lee L Swanstrom, MD3. 1Providence Portland Medical Center, 2The Oregon Clinic, 3Institute for Image Guided Surgery (IHU-Strasbourg)Introduction: The significance of manometric esophagogastric junction outlet obstruction (EGJOO) in the setting… Continue Reading
OUR GASTRO-ESOPHAGEAL REFLUX TEST DECIDING SURGICAL INDICATION AND RESULTS OF LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MD, PhD, Kenta Kitamura, MD, Ayato Obana, MD, Norio Mizuguchi, MD, Mayuko Nakayama, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MD, PhD, Yoshinobu Sato, MD, PhD, Ryuji Yoshida, MD, Hiroyuki Suzuki, MD, Shigeru Masamura, MD, PhD. Kashiwa Kousei General HospitalIntroductions: The indication of laparoscopic anti-reflux surgery for GERD patients is difficult to be judged fairly.… Continue Reading
OUR STYLIZED PROCEDURE IN LAPAROSCOPIC NISSEN FUNDOPLICATION FOR GERD PATIENTS
Tatsushi Suwa, MD, PhD, Kenta Kitamura, MD, Tomonori Matsumura, MD, Ayato Obana, MD, Norio Mizugichi, MD, Mayuko Nakayama, MD, Kazuhiro Karikomi, MD, Motoi Koyama, MD, PhD, Yoshinobu Sato, MD, PhD, Ryuji Yoshida, MD, Hiroyuki Suzuki, MD, Shigeru Masamura, MD, PhD. Kashiwa Kousei General Hosp.Introduction: Laparoscopic techniques in anti-reflux surgery for GERD patients are still considered complicated… Continue Reading
Outcomes of lung transplantation in patients with absent esophageal body motility
Takahiro Masuda, MD, Sumeet K Mittal, MD, Balazs Kovacs, MD, Michael A Smith, MD, Rajat Walia, MD, Jasmine Huang, MD, Ross M Bremner. Norton Thoracic Institute; St. Joseph's Hospital and Medical CenerINTRODUCTION: Impaired esophageal motility results in poor esophageal clearance, and can exacerbate gastroesophageal reflux which is a potential risk for allograft dysfunction in lung… 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
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