April 18th Afternoon

 

Re-Operative Foregut Surgery

1:00pm - 3:00pm

Session Chair: Michael Holzman, MD
Session Co-chair: Nicole Fearing, MD

Session Description

Complications associated with prior anti-reflux operations pose a significant problem for patients and the healthcare system. Patient evaluation and trying to understand the etiology of the failures is critical in considering re-operative procedures. This course is designed to review some of the more common problems encountered by gastroenterologist and surgeons caring for patients with reflux disease. Topics covered will include recurrent reflux, persistent dysphagia, recurrent hiatal hernia as well as motility disorders. Participants should gain a better understanding how to avoid complications at the initial operation as well as obtaining knowledge regarding evaluation and treatment of recurrent or persistent symptoms.

Session Objectives

At the conclusion of this session, participants will be able to:

  • Discuss the evaluation and management of patients with failed hiatal hernia repair, recurrent GERD and achalasia
  • Discuss treatment options available for patients with recurrent hiatal hernias, recurrent GERD and achalasia
  • Discuss the results of various treatment options for revisional foregut surgery

Session Outline

Time Presentation Title Faculty Name
1:00pm Recurrent GERD John Hunter, MD
1:15pm Persistent Dysphagia Nathaniel Soper, MD
1:30pm Recurrent Hiatal Hernia Brant Oelschlager, MD
1:45pm Approach to patients with esophageal motility
disorders and the short esophagus
Steve Eubanks, MD
2:00pm Vagal nerve injuries (gastroparesis / diarrhea) Steven P Bowers, MD
2:10pm Endoscopic options Vic Velanovich, MD
2:20pm Recurrent dysphagia after Heller Myotomy William O Richards, MD
2:35pm Questions/discussion  

NOTES Videos

3:30pm - 5:00pm

Session Chair: John Mellinger, MD
Session Co-chair: Eric Hungness, MD

Session Description

This panel will focus on current clinical NOTES applications, with video and discussion by key clinical leaders with these techniques. Rigid and flexible transvaginal and transrectal techniques for operations such as cholecystectomy and appendectomy will be demonstrated, along with bariatric, colectomy, proctectomy, hernia, and esophageal myotomy applications.

Session Objectives

At the conclusion of this session, participants will be able to:

  • List criteria, which might render a patient an appropriate candidate for a NOTES procedure
  • Adapt NOTES techniques for selected patients in their own practice with appropriate added training and support
  • Use current outcomes data from pioneering surgeons to educate their own patients on the potential merits and liabilities of NOTES techniques

Session Outline

Time Presentation Title Faculty Name
3:30pm Transvaginal cholecystectomy (flexible and rigid
approach)
Carsten Zornig, MD
3:50pm Transvaginal appendectomy and hernia repair Kurt Roberts, MD
4:05pm Transrectal proctectomy Patricia Sylla, MD
4:15pm Transrectal colectomy Karl Fuchs, MD
4:25pm Peroral endoscopic myotomy (POEM) Eric Hungness, MD
4:35pm NOTES bariatric surgery Santiago Horgan, MD
4:45pm Panel discussion All speakers