P79. Sustained Anal Pressure Improvement After Anal Sphincter Injury and Serial IV Infusions Suggests Homing of Mesenchymal Stem Cells
Massarat Zutshi, Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH

P80. Gene Chip Analysis for Detection of Potential Tumor Suppressor Genes in Colorectal Cancer Cell Lines
Michael Carsten Gock, Department of General Surgery, University of Rostock, Rostock Germany

P81. The Cancer Testis Antigens CABYR a/b and CABY C Are Expressed in a Subset of Colorectal Cancers and Hold Promise as Targets for Specific Immunotherapy
C. M. Shantha Kumara H, Surgery, St Luke Roosevelt Hospital, New York, NY

P82. HPP1 Mediates Tumor Suppression by Upregulation of JAK1-STAT Signaling Pathways in Colorectal Cancer
Abul Elahi, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL

P83. The Impact of Citrulline on L-Arginine/Adma Ratio in Sepsis
Theodor Asgeirsson, Surgery / Colorectal, Research, Spectrum Health, Spectrum Health, Grand Rapids, MI

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P84 The Prognostic Significance of Multiple Molecular Markers in Blood of Patients with Multimodal Treatment of Esophageal Cancer
Jan Brabender, Department of Surgery, University of Cologne, Cologne Germany

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P85. Pentoxifylline Inhibits Tumor Necrosis Factor Synthesis and Improves Liver Regeneration After Partial Hepatectomy in Rats by a Mechanism Related to Inhibition of TGF Beta 1 Expression
Marcel C.C. Machado, Gastroenterology, University of Sao Paulo, .S. Paulo Brazil

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P86. Replicative Stress-Induced Midkine Expression and Secretion Activates Notch Signaling and Is Linked to Epithelial-Mesenchymal Transition and Chemoresistance in Pancreatic Cancer
Maximilian Bockhorn, General, Visceral and Thoracic Surgery, University Hospital, Hamburg Germany

P87. Pancreatic Consistency and Hounsfield Unit on CT Scan in Mature (65+) Subjects
Yuichi Kitagawa, Surgery, National Center for Geriatrics and Gerontology, Obu Japan

P88. B Lymphocytes Inhibit Proliferation of Pancreatic Cancer
Patrick B. White, Surgery, Indiana University School of Medicine, Indianapolis, IN

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P89. TNF-? Induced Vectorial Secretion of IL-8 Corresponds to Development of Transepithelial Electrical Resistance in Caco-2 Cells
Dennis I. Sonnier, Jr, Dept. of Surgery, University of Cincinnati, Cincinnati, OH

P90. Eating Behavior in Rats Subjected to Ileum Transposition and Sleeve Gastrectomy
Helene Johannessen, Dept. of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim Norway

P91. Hypoxia Upregulates Neurokinin-1 Receptor (NK-1R) Signaling in Rat Peritoneal Mesothelial Cells (RPMCs): A Key Early Event in Intraabdominal Adhesion Formation
Melanie L. Gainsbury, Surgery, Boston University Medical Center, Boston, MA

P92. Topographic Expression of Intestinal Sugar Sensors and Transporters in Obesity: Tissue Analysis of Patients Undergoing Gastric Bypass Surgery
Hina Yaseen Bhutta, General Surgery, , Brigham and Women's Hospital, Harvard Medical School, Boston, MA

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P93. Overexpression of GLO1 Promotes Tumor Invasion in Gastric Cancer
Chia-Siu Wang, Department of General Surgery, Chang Gung Memorial Hosp, Chia-Yi, Pu-Tz City Taiwan

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P94. Cholecystectomy in the Very Elderly: Is Ninety the New Seventy?
Attila Dubecz, Surgery, Klinikum Nurnberg, Nurnberg Germany

P95. Magnetically Anchored Cautery Dissector Improves Triangulation and Depth Perception During Single Site Laparoscopic Cholecystectomy
Nabeel Arain, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, CA

P96. Prognostic Impact of Thymidylate Synthase Expression in Adjuvant Gemcitabine Plus S-1 Chemotherapy After Surgical Resection for Bile Duct Cancer
Hironori Kobayashi, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima Japan

P97. Gangrenous Cholecystitis: A Difficult Diagnosis
Jacqueline J. Choi, Surgery, The Mount Sinai School of Medicine, New York, NY

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P98. Can Whole Gut Scintigraphy Optimize Patient Selection and Outcomes in Slow Transit Constipation?
Deborah Keller, Surgery, Temple University Hospital, Philadelphia, PA

P99. Adhesional Small Bowel Obstruction After Open and Laparoscopic Colorectal Surgery: A Prospective Longer-Term Study
Stefano D' Ugo, Surgery, University of Rome Tor Vergata, Roma Italy

P100. A Critical Analysis of 28 Patients with Metachronous Peritoneal Dissemination from Colorectal Cancer
Ashraf Haddad, General Surgery, St. Agnes Hospital, Baltimore, MD

P101. Total Abdominal Colectomy for Refractory Ulcerative Colitis. Evolution in Surgical Treatment
Alessandro Fichera, Surgery, Inflammatory Bowel Disease Center, University of Chicago, University of Chicago Medical Center, Chicago, IL

P102. Outcomes of Right Versus Left Colectomy for Colon Cancer
Hossein Masoomi, Surgery (colorectal division), University of California, Irvine-Medical Center, Orange, CA

P103. Sacral Nerve Stimulation for Fecal Incontinence: Predictors of Long-Term Success
Tracy L. Hull, Cleveland Clinic Ohio, Cleveland, OH

P104. Early Postoperative Outcomes After Laparoscopic Segmental Colorectal Resection for Endometriosis: The Impact of Surgical Experience
Stefano Partelli, Department of Surgery, Department of Surgery, University of Verona, Ospedale 'Sacro Cuore-Don Calabria', Verona Italy

P105. Laparoscopic Colorectal Surgery for Bowel Endometriosis with Transvaginal Resection and Specimen Extraction: Perioperative Results in 40 Consecutive Patients
Stefano Crippa, Department of Surgery, Department of Surgery, Ospedale Sacro Cuore Don Calabria, University of Verona , Verona Italy

P106. Discoid Resection with Combined Laparoscopic/Endoscopic Approach for Rectal Endometriosis: Perioperative and Long-Term Outcomes
Stefano Crippa, Department of Surgery, Department of Surgery, Ospedale Sacro Cuore Don Calabria, Università di Verona, Verona Italy

P107. Management and Outcomes of Primary Coloduodenal Fistulas
Ashwin S. Kamath, General Surgery, Mayo Clinic, Rochester MN, Rochester, MN

P108. Use of Hand-Assisted Laparoscopy in a Colorectal Cancer Practice Leads to a Rapid and Safe Adoption of Minimally Invasive Techniques
Sonia Tewani Orcutt, Surgery, Baylor College of Medicine, Houston, TX

P109. Impact of Preoperative Microsatellite Instability Testing on Surgical Management in Young-Onset Colorectal Cancer Patients: Results from a Reflex Testing Protocol
Jennifer Holder-Murray, Colon & Rectal Surgery, Mayo Clinic, Rochester, MN

P110. Laparoscopic Rectopexy: The Procedure of Choice for Rectal Prolapse to Reduce Surgical Site Infections and Length of Stay
Trent Magruder, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD

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P111. Video Assisted Thoracoscopic Surgery of Esophagus (VATS-E) in Left Lateral and Prone Position: Our Methods and Devices at Our Hospital
Hiroshi Makino, Gastroenterological Surgery, Surgery, Nippon Medical School, Nippon Medical School, Chiba-Hokusoh Hospital, Tokyo Japan

P114. Radiofrequency Energy Delivery to the Lower Esophageal Sphincter Reduces Esophageal Acid Exposure and Improves GERD Symptoms: A Meta-Analysis
Ambar Banerjee, Center of Minimally Invasive Surgery, The Ohio State University, Columbus, OH

P115. Ramp Bolus Pressure: A Determinant for Tailoring the Degree of the Fundoplication
Shahin Ayazi, Surgery, University of Southern California, Los Angeles, CA

P116. Chemoradiotherapy or Pharyngo-Laryngo-Esophagectomy for Cervical Esophageal Squamous Cancer
Shirley Yuk-wah Liu, Department of Surgery, The Chinese University of Hong Kong, Hong Kong China

P117. Trans-Thoracic Approaches to Esophagectomy Associated with Higher Morbidity
Ross Frederick Goldberg, Department of Surgery, Mayo Clinic, Ponte Vedra Beach, FL

P118. Obesity Does Not Affect Outcomes in Gastro-Esophageal Cancer
Russell Farmer, Dept of Surgery, University of Louisville, Louisville, KY

P119. Defining the Learning Curve of Laparo-Endoscopic Single Site (LESS) Heller Myotomy
Sharona B. Ross, Surgery, University of South Florida, Tampa, FL

P120. The Impact of Delayed Gastric Emptying on Outcome of Nissen Fundoplication in GERD Patients
Shahin Ayazi, Surgery, University of Southern California, Los Angeles, CA

P121. A Tailored Surgical Approach to Esophago-Gastric Junction Cancers: Can We Maximize Complete Resection Without Increasing Morbidity?
Frank Schwenter, Surgery, McGill University, Montreal, QC Canada

P122. Utilization and Morbidity Associated with Routine Placement of a Feeding Jejunostomy at the Time of Gastro-Esophageal Resection
Omar H. Llaguna, Division of Surgical Oncology and Endocrine Surgery, University of North Carolina School of Medicine, Chapel Hill, NC

P123. Pharyngeal pH Monitoring May Be Superior to Proximal pH Monitoring in the Detection of Laryngopharyngeal Reflux
Candice Leigh Wilshire, Thoracic and Foregut Surgery, University of Rochester Medical Center, Rochester, NY

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P124. Laparoscopic Hepatic Resection: Do Favorable Short-Term Outcomes Make It the Procedure of Choice for Lesions of the Left Hemiliver?
C. Kristian Enestvedt, Surgery, Oregon Health & Science University, Portland, OR

P125. Liver Resection for Colorectal Metastases Is Safe After Preoperative Chemotherapy: A Prospective Non-Randomized Controlled Study.
Cesare Ruffolo, II Department of Surgery (IV unit), Regional Hospital Cà Foncello, Treviso, Treviso Italy

P126. Increasing Safety of Liver Resection in Cirrhotic Livers: An Initial Experience Combining Autologous CD 133+ Stem Cell Application with In-Situ Splitting and Two Stage Hemihepatectomy
Andrea Alexander, Surgery, Heinrich-Heine-University, Duesseldorf Germany

P127. Serum AFP Elevation in Patients with Hepatocellular Carcinoma Is Associated with Poor Survival and Tumor Size, but Not with Histologic Features Indicative of Aggressive Tumor Biology
Kunal R. Parikh, Surgical Oncology, Mount Sinai School of Medicine, New York, NY

P128. Feasibility Demonstration of Single Incision Multiple Port Laparoscopic Liver Resection (SIMPLLR) in Three Patients
Ramanathan Seshadri, Department of Surgery, Baystate Medical Center, Springfield, MA

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P129. Usefulness of Modified Possum for Major Pancreatic Resection
Takeshi Nishi, Digestive and General Surgery, Shimane University Graduate School of Medicine, Izumoshi Japan

P130. Staple and Non-Staple Closure of Pancreatic Remnant After Distal Pancreatectomy: A Multicenter Retrospective Analysis of 388 Patients
Daisuke Ban, Department of Hepato-Biliary-Pancreatic Surgery, Tokyo Medical and Dental University, Tokyo Japan

P131. Perioperative Blood Transfusions May Influence Prognosis After Surgery for Pancreatic Cancer Independent of Complications or Body Mass Index: Multivariate Analysis of 270 Resected Patients
Tobias Keck, Dept. of Surgery, University of Freiburg, Freiburg Germany

P132. Are Body/Tail Pancreatic Cancers Really Worse Per Se? Debunking a Myth
Elizaveta Ragulin-Coyne, Surgical Outcomes Analysis & Research (SOAR) Department of Surgery, University of Massachusetts Medical School, Marlborough, MA

P133. Changes in Incretin Responses and Glucose Metabolism After Pancreatectomy
Yasuhisa Mori, Surgery and Oncology, Kyushu university, Fukuoka Japan

P134. Usefulness of the International Study Group for Pancreatic Fistula (ISGPF) Classification for Clinical Decision Making
Maximilian Bockhorn, General- Visceral and Thoracic Surgery, University Medical-Center Hamburg-Eppendorf, Hamburg Germany

P135. Pancreatic Serous Cystic Neoplasms: Is Size an Indication for Surgery?
Juan R Aguilar-Saavedra, Surgery, Cleveland Clinic, Cleveland, OH

P136. A Novel Approach to Pancreaticoduodenectomy: Utilization of a Laparoscopic Hand Assisted Technique
Nicholas N. Nissen, Hepatobiliary Surgery and Liver Transplantation, Cedars-Sinai Medical Center, Los Angeles, CA

P137. Is Postoperative Adjuvant Therapy Indicated for Ampullary Adenocarcinoma?
Veeraiah Siripurapu, Fox Chase Cancer Center, Philadelphia, PA

P138. Systematic Review of Central Pancreatectomy “The Dagradi-Serio-Iacono Operation” and Meta-Analysis Versus Distal Pancreatectomy
Calogero Iacono, Department of Surgery , University of Verona Medical School, Verona Italy

P139. What Do You Do When Surgery for Chronic Pancreatitis Pain Fails: Is Long-Term Opioid Therapy Effective?
William McIver Leppard, Surgery, Medical University of South Carolina, Charleston, SC

P140. Detailed Analysis of Learning Curve in Pancreatic Surgery: Surgeon and Hospital Volume Are Equally Important
Ulrich Friedrich Wellner, Surgery, University Hospital Freiburg, Freiburg, BW Germany

P141. The Impact of Regionalization of Pancreaticoduodenectomy for Pancreatic Cancer in North Carolina Since 2004
Ryan Z. Swan, Surgery, Carolinas Medical Center, Charlotte, NC

P142. Early Experience with Minimally Invasive Surgical Pancreatic Débridement
Nicholas J. Zyromski, Surgery, Indiana University, Indianapolis, IN

P144. Pancreatic Enucleation:A Safe and Potentially Underutilized Operation
Purvi Parikh, Department of Surgery, Albany Medical Center, Albany, NY

P145. Does Stenting Decrease the Rate of Postoperative Pancreatic Fistula Following Pancreaticoduodenectomy?
Toshiyuki Moriya, General Surgery, Mayo Clinic, Rochester, MN

P146. Complications of Endoscopic Preoperative Biliary Drainage (PBD) for Pancreatic Cancer: A Tertiary Hospital Experience
Damien MengYew Tan, Gastroenterology, Indiana University, Singapore Singapore

P147. Predictive Clinical Factor for Clinically Relevant Postoperative Pancreatic Fistula After Pancreaticoduodenectomy
Kenichiro Uemura, Surgery, Hiroshima University, Hiroshima Japan

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P148. Recurrence and Long Term Results of Laparoscopic vs Open Ileo-Colonic Resection in Crohn's Disease: A Prospetive Longitudinal Study
Giuseppe S. Sica, General Surgery, University of Tor Vergata, Rome Italy

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P150. Late Accidental Dislodgement of the Percutaneous Endoscopic Gastrostomy: An Underestimated Burden on Patients and the Healthcare System
Laura Horst Rosenberger, General Surgery, University of Virginia Health System, Charlottesville, VA

P151. Prevalence of Adverse Intraoperative Events During Obesity Surgery and Their Sequelae
Alexander J. Greenstein, Surgery, Mount Sinai Medical Center, New York, NY

P152. Comorbidities Remission After Roux-en-Y Gastric Bypass for Morbid Obesity Is Sustained in a Long-Term Follow-Up
Fernando A.M. Herbella, Department of Surgery, Federal University of Sao Paulo, Sao Paulo, sao paulo Brazil

P153. Esophagogastroduodenoscopy (EGD) Reporting for Preoperative Management of Gastric Cancer: Evaluation of Quality
Nikila Comondore Ravindran, University of Calgary, Calgary, AB Canada

P154. The Weight Loss Response to Roux en Y Gastric Bypass Is Host Mediated
Joseph A. Caruana, Surgery, Sisters of Charity Hospital and State University of New York at Buffalo, Buffalo, NY

P155. Anastomotic Complications Following RYGB: Can Ulcers/Strictures Be Predicted?
Shushmita Ahmed, Surgery, Stanford University, Stanford, CA

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