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SSAT 1998 Abstracts
1085 ASTHMA AND GASTROESOPHAGEAL REFLUX: FUNDOPLICATION DECREASES NEED FOR SYSTEMIC CORTICOSTEROIDS
Hadar Spivak, C. Daniel Smith, Alounthith Phichith, Kathy Galloway, Patrick J. Waring, John G. Hunter
Emory University School of Medicine, Atlanta, Georgia
3355 AMMONIA INHIBITS REGULATED CHLORIDE SECRETION IN IN VITRO HUMAN COLON
TC O'Brien, M Riegler*, EC Mun, M Prasad, C Pothoulakis*, JB Matthews
Beth Israel Deaconess Medical Center, Boston, MA
3636 ATTENUATED HSV-1 KILLS HUMAN PANCREATIC CANCER CELLS IN VITRO. J.H
Lee1, H.J. Federoff2, J.L. Peacock1, and L.O. Schoeniger1
University of Rochester Medical Center, Rochester, NY
4472 HER2/NEU OVEREXPRESSION INTERFERES WITH RETINO-BLASTOMA PROTEIN-MEDIATED CELL CYCLE REGULATION IN HUMAN PANCREATIC
CARCINOMA CELLS. H. Roh, J. Pippen and J.A. Drebin
Washington University School of Medicine, St. Louis, MO
4479 THE ROLE OF THE LOWER ESOPHAGEAL SPHINCTER AND HIATAL HERNIA IN THE PATHOGENESIS OF GASTRO-ESOPHAGEAL REFLUX DISEASE
M. Fein, M.P. Ritter, T.R. DeMeester, J.H. Peters, S. Öberg, J.A. Hagen, C.G. Bremner
Univ. of Southern California, Dept. of Surgery, Los Angeles, CA
1295 SELECTIVE DECREASES IN LEVELS OF mRNA ENCODING A WATER CHANNEL (AQP3) IN ILEAL MUCOSA AFTER ILEOSTOMY
J. Purdy, R.R. Cima, M. A. Doble, M.J. Zinner, and D.I. Soybel
Brigham and Women's Hospital & West Roxbury V.A.M.C., Boston, MA
2705 GLUTAMINE PREVENTS LPS-INDUCED NF-_B ACTIVATION IN HUMAN INTESTINAL EPITHELIAL CELLS
MR Moon, TA Pritts, AL Salzman, JE Fischer, and PO Hasselgren
University of Cincinnati Medical Center, Children's Hospital Medical Center, & Shriners Burn Institute. Cincinnati, Ohio
3755 LAPAROSCOPIC FUNDOPLICATION IN PATIENTS WITH BARRETT'S ESOPHAGUS
S. Öberg, J.H Peters, T.R DeMeester, M.P. Ritter, P.A. Crookes, S.R. DeMeester, J.A. Hagen, C.G. Bremner
University of Southern California, Los Angeles, California
1063 THE ENTEROTROPHIC EFFECTS OF GLUCAGON-LIKE PEPTIDE 2 ARE ENHANCED BY NEUROTENSIN
D.A. Litvak, M.R. Hellmich, B.M. Evers, C.M. Townsend, Jr.
The University of Texas Medical Branch. Galveston, Texas
1064 CYCLIN D3 IS ESSENTIAL FOR INTESTINAL EPITHELIAL CELL PROLIFERATION
T.C. Ko, F. Pan, D.B. Brown, E.A. Thompson, R.D. Beauchamp*
University of Texas Medical Branch, Galveston, TX & *Department of Surgery, Vanderbilt University School of Medicine, Nashville, TN
1065 EXTRACELLULAR MATRIX MODULATES ENTEROCYTE GROWTH VIA DOWN REGULATION OF c-jun BUT IS INDEPENDENT OF p21 AND p27 EXPRESSION. S.I
Wolpert, K.M. Lally, J. Li J-Y Wang, B.L. Bass
University of Maryland and the Baltimore VAMC; Baltimore, MD
1066 LOSS OF MATRIX-DEPENDENT CYTOSKELETAL TYROSINE KINASE SIGNALS MAY REGULATE INTESTINAL EPITHELIAL DIFFERENTIA-TION DURING MUCOSAL HEALING
Y.-W. Liu, M.A. Sanders, M.D. Basson
Yale University, New Haven, CT and CT VA Health Care System, West Haven, CT
1067 A POSSIBLE ROLE FOR p21 IN ALTERATION OF THE ENTEROCYTE DIFFERENTIATION ASSOCIATED WITH PREMATURE CELL CYCLE WITHDRAWAL
S. Archer, S. Meng, R.A. Hodin
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
1068 EFFECT OF NUTRITIONAL ROUTE ON COLONIC ANASTOMOTIC HEALING IN THE RAT
T. Kiyama, D. T. Efron, U. Tantry, A. Barbul
Sinai Hospital & The Johns Hopkins Medical Institutions, Baltimore, MD
1069 CALCIUM ACCENTUATES GASTRIC INJURY INDUCED BY ETHANOL. E.R
Kokoska, G.S. Smith, T.A.Miller
Saint Louis University Health Sciences Center. St. Louis, MO
1070 INVOLVEMENT OF FAS IN TAMOXIFEN-INDUCED APOPTOSIS OF CHOLANGIOCARCINOMA
A. Pickens, G. Pan, J. McDonald & S.M. Vickers
University of Alabama at Birmingham School of Medicine, Birmingham, AL
1071 HUMAN PERIAMPULLARY CARCINOMAS EXPRESS CHOLECYSTO-KININ (CCK-A) RECEPTORS
R.A. Moonka, W. Zhou, and R.H. Bell, Jr
University of Washington School of Medicine and VA Medical Center, Seattle, WA
1072 GROWTH FACTOR RECEPTOR ANTAGONISM RESULTS IN ENHANCED RESPONSE TO CHEMORADIATION THERAPY IN COLON CANCER CELLS.
A Shurin, E Perer, Y Pang, K Romaguera*, E Zakris*, DJ Beech
Tulane University School of Medicine, Department of Surgery, Section of Radiation Oncology*, New Orleans, LA
1073 INFLUENCE OF P53 STATUS ON THE EFFICACY OF HSV-MEDIATED CANCER GENE THERAPY
S.S. Yoon, N.M. Carroll, E.A. Chiocca, K.K. Tanabe
Massachusetts General Hospital and Harvard Medical School, Boston, MA
1074 THERAPY OF MICROCIRCULATORY DISORDERS IN SEVERE ACUTE PANCREATITIS: WHAT IS MORE EFFECTIVE: PLATELET ACTIVATING FACTOR-OR ENDOTHELIN-RECEPTOR BLOCKADE?
Th. Foitzik, H.G. Hotz, B. Hotz, G. Eibl, M. Kirchengast*, H.J. Buhr
Benjamin Franklin Medical Center, Freie Universitåt Berlin and *Knoll AG, Ludwigshafen, Germany
1075 CHARACTERIZATION AND REDUCTION OF ISCHEMIA/ REPERFUSION-INJURY AFTER EXPERIMENTAL PANCREAS TRANSPLANTATION
H. Mayer, J. Schmidt, J. Thies, E. Ryschich, M.M. Gebhard*, Ch. Herfarth, E. Klar
University of Heidelberg, Germany
1076 PREVENTION OF ENDOTOXIN-INDUCED MORTALITY IS ASSOC-IATED WITH BLOCKADE OF BOTH PGE2 SYNTHESIS AND CALCIUM FLUX IN KUPFFER CELLS
CR Roland, B Naziruddin, Y Nakafusa, T Mohanakumar, MW Flye
Washington University School of Medicine. St. Louis, MO
2317 MOLECULAR GENETICS OF PANCREATIC CANCER
RJ Bold, DB Evans, KR Hess, AM Grau, F Sinicrope, KR Cleary, PJ Chiao, JL Abbruzzese
University of Texas M.D. Anderson Cancer Center, Houston, TX
2318 STAGING LAPAROSCOPY FOR PANCREATIC CANCER SHOULD BE USED TO SELECT THE BEST PALLIATION, NOT TO INCREASE RESECTION RATE
E Luque-de León, GG Tsiotos, BM Balsiger, J Barnwell, L Burgart, MG Sarr
Mayo Clinic, Rochester, MN
2319 MAJOR VASCULAR RESECTION AS PART OF PANCREATICO-DUODENECTOMY FOR CANCER: CLINICAL, RADIOLOGIC AND PATHOLOGIC ANALYSIS
RJ Bold, C Charnsangavej, KR Cleary, JE Lee, PWT Pisters, DB Evans
University of Texas M.D. Anderson Cancer Center, Houston, TX
2320 EARLY FAILURE OF INTESTINAL BARRIER FUNCTION AND ENDOTOXEMIA IN SEVERE ACUTE PANCREATITIS
BJ Ammori, PG Leeder, RFG King, *GR Barclay, IG Martin, M Larvin, MJ McMahon
University of Leeds Academic Surgical Unit, The General Infirmary, Leeds UK, & *Blood Transfusion Service, Royal Infirmary, Edinburgh, UK
2321 LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS: INITIAL RESULTS
P.R. Schauer S. Ikramuddin, W. Gourash
University of Pittsburgh, Pittsburgh, PA
2322 MALABSORPTIVE PROCEDURES FOR SEVERE OBESITY: COMPARISON OF PANCREATICOBILIARY BYPASS (PBB) AND VERY, VERY LONG ROUX-EN-Y GASTRIC BYPASS (VVLGB)
MM Murr, BM Balsiger, FP Kennedy, MG Sarr
Mayo Clinic, Rochester, MN
2323 LAPAROSCOPIC CHOLECYSTECTOMY AS A "TRUE" OUTPATIENT PROCEDURE: INITIAL EXPERIENCE IN 100 CONSECUTIVE PATIENTS
KD Lillemoe, JM Hardacre, MA Talamini, CJ Yeo, DS Snyder, SD Parker
Johns Hopkins Medical Institutions, Baltimore, MD
2324 EVALUATION OF LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH HEPATIC CIRRHOSIS: A FIVE YEAR EXPERIENCE
C. Friel, J. Stack, R.A. Forse, T. Babineau
Beth Israel Deaconess Hospital, Harvard Medical School, Boston, MA
2325 DIAGNOSIS AND MANAGEMENT OF CHOLANGIOCARCINOMA IN PRIMARY SCLEROSING CHOLANGITIS
S.A.Ahrendt, H.A.Pitt, A.Nakeeb, A.S.Klein, K.D.Lillemoe, A.N.Kalloo, & J.L.Cameron
Johns Hopkins University, Baltimore, MD and Dept. of Surgery, Medical College of Wisconsin, Milwaukee, WI
2326 IMPROVED FUNCTIONAL OUTCOME AFTER LAPAROSCOPIC FUNDOPLICATION BY COMPLETE GASTRIC FUNDUS MOBILIZATION
Jan Dalenbäck, Hans Lönroth, Anne Blomqvist, Lars Lundell
Sahlgrenska University Hospital, University of Gothenburg, Sweden
2327 MULTIVARIATE ANALYSIS OF THE FACTORS PREDICTING OUTCOME AFTER LAPAROSCOPIC NISSEN FUNDOPLICATION
G.M.R. Campos, J.H. Peters, T.R. DeMeester, S. Öberg, M. DeVos-Shoop, J. Theisen, M. Hashemi, P. Crookes, J. Hagen, C.G. Bremner
University of Southern California, Los Angeles, CA
2328 LAPAROSCOPIC TOUPET IS AN INADEQUATE PROCEDURE FOR PATIENTS WITH SEVERE REFLUX DISEASE
K.D. Horvath, B.A. Jobe, L.L. Swanstrom
Oregon Health Sciences University & Legacy Health Systems, Portland, OR
2329 BARRETT'S ESOPHAGUS: A SURGICAL DISEASE
M.G. Patti, C.V. Feo, M. Arcerito, S. Worth, M. De Pinto, J. Tong, V.C. Gibbs, M. Ahmadi, W. Gantert, D. Tyrrell, L.D. Ferrell, & L.W. Way
University of California, San Francisco. San Francisco, California
2330 ENDOSCOPIC LASER ABLATION OF BARRETT'S MUCOSA FOLLOWED BY NISSEN FUNDOPLICATION: RESULTS OF A PILOT STUDY
A.Carazzone,L.Bonavina, A.Segalin, L.Antoniazzi, C.Ceriani, A.Peracchia
Dept. of General & Oncologic Surgery Milan, Italy
2331 VARIABILITY IN THE COMPOSITION OF PHYSIOLOGIC DUODENO-GASTRIC REFLUX
K.-H. Fuchs, J. Maroske, M. Fein, H. Tigges, M.P. Ritter, J. Heimbucher, A. Thiede
University of Würzburg, Germany
2332 IMPLEMENTATION OF A CLINICAL PATHWAY DECREASES LENGTH OF STAY AND COST FOR BOWEL RESECTION
TA Pritts, MS Nussbaum, LV Flesch, EJ Fegelman, AJ Parikh, & JE Fischer
University of Cincinnati Medical Center, Cincinnati, Ohio
2332 IMPLEMENTATION OF A CLINICAL PATHWAY DECREASES LENGTH OF STAY AND COST FOR BOWEL RESECTION
TA Pritts, MS Nussbaum, LV Flesch, EJ Fegelman, AJ Parikh, & JE Fischer
University of Cincinnati Medical Center, Cincinnati, Ohio
2333 THE CUMULATIVE RISK OF DEVELOPING POLYPS OR MALIGNANCY AT THE ILEO-POUCH-ANAL ANASTO-MOSIS IN PATIENTS WITH FAMILIAL ADENOMATOUS POLYPOSIS (FAP)
P. van Duijvendijk1, J.F.M. Slors1, C.W. Taat1, S. Bülow2, L. Bertario3, J.H.C. Kuijpers4, W.R. Schouten5, J.G. Guillem6 H.F.A. Vasen7
Academic Medical Centre Amsterdam1, Danish Polyposis Registry2, Italian Registry of Familial Polyposis3, Dept. of Surgery, University Hospital Nijmegen4, Dept. of Surgery, University Hospital Rotterdam5, Memorial Sloan-Kettering Cancer Center, New York6, The Netherlands Foundation for the Detection of Hereditary Tumours7
2334 ILEAL POUCH SALVAGE FOLLOWING FAILED ILEAL POUCH-ANAL ANASTOMOSIS
S. Saltzberg, C. DiEdwardo, T. Scott, & W. LaMorte, J. M. Becker
Boston University School of Medicine, Boston, MA
2335 HOSPITAL PROCEDURE VOLUME AND HOSPITAL TEACHING STATUS DO NOT INFLUENCE OPERATIVE MORTALITY OR LONG-TERM SURVIVAL FOR RECTAL CANCER IN A LARGE GENERAL POPULATION: AN OUTCOMES STUDY
M.Simunovic, E. Sigurdson, T.To, N.Baxter, A.Balshem, Z.Cohen, R.McLeod & E.Ross
Institute for Clinical Evaluative Sciences, Toronto, Ontario. Fox Chase Cancer Center, Philadelphia, PA
2336 B2 RECTAL CANCER: IS RADIATION THERAPY FOR LOCAL CONTROL NECESSARY?
N.B. Merchant, J.G. Guillem, P.B. Paty, W.E. Enker, A.M. Cohen
Memorial Sloan-Kettering Cancer Center, New York, NY
2337 EFFICACY OF COMBINED CHEMO-RADIATION THERAPY FOR EPIDERMOID CARCINOMA OF THE ANAL CANAL FOR TUMORS LARGER THAN 5 CENTIMETERS
Peter S. Paik. Larry Leichman, Oscar Streeter Jr., Robert W. Beart Jr
University of Southern California Medical Center, Los Angeles, California
3582 NEAR TOTAL GASTRECTOMY FOR SEVERE POSTVAGOTOMY GASTROPARESIS: CRITICAL ANALYSIS OF EARLY AND LATE LONG-TERM RESULTS AT A TERTIARY CENTER
AW Forstner-Barthell, MM Murr, S Nitecki, KA Kelly, M Camilleri, CM Prather, MG Sarr
Mayo Clinic, Rochester, MN
3583 ROLE OF ANGIOGRAPHY AND EMBOLIZATION FOR ACUTE MASSIVE UPPER GASTROINTESTINAL HEMORRHAGE
R. M. Walsh, P. Anain, M. Geisinger, D. Vogt, J. Mayes, S. Grundfest-Broniatowski and J.M. Henderson
Cleveland Clinic Foundation, Cleveland, Ohio
3584 EFFECT OF MICROSCOPIC RESECTION LINE DISEASE ON GASTRIC CANCER SURVIVAL
S.H. Kim, M.S. Karpeh, D.S. Klimstra, D. Leung, and M.F. Brennan
Memorial Sloan-Kettering Cancer Center, New York, NY
3585 PRE-OPERATIVE SUPERSELECTIVE INTRA-ARTERIAL CHEMO-THERAPY FOR THE TREATMENT OF UNRESECTABLE GASTRIC CARCINOMA
Igor B. Shchepotin1,2, Vyatcheslav Chorny2, Ludmila Gooluck2, Stephen R.T. Evans1
1Department of Surgery, George Washington University, Washington ,D.C., 20037, 2Ukrainian Institute of Oncology and Radiology, Kiev, Ukraine
3586 APPENDECTOMY IN THE PRE AND POST LAPAROSCOPIC ERAS
DB Nguyen, W Silen, & RA Hodin
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
3588 FORCE FEEDBACK GRASPER HELPS RESTORE SENSE OF TOUCH IN MINIMALLY INVASIVE SURGERY
M. MacFarlane; J. Rosen*; B. Hannaford*; C. Pellegrini; M. Sinanan
University of Washington, Seattle, Washington
960 PROGNOSTIC VALUE OF FAS RECEPTOR AND RB PROTEIN EXPRESSION IN PATIENTS WITH ESOPHAGEAL ADENO-CARCINOMA ARISING IN BARRETT'S METAPLASIA
Domenico Coppola; Linda Mora; Robert Schreiber; William Dalton; & Richard C. Karl
961 CLINICAL AND FUNCTIONAL RESULTS OF PRIMARY LAPAROSCOPIC MYOTOMY AND ANTERIOR FUNDOPLICATION FOR ESOPHAGEAL ACHALASIA
L.Bonavina, G.Micheletto, M.Pagani, L.Antoniazzi, R.Rosati, A.Segalin, G.Marotta, & A.Peracchia
University of Milan School of Medicine, Milan, Italy
962 MINIMALLY INVASIVE SURGERY FOR DIFFUSE ESOPHAGEAL SPASM AND NUTCRACKER ESOPHAGUS
D. Tyrrell, M.G. Patti, M. Arcerito, C. Feo, J. Tong, W. Gantert, & L.W. Way
University of California, San Francisco, San Francisco, CA
963 BILE SALT-INDUCED MUTATION IN VITRO
J. Theisen, J.H. Peters, M. Hughes, N. Baril, K. Skinner, C.G. Bremner, G.M.R. Campos, O.L. Gastal, M. Hashemi, D. Nhera, T.R. DeMeester, P.W. Laird
University of Southern California, Los Angeles, California
964 RESPIRATORY AND PHARYNGEAL SYMPTOMS: A COMMON MANIFESTATION IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE
Kauer WKH, Balint A, Stein HJ, Feuner H, Siewert Jr
Technical University, Munich, Germany
965 THE P21 CYCLIN-DEPENDENT KINASE PROTECTS ESOPHAGEAL CARCINOMA CELLS FROM RADIATION
D.A. Rigberg, F.S. Kim, T.A. Blinman, J. So, D.W. McFadden
UCLA, Los Angeles, CA
966 IMMUNOHISTOCHEMICAL ASSESSMENT OF 17-1A AND COMPLEMENT RESISTANCE FACTORS CD55 AND CD59 IN ESOPHAGEAL CANCER
S.B. Hosch, S. Inndorf, S. Bull, F. Stern, K. Pantel, J.R. Izbicki
University of Hamburg, & Immunology, University of Munich, Germany
967 VIDEOSURGERY ESOPHAGECTOMY
HW Pinotti, CE Domene, MA Santo, P Volpe, P Onari, F Atui
University of São Paulo Medical School, Sao Paulo, Brazil
968 INTRATRACHEAL LONG-TERM PH MONITORING: A NEW METHOD TO EVALUATE EPISODES OF SILENT ASPIRATION IN PATIENTS AFTER ESOPHAGECTOMY AND GASTRIC PULL UP
Kauer WKH, Stein HJ, Bartels HJ, Siewert Jr
Technical University Munich, Germany
969 SURGERY OF GASTRODUODENAL ULCER: EVOLUTION OF SURGICAL RECRUITMENT (1972-1996)
O Huber, JM Megevand, R Chautems, P Majno, Ph Morel
University Hospital of Geneva, Geneva, Switzerland
970 FUNCTIONAL AND SYMPTOMATIC IMPROVEMENT IN PATIENTS WITH DIABETIC GASTROPARESIS FOLLOWING PYLOROPLASTY
Ziad E. Abouezzi, W. Scott Melvin, E. Christopher Ellison, William J. Schirmer
Ohio State University, Columbus, Ohio
971 SURVIVAL OF GASTRIC CANCER PATIENTS IS DETERMINED BY THE PRESENCE OF LYMPHANGITIS CARCINOMATOSIS
G.P. Schwab, A. Klingler, G. Wetscher, M. Gadenståtter, H.G. Schwelberger, A. Kreczy, R. Pointner
University of Innsbruck, Dpt of Surgery, Hospital of Zell/See, Austria, Europe
972 BODY COMPOSITION ASSESSMENT IN PATIENTS FOLLOWING GASTRIC BYPASS SURGERY FOR MORBID OBESITY
J.L. Sebastian. I. Yip, M. Flechtner-Mars, S. Uikema D. Heber & E.H. Livingston
University of California, Los Angeles, School of Medicine, CA
973 ROUX-EN-Y GASTRIC BY-PASS (RGBP) AFTER PREVIOUS UNSUCCESSFUL GASTRIC BARIATRIC SURGERY: EARLY RESULTS
A. Westling, M. Ljungdahl, S. Gustavsson
University Hospital, Uppsala, Sweden
974 CLINICAL OUTCOME AND QUALITY OF LIFE AFTER GASTRIC AND DISTAL ESOPHAGUS REPLACEMENT WITH AN ILEOCOLON INTERPOSITION
J.Metzger1), M. von Flüe2), L. Degen3), Ch. Beglinger3) and F. Harder1)
1)Department of Surgery & 3)Department of Gastroenterology, University Hospital. Basel. Switzerland. 2)Department of Surgery, Canton Hospital. Luzern. Switzerland
975 DIFFERING EFFECTS OF A CALCITONIN GENE RELATED PEPTIDE (CGRP) RECEPTOR ANTAGONIST (RA) AND AN _-CGRP ANTIBODY (AB) ON POSTOPILEUS
Mark E. Freeman, Guozhang Cheng, and Michael P. Hocking
University of Florida, Gainesville, Florida
P976 2793 ASSESSMENT OF COLONIC PERFUSION DURING COLONIC RESECTION USING SCANNING LASER DOPPLER FLOWMETRY
NH Boyle, WJ Owen, AC Pearce & RC Mason
UMDS, Guy's & St. Thomas' Hospitals, London, UK
977 BASIC ELECTRICAL RHYTHM (BER) ACTIVITY AS A MEASURE OF BOWEL VIABILITY DURING MESENTERIC ISCHEMIA AND REPERFUSION
JK Ladipo*, SA Seidel*, LA Bradshaw*#, S Halter_, WO Richards*
Vanderbilt University, and Depts. of Pathology_ and Surgery_, Veterans Administration Medical Center, Nashville, Tennessee
978 ENDOTHELIN ANTAGONISM REDUCES THE SYSTEMIC INFLAMMA-TORY RESPONSE IN A MURINE MODEL OF INTESTINAL ISCHEMIA/REPERFUSION
J.S. Lane, K.E. Todd, D.A. Rigberg, B. Gloor MD, A.D. Kau, S.W. Ashley*, D.W. McFadden, H.A. Reber, C.F. Chandler
UCLA School of Medicine, Los Angeles CA, *Brigham & Women's Hospital, Boston MA
979 N-ACETYLCYSTEINE ABROGATES THE SYSTEMIC RESPONSE TO MURINE INTESTINAL ISCHEMIA/REPERFUSION
D.A. Rigberg, T.A. Blinman, J.S. Lane, F.S. Kim, O.J. Hines, D.W. McFadden, C.F. Chandler
UCLA, Los Angeles, California
980 INTESTINAL TRANSPLANTS SHOW IMPAIRED REGULATION OF TRANSIT IN SHORT GUT SYNDROME
C.P. Johnson, S.K. Sarna, Y.R. Zhu, G. Telford, A.M. Roza, M.B. Adams
Departments of Transplant Surgery and General Surgery, Milwaukee, Wisconsin
981 SMALL BOWEL TRANSPLANTATION (SBT) ALTERS NON-ADRENERGIC NON-CHOLINERGIC (NANC) INHIBITION IN LONGITUDINAL SMOOTH MUSCLE OF THE RAT JEJUNUM
B.M. Balsiger, N. Ohtani, C. Shibata, M.M. Murr, W.J. Anding, J.A. Duenes, M.G. Sarr
Mayo Clinic, Rochester, MN
982 ILEAL ABSORPTIVE ADAPTATION TO JEJUNAL RESECTION AND EXTRINSIC DENERVATION: IMPLICATIONS FOR LIVING RELATED SMALL BOWEL TRANSPLANTATION
GG Tsiotos, K Bierens, J Duenes, MG Sarr
Mayo Clinic, Rochester, MN
983 THE DIFFERENTIAL EFFECT OF HEPATOCYTE GROWTH FACTOR ON INTESTINAL ADAPTATION DEPENDS ON THE TIMING OF EXPOSURE
Y. Kato, K. Alavi, D. Yu, & M.Z. Schwartz
duPont Hospital for Children, Wilmington, DE & Thomas Jefferson University, Philadelphia, PA
984 DIFFERENTIAL EXPRESSION OF LUMINAL NA+/H+ EXCHANGER ISOFORMS IN THE ILEUM FOLLOWING MASSIVE INTESTINAL RESECTION
CE Shin, M Soleimani*, H Amlal*, RA Falcone Jr, BW Warner
Children's Hospital Medical Center & * Division of Nephrology, University of Cincinnati College of Medicine, Cincinnati OH
985 INTESTINAL CELL DIFFERENTIATION IS ASSOCIATED WITH DECREASES IN STAT PROTEINS
S. Wang, B.M. Evers
Univ. of Texas Medical Branch, Galveston, Texas
986 ABDOMINAL SURGERY RESULTS IN EARLY STAT PROTEIN ACTIVATION WITHIN THE RAT INTESTINAL MUSCULARIS
J.C. Kalff, C. Hierholzer, W.H. Schraut, T.R. Billiar, D.J. Tweardy & A.J. Bauer
University of Pittsburgh, Pittsburgh, PA
987 EFFECTS OF BURN AND STARVATION ON SMALL BOWEL MUCOSAL APOPTOSIS IN RATS
M DebRoy, SE Wolf, H Ikeda, S Matin, S Rajaraman, DN Herndon & JC Thompson
Shriners Burns Institute, Galveston, Texas
988 THE CONTINENT ILEOSTOMY: LONG-TERM DURABILITY AND PATIENT SATISFACTION
Virginia R. Litle, Susan Barbour, Theodore R. Schrock and Mark L
Welton University of California, San Francisco, San Francisco, California
989 THE ROLE OF TRANSFORMING GROWTH FACTOR BETA-1 (TGF-_1) IN PERITONITIS-INDUCED ADHESIONS
A. M. Ghellai, N. Chegini, Q. Dou1, J.M. Kaseta2, J.W. Burns2, K.C. Skinner2, A. F. Stucchi & J.M. Becker
Boston University School of Medicine, Boston, MA; 2Genzyme Corporation, Cambridge, MA and 1Institute for Wound Research, University of Florida, Gainesville
990 THE SODIUM TRANSPORT-DEPENDENT ABSORPTIVE RESPONSE OF COLONIC EPITHELIUM TO PEPTIDE YY IS DECREASED IN AQUAPORIN-4 KNOCKOUT MICE
K.S. Wang, T. Ma, A.R. Komar, I Cross, A.S. Verkman, J. A. Bastidas
Stanford Univ. Sch of Med., Stanford, CA; CVRI, UCSF, San Francisco, CA
991 EFFECT OF NEOSTIGMINE ON POSTOPERATIVE COLONIC MOTILITY. COMBINED MANOMETRY/BAROSTAT RECORDINGS
M. E. Kreis, A. Huge, T. T. Zittel, M. Kasparek, G. Thiers, M. J. Starlinger, H. D. Becker, E. C. Jehle
Univ. Hospital, Dep. of Surgery, Tübingen, FRG
992 COMPARISON OF MEASUREMENT METHODS CALCULATING RECOVERY OF GASTROINTESTINAL MOTILITY FOLLOWING SURGERY
M. Ishikawa, M. Hotokezaka, M.C. Blair, B.D. Schirmer
University of Virginia Health Sciences Center, Charlottesville, VA
993 OGILVIE'S SYNDROME IN THE SURGICAL PATIENT: A NEW THERAPEUTIC MODALITY
C.R. Schermer, J.J. Hanosh, M.Davis, D.E. Pitcher
University of New Mexico, Health Sciences Center Albuquerque, NM
994 CLINICAL SUBTYPES OF CROHN'S DISEASE ACCORDING TO SURGICAL OUTCOME
S. E. Greenway, M. A. Buckmire, R. H. Rolandelli
Allegheny University of the Health Sciences, Philadelphia, PA
995 STRICTUREPLASTIES FOR COLONIC STENOSIS IN CROHN'S DISEASE
Yuji Funayama, Iwao Sasaki, Hiroo Naito, Kohei Fukushima, Chikasi Shibata, Tuyoshi Masuko, Kein-ichi Takahashi, Hitoshi Ogawa, Shun Sato, Tatsuya Ueno, Akihiko Hashimoto, & Seiki Matsuno
The First Department of Surgery, Tohoku University School of Medicine, Sendai, Japan
996 RENAL TRANSPLANT PATIENTS WITH AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE ARE AT INCREASED RISK FOR COMPLICATED DIVERTICULAR DISEASE OF THE COLON
NN Armstrong, AM D'Alessandro, JS Odorico, M Kalayoglu, HW Sollinger, SJ Knechtle
University of Wisconsin Hospital and Clinics, Madison, WI
997 DESMOID TUMOURS IN FAMILIAL ADENOMATOUS POLYPOSIS (FAP)
C. Soravia, T. Berk, R.S. McLeod, Z. Cohen
Familial Gastrointestinal Cancer Registry, Mount Sinai Hospital, University of Toronto, Toronto, Canada
998 ATTENUATED FAMILIAL ADENOMATOUS POLYPOSIS: ASSOCIATION OF AGE AND POLYP CHARACTERISTICS WITH COLORECTAL CANCER
D.R. Adams, C.A. Ternent, K.M. Lin, P. Watson, A.G. Thorson, G.J. Blatchford, M.A. Christensen, H.T. Lynch
Departments of Surgery & Preventive Medicine, Creighton University School of Medicine, Omaha, NE
999 RESULTS OF A 3-YEAR SURVEILLANCE PROGRAM OF MEMBERS OF FAMILIES WITH HEREDITARY NON-POLYPOSIS COLORECTAL CANCER
GB Rossi, M de Bellis, P Marone, PF Maione, L. Panariello*, F Petrulio, A Tempesta & P.Izzo*
Endoscopy Unit, National Cancer Institute of Naples; *Department of Molecular Biology, School of Medicine, I University of Naples, Italy
1000 CEA IS USEFUL TO DETERMINE THE NEED FOR A PREOPERATIVE CT SCAN IN PATIENTS WITH COLORECTAL CANCER
S Kelly, MA Malangoni
Case Western Reserve University, Dept. of Surgery, MetroHealth Medical Center, Cleveland, Ohio.
1001 SUPPRESSION OF ENDONUCLEASE EXPRESSION BY NONSTER-OIDAL ANTIINFLAMMATORY DRUGS (NSAID'S) IN SPORADIC COLORECTAL CANCER
M. S. Kahlenberg, C. Volpe, D. L. Stoler, N. J. Petrelli, and G.R. Anderson
Roswell Park Cancer Institute, State University of NY, Buffalo, NY
1002 IN VITRO GROWTH OF COLON TUMORS PREDICTS POORER LONG-TERM SURVIVAL
TM Farrell, OS Pettengill, DS Longnecker, K Sullivan, KH Cohn
Dartmouth-Hitchcock Medical Center, Lebanon, NH
1003 LAPAROSCOPIC TOTAL MESORECTAL EXCISION AND AUTONOMIC NERVE PRESERVATION IN A CADAVER MODEL
BL Jerby, H Kessler, PW Marcello, T Gramlich, JW Milsom. Departments of Colorectal Surgery & Pathology
The Cleveland Clinic Foundation. Cleveland, OH
1004 RECTAL CANCER: THE IMPACT OF HIGH DOSE PREOPERATIVE IRRADIATION ON DISTAL SURGICAL MARGINS
J. Marks, J. Cotter, G. Marks, M. Mohiuddin,*
Allegheny University Hospital, Philadelphia, PA; *Dept. of Radiation Medicine, University of Kentucky, Lexington, KY
1005 PREOPERATIVE CHEMORADIOTHERAPY PERMITS <1 CM DISTAL MARGIN AND SPHINCTER PRESERVATION FOR DISTAL RECTAL CANCER
B.W. Kuvshinoff. I. Magfoor. B. Miedema. J. Wilkes. S. Westgate, and D.M. Ota
University of Missouri Ellis Fischel Cancer Center and Harry S. Truman VAMC, Columbia, Missouri
1006 THE ROLE OF LAPAROSCOPY IN THE TREATMENT OF MID AND LOW RECTAL CANCER LESIONS. IS IT SAFE AND FEASIBLE?
M.E. Franklin, D. Abrego, J.E. Balli, J.P. Dorman, J.L. Glass, H. Martinez, C. Peña
Texas Endosurgery Institute, San Antonio, Texas
1007 FASCIAL CLOSURE DECREASES PORT SITE IMPLANTATION FOLLOWING LAPAROSCOPY IN A RAT PERITONEAL SEEDING MODEL
A.B. Johnson, D. Dillehay, K. Macken, G.W. Daneker, & J.G. Hunter
Emory University School of Medicine. Atlanta, GA
1008 CONTINENCE FUNCTION IN PATIENTS WITH RECTAL PROLAPSE: PRE- AND POSTOPERATIVE MANOMETRIC FINDINGS
S.M.Muehldorfer, K.E. Matzel*, U. Stadelmaier*, Th. Schneider, E.G. Hahn
University of Erlangen-Nuremberg, Germany
1009 A PUDENDAL NERVE INNERVATED SARTORIUS NEOANAL SPHINCTER. A CANINE MODEL
Denis CNK Nyam
Singapore General Hospital
1010 TOWARDS A BETTER DEFINITION OF HEMANGIOMAS OF THE RECTUM
JM Sarmiento, S. Nivatvongs, S. Zaheer
Mayo Clinic, Rochester, MN
1011 CARBOXYPEPTIDASE A ACTIVITY IN PANCREATIC CANCER AND ACUTE PANCREATITIS
P. Shamamian*, S. Marcus*, E. Deutsch*, T. Maldonado*, A. Liu_, J. Stewart_, K. Eng*, C. Gilvarg_
NYU School of Medicine, NY, NY; _Department of Molecular Biology, Princeton University, Princeton, NJ
1012 AGM-1470 REDUCES VASCULARIZATION OF THE DUCTAL PANCREATIC CARCINOMA. INTRAVITAL MICROSCOPIC OBSERVATIONS IN THE DORSAL SKIN-FOLD CHAMBER OF THE RAT: A NOVEL MODEL FOR EVALUATING ANTI-ANGIOGENETIC THERAPY
H.G. Hotz, Th. Foitzik, B. Hotz, G. Eibl, A. Menrath*, H.A. Reber°, H.J. Buhr
B. Franklin Medical Center, Freie Univ. Berlin, Germany & °UCLA School of Medicine, Los Angeles, CA, and *Schering AG, Berlin, Germany
1013 SEVERE HYPERSTIMULATION/OBSTRUCTION PANCREATITIS: A MODEL CHARACTERIZED BY ACINAR ATROPHY AND INTERSTITIAL PANCREATIC FIBROSIS
K. Murayama*, B. Barent+, A. Brooks+, M. Gruber+, S. Eliason@, E. Brunt@, G. Smith*
St. Louis University, St. Louis, MO and +Dept of Surgery, University of Nebraska Medical Center, Omaha, NE
1014 INFLUENCE OF CONTRAST MEDIUM AND OCTREOTIDE ON THE DEVELOPMENT OF PANCREATIC NECROSIS
W.Uhl
University Hospital of Bern, CH 3010 Bern, Switzerland
1015 MATRIX METALLOPROTEINASE (MMP) 2 AND 9 ACTIVITY IN EXPERIMENTAL ACUTE PANCREATITIS
S. Patel, J. Schwartz, N. Chaung, S. G. Marcus, H. L. Pachter, E. Deutsch, A. C. Galloway, K. Eng, P. Mignatti, P. Shamamian. S. Arthur
Localio Laboratory, Department of Surgery, NYU Medical Center, NY
1016 ACUTE PANCREATITIS FOLLOWING CARDIAC TRANSPLANT-ATION IS SIGNIFICANTLY INCREASED COMPARED WITH OTHER CARDIAC PROCEDURES
AJ Herline, J Debelak, CW Pinson, D Harley, W Merrill, T Starkey, R Pierson, WC Chapman
Vanderbilt University Medical Center and St. Thomas Hospital, Nashville, TN
1017 REGULATION OF PANCREATIC DUCT CELL GROWTH BY TRANSFORMING GROWTH FACTOR BETA (TGF_) IN VITRO
C. Alvarez, B.L. Bass
University of Maryland & Surgical Service, Baltimore VAMC, Baltimore, MD
1018 APOPTOSIS INHIBITION DETERIORATES THE PROGNOSIS IN PANCREATIC CANCER
H. Friess, Z. Lu1, A. Andren-Sandberg, A. Zimmermann*, G. Adler**, R. Schmid**, M.W. Büchler
University of Bern, Switzerland; **Dept of Gastroenterology, University of Ulm, Germany
1019 MAGNETIC RESONANCE IMAGING (MRI) WITH MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY (MRCP) PREDICTS RESECTABILITY AND DUCTAL ABNORMALITIES IN BENIGN AND MALIGNANT PANCREATIC DISEASE
S.N. Hochwald, M. Dobryansky, N. Rofsky, P. Shamamian, S.G. Marcus
New York University Medical Center, New York, New York
1020 THE ROLE OF POSITRON EMISSION TOMOGRAPHY (PET SCAN) IN THE DIAGNOSIS AND STAGING OF PANCREATIC CANCER
Lisa Clark*, R. Anthony Perez-Tamayo, Herb Hurwitz, Stan Branch, John Baillie, Paul Jowell, Edward Coleman, Theodore Pappas, Mary Keogan, & Douglas Tyler
Duke University Medical Center, Durham, North Carolina
1021 INTRAOPERATIVE ULTRASOUND IMPROVES DIAGNOSTIC AND THERAPEUTIC STRATEGIES DURING PANCREATIC SURGERY
R.J. Hendrickson, C.M. Schmidt, C.R. Cappadona, L.T. Tio* & J.V. Sitzmann
Georgetown University Medical Center. Washington, DC
1022 REEXPLORATION FOR PERIAMPULLARY CARCINOMA: RESECTABILITY, PERIOPERATIVE RESULTS, PATHOLOGY AND LONG-TERM OUTCOME
T A Sohn, KD Lillemoe, JL Cameron, H A Pitt, J Huang, RH Hruban, CJ Yeo
Johns Hopkins Medical Institutions, Baltimore, MD
1023 PRESUMED MALIGNANT BILIARY OBSTRUCTION DESPITE A NORMAL CT: DATA TO SUPPORT PANCREATICO-DUODENECTOMY (PD)
M Bouvet, R Bold, J Lee, P Pisters, J Abbruzzese, I Raijman, C Charnsangavej, DB Evans
University of Texas M. D. Anderson Cancer Center, Houston, TX
1024 DELAYED GASTRIC EMPTYING OCCURS AFTER BOTH CLASSICAL AND PYLORUS-PRESERVING WHIPPLE PROCEDURE
A Andrén-Sandberg, M Wagner, HU Baer, W Uhl, H Friess & MW Büchler
University Hospital of Bern, Switzerland
1025 QUALITY OF LIFE DURING THE FIRST YEAR AFTER PPPD FOR PERIAMPULLARY CARCINOMA
E.J.Nieveen van Dijkum1, C.B. Terwee2, J.H.vd Meulen2, H.C. de Haes3, J.J.B. van Lanschot1, D.J. Gouma1
Epidemiology2 and Medical Psychology3, Academic Medical Center, Amsterdam, The Netherlands
1026 THE IMPACT OF SPLENECTOMY ON OUTCOME AFTER RESECTION OF PANCREATIC ADENOCARCINOMA
R.E. Schwarz, L.E. Harrison, D.S. Klimstra, M.F. Brennan
City of Hope National Medical Center, Duarte, CA, & Memorial Sloan-Kettering Cancer Center, New York, NY
1027 THE EFFECT OF AN EICOSAPENTAENOIC ACID-ENRICHED NUTRITIONAL SUPPLEMENT IN WEIGHT-LOSING PATIENTS WITH ADVANCED PANCREATIC CANCER
M.D. Barber, J.A. Ross, K.C.H. Fearon, A.C. Voss
Royal Infirmary, Edinburgh, Scotland, UK
1028 CANCER OF THE PAPILLA (AMPULLA) OF VATER: CLINICO-PATHOLOGICAL AND MOLECULAR FACTORS INFLUENCING SURVIVAL AND TREATMENT
C Iacono1, A Scarpa2, G Zamboni2, G Verlato3, L Bortolasi1, A Baron2, G Serio1
University of Verona, Italy
1029 THE ROLE OF INTRAOPERATIVE INSULIN MONITORING IN SURGICAL MANAGEMENT OF INSULINOMA
K. Amikura, R. Nakamura, K. Arai, M. Kobari, S. Matsuno
Tohoku University School of Medicine, Sendai, Japan
1030 TREATMENT WITH ANTI-INTERLEUKIN-12 MONOCLONAL ANTIBODY ALLEVIATES ACUTE REJECTION OF MOUSE ISLET ALLOGRAFTS
Y.Wada, K.Arai, M. Sunamura, M.Kobari, & S.Matsuno
Tohoku University School of Medicine, Sendai, Japan
1031 GENERATION OF A TISSUE SPECIFIC TRANSGENIC MOUSE MODEL USING CRE RECOMBINASE LINKED TO AN INSULIN PROMOTER
M.K. Ray, F.J. DeMayo, F.C. Brunicardi
Baylor College of Medicine, Houston, TX
1032 ANTITHROMBIN III REDUCES LEUKOCYTE-ENDOTHELIAL INTER-ACTION AFTER WARM HEPATIC ISCHEMIA IN RATS
Sasa-Marcel Maksan, Martha Maria Gebhard_, Marc-Oliver Maksan*, Christian Herfarth, Ernst Klar
University of Heidelberg, Department of Neurosurgery*, University of Bonn, Germany
1033 ARTERIAL EMBOLISATION SIGNIFICANTLY IMPROVES THE HYPERTHERMIC EFFECT OF LASER-INDUCED THERMO-THERAPY IN LIVER METASTASIS IN RATS
D. Albrecht, C. Germer, C. Isbert, A. Roggan, HP. Ritz, D. Schuppan and H.J. Buhr
Medical Center Benjamin Franklin, Freie Universität Berlin, Germany
1034 PRECONDITIONING PROTECTS AGAINST ISCHEMIA-REPERFUSION INJURY OF THE LIVER
B. Nilsson, B. Gustafsson, S. Friman, D. Delbro
Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden
1035 DEFINITIVE TREATMENT OF GIANT HEPATIC HEMANGIOMAS: ENUCLEATION VERSUS RESECTION
JF Buell, LB Johnson, PC Kuo, JS Plotkin, R Gedaly-Eidelman, WD Lewis, RL Jenkins
University of Maryland, School of Medicine, Baltimore, Maryland, Beth Israel-New England Deaconess, Harvard Medical School, Boston, Massachusetts
1036 DO HEPATIC RESECTIONS NEED TO BE PERFORMED AT HIGH-VOLUME REFERRAL CENTERS?
William P. Reed, M.D.,Beth A. Halla, R.N., Jane L. Garb
Baystate Medical Center, Springfield, MA
1037 PROGNOSTIC FACTORS AFTER HEPATECTOMY FOR HEPATO-CELLULAR CARCINOMA
H. Lau, S.T. Fan, I. Ng1, J. Wong
Departments of Surgery & Pathology1, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China
1038 EFFECT OF AN INITIAL POSITIVE MARGIN ON THE PROGNOSIS OF PATIENTS UNDERGOING LIVER RESECTION FOR HEPATOCELLULAR CARCINOMA
G.R. Huffman, A. Uzar, M.A. Choti
Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, MD
1039 LIVER RESECTION FOR NONCOLORECTAL NONNEURO-ENDOCRINE HEPATIC METASTASES
T. D.Sielaff, B. Langer, T. Van der Meer, B.R. Taylor, P.D. Greig, S. Gallinger, A.W. Hemming
University of Toronto. Toronto, Ontario, Canada
1040 APPLICATION OF LIVING-RELATED AND SPLIT-LIVER TRANSPLANTA-TION TO ADULTS: AN ANATOMIC STUDY
P.R. Reichert, J.F. Renz, R.C. Lim, J.P. Roberts, and N.L. Ascher
University of California, San Francisco, CA
1041 BILIARY CYSTADENOMA: AN ONGOING DIAGNOSTIC CHALLENGE
T.J. VanderMeer, T.D. Sielaff, A. Blumenfeld, B.R. Taylor, & B. Langer
The Toronto Hospital and the University of Toronto. Toronto, CANADA
1042 EFFECTIVE TOXIN GENE EXPRESSION VIA ADENOVIRAL INFECTION OF HUMAN CHOLANGIOCARCINOMA CELLS IN THE PRESENCE OF HUMAN BILE
L.C. Pederson, D.J. Buchsbaum, M.A. Stackhouse, D.T. Curiel and S.M. Vickers
University of Alabama at Birmingham. Birmingham AL
1043 IL-1_ STIMULATES MUCUS SECRETION IN GALLBLADDER EPITHELIAL CELLS
C.H. Cheung, J.B. Prystowsky, E.W. Moore, R.V.Rege
Northwestern University Medical School. Chicago, IL and Medical College of Virginia, Richmond, VA
1044 ANION EXCHANGER AE-2 MEDIATES CHLORIDE TRANSPORT BY GALLBLADDER EPITHELIUM
A. J. Moser, K. Graf, Z. R. Abedin, K. E. Morgenstern, P. R. Smith, J.J. Roslyn, M. Z. Abedin
Allegheny University of the Health Sciences, and Research Services, Phila VAMC, Philadelphia, PA
1045 IRON DEFICIENCY INHIBITS GALLBLADDER MOTILITY
K.P.Murray, J.H. Shin, M.K.Fox-Talbot, S.M. Johnston, P.A.Lipsett, K.D. Lillemoe and H.A.
Pitt. Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, MD and Medical College of Wisconsin, Milwaukee, WI
1046 MANAGEMENT OF DUODENAL PERFORATION AFTER ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY. M. V
Stapfer, R. Yang, N. Jabour, S. C. Stain, R. Selby, & D. Garry
University of Southern California, Los Angeles, CA
1047 ERCP-ASSOCIATED DUODENAL PERFORATION USUALLY CAN BE TREATED NON-OPERATIVELY
R.B. Claytor#, F.J. Vittimberga#, M. Malik#, J. Saltzman+, P. Krims+, M.P. Callery#, R.S. Swanson#
University of Massachusetts Medical Center. Worcester, Massachusetts
1048 INTRA-OPERATIVE BILIARY MANOMETRY IN THE EVALUATION OF CHRONIC ACALCULOUS CHOLECYSTITIS
Scott W. Lucas & Maurice E. Arregui
St. Vincent Hospital and Health Center, Indianapolis, IN
1049 WHAT MAKES FOR A SATISFIED PATIENT THREE MONTHS AFTER CHOLECYSTECTOMY? AN OUTCOME ANALYSIS OF 1325 PATIENTS
L. W. Traverso, R. Lonborg, L. F. Fenster
Virginia Mason Clinic, Seattle, WA
1050 MINI-LAPAROSCOPIC CHOLECYSTECTOMY: EVALUATING A NEW APPROACH
PR Reardon, JI Kamelgard, BA Applebaum, FC Brunicardi
Baylor College of Medicine, Houston, Texas
1051 PREOPERATIVE ERCP IS MORE COSTLY THAN INTRAOPERATIVE OR POSTOPERATIVE ENDOSCOPIC AND SURGICAL TECHNIQUES IN THE MANAGEMENT OF CHOLEDOCHOLITHIASIS
JW Hazey, LM Rock, JM Marks, D Asseff, JL Ponsky
Case Western Reserve University, Cleveland, OH
1052 CHOLANGIOGRAPHY DURING LAPAROSCOPIC CHOLECYST-ECTOMY: CUMULATIVE SUM ANALYSIS OF AN INSTITUTIONAL LEARNING CURVE
M. Molloy, S.B. Archer, P.O. Hasselgren, B.J. Dalton, and R.H. Bower
VA Medical Center, Cincinnati, OH
1053 DECLINING RATE OF COMMON BILE DUCT OPERATIONS: A STATE-WIDE, FIVE-YEAR TIME-SERIES ANALYSIS
T Huynh, R. Rutledge, J.S. Guy & C.C. Baker
University of North Carolina, Chapel Hill, North Carolina
1054 S4B+S5 RESECTION WITH TOTAL CAUDATE LOBECTOMY USING TAJ MAHAL LIVER INCISION FOR CARCINOMA OF THE BILIARY TRACT
Y.Kawarada, M.Tabata, K.Yamagiwa, H.Taoka, S.Isaji, H.Yokoi, Y. Ogura & T.Noguchi
Mie Univ School of Medicine, Japan
1055 C3A, ENDOTOXIN AND ENDOTOXIN-NEUTROLIZING CAPACITY AS PREDICTORS OF SURVIVAL IN PERITONITIS
T. Brückner, R Urbaschek*, E Klar, Ch. Herfarth
University of Heidelberg, Germany; Dept. of Microbiology*, University of Mannheim, Germany
1056 THE THORACIC DUCT IS NOT A MAJOR ROUTE OF BACTERIAL TRANSLOCATION IN PATIENTS WITH MULTIPLE ORGAN FAILURE
L.C.J.M. Lemaire,1,2 J.J.B. van Lanschot,1 C.P Stoutenbeek,3 S.J.H. van Deventer,2 J. Dankert,4 D.J. Gouma1
Depts. of Surgery,1 Intensive Care Medicine,3 and Microbiology4 and the Laboratory for Experimental Internal Medicine2, Academic Medical Centre, Amsterdam, The Netherlands
1057 ARE STAPLED ANASTOMOSES IN GI SURGERY JUSTIFIED?
K.A. Gawad, J.R. Izbicki, S.B. Hosch, S. Quirrenbach, W.T. Knoefel, H.-U. Küpper*, C.E. Broelsch

University of Hamburg and Institute of Controlling*, Universitiy of Munich, Germany
1058 LAPAROSCOPIC BOWEL RESECTION IN CROHN'S PATIENTS OFFERS MANY ADVANTAGES OVER OPEN SURGERY
M.F. Kutka, M.A. Talamini, H. Kaufman, B.K. Poulose, R.C. Moesinger
Johns Hopkins Medical Institutions, Baltimore, Maryland
1059 INTERVAL APPENDECTOMY IN THE LAPAROSCOPIC ERA
DB Nguyen, W Silen, & RA Hodin
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
1060 RETROPERITONEAL AND MESENTERIC CYST: CHARACTERISTICS AND SURGICAL MANAGEMENT
B.K. Poulose, M.F. Kutka, M.A. Talamini, K.D. Lillemoe, & J.L. Cameron
Johns Hopkins University School of Medicine. Baltimore, Maryland
1061 TPN AFFECTS HUNGER BUT NOT SATIETY IN FEMALE RATS
V. Kotha, M. Varma, Z -J Yang, C. Chen, and M.M.Meguid
Surgical Metabolism & Nutrition Laboratory, Syracuse, NY
1062 ABDOMINAL TUBERCULOSIS
Ömer Alabaz, MD, Alper Akinoglu, MD
University of Çukurova, Department of General Surgery, Adana, Turkey
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