Postgraduate Course (202AB)

Systematic Reviews Of Pancreaticobiliary Disease Customized for the Gastroenterologist and Gastrointestinal Surgeon
Course Director: L. William Traverso, Virginia Mason Clinic, Seattle, WA

Welcome and Course Rules for Systematic Reviews
L. William Traverso, Virginia Mason Clinic, Seattle, WA

Session I: Systematic Reviews And Evidence-Based Medicine
Moderators: Barbara L. Bass, The Methodist Hospital, Houston, TX
L. William Traverso, Virginia Mason Clinic, Seattle, WA

The Rules of Evidence Based Medicine: Can They Be Generalized to Improve the Procedures of the GI Surgeon?
Jonathan L. Meakins, Nuffield Department of Surgery, Headington, Oxford, England

How Evidence-Based Medicine Has Helped the Gastroenterologist
Nicholas J. Shaheen, University of North Carolina School of Medicine, Chapel Hill, NC

How to Rapidly Find the Best Evidence for the Busy Clinician
Kim R. Pittenger, Virginia Mason Clinic, Kirkland, WA

Session II: Gallstones
CBD Stones Discovered During Cholecystectomy: Intraoperative Versus Delayed Endoscopic Removal?

Moderators:

Henry A. Pitt, Indiana University School of Medicine, Indianapolis, IN Nathaniel J. Soper, Northwestern University, Chicago, IL

The Strength of the Evidence
James Toouli, Flinders Medical Centre, Bedford Park, Adelaide, South Australia

Interpretation
Edward H. Phillips, Cedars-Sinai Medical Center, Los Angeles, CA

Session II: Gallstones
Early ERCP For Gallstone Pancreatitis: For Whom And When?

Moderators:

Kevin E. Behrns, University of Florida, Gainesville, FL John G. Hunter, Oregon Health and Sciences University, Portland, OR

The Strength of the Evidence
Stanley W. Ashley, Brigham & Women's Hospital, Boston, MA

Interpretation
David Carr-Locke, Brigham & Women's Hospital, Boston, MA

Session III: Pancreatitis
Necrotizing Pancreatitis: Percutaneous, Minimally Invasive, Or Open Necrosectomy?

Moderators:

Edward L. Bradley, III, Florida State University College of Medicine, Sarasota, FL Mehran Fotoohi, Virginia Mason Clinic, Seattle, WA

The Strength of the Evidence
Eric vanSonnenberg, St Joseph's Hospital, Phoenix, AZ

Interpretation
Thomas J. Howard, Indiana University Medical Center, Indianapolis, IN

Session III: Pancreatitis
Treatment Of Chronic Pancreatitis: Endotherapy And Surgery

Moderators:

Hans G. Beger, University of Ulm, Ulm, Germany L. William Traverso, Virginia Mason Clinic, Seattle, WA

The Strength of the Evidence
Jacques Deviere, Erasme Hospital, Brussels, Belgium

Interpretation
Richard H. Bell, American Board of Surgery, Philadelphia, PA

Session IV: Pancreatic Neoplasms
Natural History Of IPMN

Moderators:

Keith D. Lillemoe, Indiana University School of Medicine, Indianapolis, IN Howard A. Reber, UCLA Medical Center, Los Angeles, CA

The Strength of the Evidence
Claudio Bassi, Hospital G.B. Rossi, University of Verona, Verona, Italy

Interpretation
Michael G. Sarr, Mayo Clinic, Rochester, MN

Session IV: Pancreatic Neoplasms
Pancreatic Cancer Of The Head Of The Gland: Extended Resection To Balance Survival With QOL

Moderators:

Gerard V. Aranha, Loyola University Medical Center, Maywood, IL Fabrizio Michelassi, Weill Medical College, New York, NY

The Strength of the Evidence
Michael B. Farnell, Mayo Clinic, Rochester, MN

Interpretation
Yuji Nimura, Nagoya University School of Medicine, Nagoya, Japan

Session IV: Pancreatic Neoplasms
Adjuvant Therapy For Resected Pancreatic Cancer

Moderators:

Peter W.T. Pisters, M.D., Anderson Cancer Center, Houston, TX Selwyn M. Vickers, University of Minnesota, Minneapolis, MN

The Strength of the Evidence
Vince Picozzi, Virginia Mason Medical Center, Seattle, WA

Interpretation
Steven M. Strasberg, Barnes Hospital, St. Louis, MO

Session IV: Pancreatic Neoplasms
Decompression Of Malignant Biliary Obstruction: PTBD, Endostents, Or Open Biliary Drainage?

Moderators:

David Carr-Locke, Brigham & Women's Hospital, Boston, MA Sean J. Mulvihill, University of Utah Hospital, Salt Lake City, UT

The Strength of the Evidence
Richard Kozarek, Virginia Mason Medical Center, Seattle, WA

Interpretation
Mark P. Callery, Beth Israel Deaconess Medical Center, Boston, MA

Opening Session (202A)
Moderator: L. William Traverso, Virginia Mason Clinic, Seattle, WA

Welcome and introduction of new members, announcements of SSAT scholarship awards, reports from the SSAT Foundation, recognition of the Foundation donors, and conferment of the Founders Medal.

Presidential Plenary (Plenary Session I) 202A
Moderator: Richard H. Bell, American Board of Surgery, Philadelphia, PA

O1 Trends and Disparities in Regionalization of Pancreatic Resection
Taylor S. Riall^*1, Courtney M. Townsend¹, Jean L. Freeman², William H. Nealon^1
1Surgery, University of Texas Medical Branch, Galveston, TX; ²Internal Medicine, University of Texas Medical Branch, Galveston, TX
View Video Presentation with Slides (19.6 MB)

O2 Racial and Geographic Disparities in the Utilization of Surgical Therapy for Hepatocellular Carcinoma
Christopher J. Sonnenday^*1, Justin B. Dimick¹, Richard D. Schulick², Michael A. Choti^2
1Department of Surgery, University of Michigan, Ann Arbor, MI; ²Department of Surgery, Johns Hopkins University, Baltimore, MD
View Video Presentation with Slides (20.6 MB)

O3 Umbilical Herniorrhapy in Patients with Cirrhosis: Improved Outcomes with Elective Repair
Stephen H. Gray^*1,2, Catherine C. Vick^1,3, Laura a. Graham³, Kelly R. Finan^1,3, Leigh A. Neumayer^4,5, Mary T. Hawn^1,3
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL; ²Health Services & Outcomes Research Training Program, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL; ³Deep South Center on Effectiveness, Birmingham Veterans Affairs Medical Center, Birmingham, AL; ⁴Department of Surgery, University of Utah, Salt Lake City, UT; ⁵Surgery, Salt Lake City VA Healthcare System, Salt Lake City, UT
View Video Presentation with Slides (14.6 MB)

O4 Risk of Malignancy in Resected Cystic Tumors of the Pancreas < 3 Cm in Size: Is It Safe to Observe Asymptomatic Patients? A Multi-Institutional Report
Cheong Lee^*1, Michelle Anderson¹, Oscar J. Hines², H. A. Reber², Michael L. Kochman³, P. J. Foley³, Jeffrey A. Drebin³, D. OH3, Gregory G. Ginsberg³, N. Ahmad³, Nipun Merchant⁴, J. Isbell⁴, A. Parikh⁴, James Scheiman¹, Diane Simeone^1
1University of Michigan, Ann Arbor, MI; ²UCLA Medical Center, Los Angeles, CA; ³University of Pennsylvania Medical Center, Philadephia, PA; ⁴Vanderbilt Medical Center, Nashville, TN
View Video Presentation with Slides (16.4 MB)

SP1 Introduction
Richard H. Bell, American Board of Surgery, Philadelphia, PA
View Video Presentation with Slides (60 MB)

SP2 Adjusting the Art and the Science of Surgery
L. William Traverso, Virginia Mason Clinic, Seattle, WA
View Video Presentation with Slides (104 MB)

Plenary Session II (202A)
Moderator: L. William Traverso, Virginia Mason Clinic, Seattle, WA

5. Pancreatic Fistula After Pancreaticoduodenectomy in 1507 Patients. Updated Report from an International Web-Based Case Registry.
Kaye M. Reid Lombardo^*2, Matthew Barnett¹, Stefano Crippa³, Michael Farnell², Claudio Bassi³, L. William Traverso^1
1Surgery, Virginia Mason Clinic, Seattle, WA; ²Surgery, Mayo Clinic, Rochester, MN; ³Surgery, University of Verona, Verona, Italy
View Video Presentation with Slides (20.8 MB)

6. Suboptimal Weight Loss After Gastric Bypass Surgery: Correlation of Demographics, Co-Morbidities, and Insurance Status with Outcomes
Genevieve B. Melton*, Kimberly E. Steele, Michael a. Schweitzer, Anne O. Lidor, Thomas H. Magnuson
Surgery, Johns Hopkins Medical Institutions, Baltimore, MD
View Video Presentation with Slides (17.6 MB)

7 Esophagectomy; It's Not Just About Mortality Anymore: Standardized Peri-Operative Clinical Pathways Improve Outcomes in Patients with Esophageal Cancer
Donald E. Low*
Surgery, Virginia Mason Medical Center, Seattle, WA
View Video Presentation with Slides (21.8 MB)

Guest Oration (202A)

SP3 Surgical Education to Improve the Quality of Patient Care: The Role of Practice-Based Learning and Improvement
Ajit K. Sachdeva, American College of Surgeons, Chicago, IL
View Video Presentation with Slides (58.5 MB)

Poster Session (Hall E)
Authors available at their posters to answer questions 12 PM – 2 PM; posters on display 8 AM – 5 PM.

Meet-The-Professor Luncheons

SP4 Contemporary Mangement of Esophageal Cancer (154)
Jeffrey H. Peters, University of Rochester Medical Center, Rochester, NY

SP5 Laparoscopic Colorectal Surgery Video Luncheon: Getting In and Out of Trouble (206)
Tonia M. Young-Fadok, Mayo Clinic, Scottsdate, AZ

SP6 New Surgical Strategies in Chronic Pancreatitis (140)
Jeffrey B. Matthews, University of Chicago, Chicago, IL

SP7 What a Non-Bariatric Surgeon Should Know about Bariatric Surgery (158)
Michael G. Sarr, Mayo Clinic, Rochester, MN

DDW Combined Clinical Symposia
Natural Orifice Transluminal Endoscopic Surgery (NOTES) (Ballroom AB)
Sponsored by: AGA, ASGE, SSAT

Moderators:

Robert Hawes, Medical University of South Carolina, Charleston, SC David W. Rattner, Massaschusetts General Hospital, Boston, MA

SP8 What Needs to Happen to Get NOTES "Accepted" (Hospitals, Physicians, and Payors)
Anthony N. Kalloo, Johns Hopkins University, Baltimore, MD

SP9 Towards Creating a Vision for Training the NOTES
Jeffrey L. Ponsky, Case Western Reserve, Cleveland, OH

SP10 Speculation on the Potential Impact of NOTES
C. Daniel Smith, Emory University, Atlanta, GA

SP11 What Are the Critical Tools to Make NOTES a Reality?
Christopher C. Thompson, Brigham and Women's, Boston, MA

Multidisciplinary Approaches To Occult GI Bleeding (Ballroom C)
Sponsored by: SSAT, AGA, ASGE

Moderators:

John C. Bowen, III, Ochsner Clinic, New Orleans, LA Lauren Gerson, Stanford University, Stanford, CA

SP12 Overview of Obscure GI Bleeding: Common and Rare Causes
Thomas O. Kovacs, UCLA Medical Center, Los Angeles, CA

SP13 Double Balloon and Capsule Enteroscopy
Lauren B. Gerson, Stanford University School of Medicine, Stanford, CA

SP14 Radioisotope Scans and Angiography
William Kuo, Stanford University School of Medicine, Stanford, CA

SP15 Intraoperative Localization
George Fuhrman, Atlanta Medical Center, Atlanta, GA

Plenary Session III (202B)

Moderators:

Jonathan F. Critchlow, Beth Israel Deaconess Medical Center, Boston, MA Craig P. Fischer, The Methodist Hospital, Houston, TX

8. High Resolution Anoscopy in the Planned Staged Treatment of Anal High-Grade Squamous Intraepithelial Lesions (HSIL) in HIV Negative Patients
Carlos E. Pineda^*1, J. Michael Berry², Naomi Jay², Joel M. Palefsky², Mark L. Welton^1
1Department of Surgery, Stanford University, Stanford, CA; ²Department of Medicine, University of California San Francisco, San Francisco, CA

9. Expanded Adipose-Derived Stem Cells (Cx401) for the Treatment of Complex Perianal Fistula. A Phase II Clinical Trial
Damián García-Olmo^*1, D. Herreros¹, I. Pascual¹, J. Pascual², E. Del Valle³, J. Zorrilla³, P. De La Quintana¹, M. García-Arranz¹, M. GonzáLez⁴, J. Alemany⁴, G. Fernández⁴, I. Portero⁴, M. Pascual^4
1Cellular & Reparative Medicine, Universidad Autonoma (Madrid). La Paz University Hospital- Surgery Department, Madrid, Spain; ²12 de Octubre University Hospital, Madrid, Spain; ³Gregorio Marañón University Hospital, Madrid, Spain; ⁴Cellerix S.L., Madrid, Spain

10. Management of Malignant Rectal Polyps by Transanal Excision Following Endoscopic Removal
Marcovalerio Melis^*1, Peter E. Darwin², Cinthia Drachenberg³, Gruel Renee⁴, David Shibata^1
1Division of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center, Tampa, FL; ²Gastroenterology, University of Maryland School of Medicine, Baltimore, MD; ³Pathology, University of Maryland School of Medicine, Baltimore, MD; ⁴Division of Surgical Oncology, University of Maryland School of Medicine, Baltimore, MD

11. Comparison of Laparoscopic Versus Open Sigmoid Colectomy for Benign and Malignant Disease at Academic Medical Centers
Zurri A. Murrell*, Marcelo W. Hinojosa, Viken Konyalian, Steven Mills, Ninh T. Nguyen, Michael J. Stamos
Surgery, University of California, Irvine Medical Center, Orange, CA

12. Targeting MEK Is Effective Chemoprevention of Hepatocellular Carcinoma in TGF-a Transgenic Mice
Sabrina C. Wentz^*1, Huangbing Wu¹, Michele T. Yip-Schneider^1,2, Matthew E. Hennig¹, Patrick Klein^1,3, Judith Sebolt-Leopold⁵, C. Max Schmidt^1,4
1Surgery, Indiana University School of Medicine, Indianapolis, IN; ²Indiana University Cancer Center, Indianapolis, IN; ³Pharmacology and Toxicology, Indiana University School of Medicine, Indianapolis, IN; ⁴Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN; ⁵Pfizer Pharmaceuticals, Indianapolis, IN

13. Granulocyte Macrophage Colony Stimulating Factor (GM-CSF) Transfected Whole Cell Vaccine Impedes the Development of Esophageal Cancer in Rats with Infiltration by CD4 and CD8 Positive Cells
Tomoharu Miyashita^*1, Todd D. Armstrong², Jiaai Wang¹, Furhawn Shah¹, Michael K. Gibson³, Kiyoshi Yoshimura³, Xianji Zhang¹, Guy Marti¹, Mark Duncan¹, Elizabeth A. Montgomery⁴, Elizabeth M. Jaffee², John W. Harmon^1
1Surgery, Johns Hopkins University, Baltimore, MD; ²Hematology/Oncology, Johns Hopkins University, Baltimore, MD; ³Oncology, Johns Hopkins University, Baltimore, MD; ⁴Pathology, Johns Hopkins University, Baltimore, MD

14. Return of Esophageal Function After Treatment for Achalasia As Determined by Impedance-Manometry
Roger P. Tatum^*1,2, Jamie a. Wong¹, Edgar J. Figueredo¹, Valeria Martin¹, Brant K. Oelschlager^1
1Department of Surgery, University of Washington, Seattle, WA; ²Department of Surgery, VA Puget Sound Health Care System, Seattle, WA

15. Clinical Impact of Lymphadenectomy Extent in Resectable Esophageal Cancer
Roderich E. Schwarz^*1, David D. Smith^2
1Dept. of Surgery, UMDNJ-RWJMS, CINJ, New Brunswick, NJ; ²Biostatistics, City of Hope Cancer Center, Duarte, CA

16. Clarithromycin Resistance, TNF-a Gene Polymorphism and Mucosal Inflammation Affect H. Pylori Eradication Success
Carlo-Federico Zambon¹, Michela Fasolo³, Daniela Basso³, Anna D'Oddorico⁴, Alessia Stranges³, Filippo Navaglia³, Paola Fogar1, Eliana Greco², Stefania Schiavon³, Alessandra Falda³, Andrea Padoan³, Elisa Fadi³, Giancarlo Sturniolo⁴, Sergio Pedrazzoli^*1, Mario Plebani^2,3
1Medical and Surgical Sciences, University of Padova, Padova, Italy; ²Department of Diagnostic Sciences and Special Therapies, University of Padova, Padova, Italy; ³Department of Laboratory Medicine, University of Padova, Padova, Italy; ⁴Department of Gastroenterological and Surgical Sciences, University of Padova, Padova, Italy

17. Role of TGF-Beta1 and IGF-1 in Crohn's Disease Recurrence After Ileo-Colonic Resection
Marco Scarpa¹, Marina Bortolami², Susan L. Morgan³, Andromachi Kotsafti², Stefania Ferraro¹, Cesare Ruffolo¹, Renata D'Incà², Lino Polese¹, Michela Barollo², Davide F. D'Amico¹, Giacomo C. Sturniolo², Imerio Angriman^*1
1Clinica Chirurgica I, Dipartimento di Scienze Chirurgiche e Gastroenterologiche, University of Padova, Padova, Italy; ²Gastroenterologia, Dipartimento di Scienze Chirurgiche e Gastroenterologiche, University of Padova, Padova, Italy; ³Department of Pathology, Institute for Cancer Studies, Birmingham Medical School, University of Birmingham, Birmingham, United Kingdom

18. Detection of Micrometastases in Peritoneal Washings of Pancreatic Cancer Patients by Quantitative Real Time Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)
Kimberly M. Dalal^*1,2, Yanghee Woo², Charles Galanis², Mithat Gonen³, Peter J. Allen², Ronald P. Dematteo², Yuman Fong², Daniel G. Coit^2
1Surgery, David Grant USAF Medical Center, Travis AFB, CA; ²Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY; ³Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY

SSAT/AGA/ASGE State-Of-The-Art Conference (202A)
Management Of Cystic Lesions Of The Pancreas
Moderator: Diane M. Simeone, University of Michigan, Ann Arbor, MI

SP15 Classification, Pathology, and Natural History
N. Volkan Adsay, Wayne State University School of Medicine, Detroit, MI

SP16 Diagnosis: Radiographic Imaging, EUS, and Fluid Analysis
James M. Scheiman, University of Michigan, Ann Arbor, MI

SP17 Management of Serous Cystadenomas
Jennifer F. Tseng, University of Massachusetts Memorial Medical Center, Worcester, MA

SP18 Management of MCN
Carlos Fernandez-del Castillo, Massachusetts General Hospital, Boston, MA

SP19 Management of IPMN
Michael B. Farnell, Mayo Clinic, Rochester, MN

Case Presentations

Q&A

DDW Combined Clinical Symposium (Ballroom AB)
Portal Hypertension: Is There Any Role For Surgical Shunts Or Banding?
Sponsored by: SSAT, AASLD, AGA

Moderators:

Layton F. Rikkers, University of Wisconsin Clinical Science Center, Madison, WI Gaudalupe Garcia-Tsao, Yale University School of Medicine, New Haven, CT

SP20 Primary Prophylaxis of Variceal Bleeding: Drugs or Banding?
Roberto J. Groszmann, Yale University, West Haven, CT

SP21 Secondary Prophylaxis of Variceal Bleeding: Drugs and/or Banding?
Roberto DeFranchis, University of Milan, Milan, Italy

SP22 Is There a Role for Surgical Shunts?
J. Michael Henderson, Cleveland Clinic, Cleveland, OH

SP23 When Should TIPS Be Used?
Thomas D. Boyer, University of Arizona, Tucson, AZ

Video Breakfast Session (202A)

Moderators:

Attila Nakeeb, Indiana University, Indianapolis, IN Aurora D. Pryor, Duke University School of Medicine, Durham, NCs

V1 Gastric Ischemic Conditioning Prior to Laparoscopic and Thoracoscopic Ivor-Lewis Esophagectomy
Esteban Varela^*1, Ninh T. Nguyen^2
1Surgery, University of Texas Southwestern, Dallas, TX; ²Surgery, University of California Irvine, Orange, CA

V2 Laparoscopic Repair of Esophageal Diverticulum
Murali N. Naidu*, Alfred Trang, Barry Salky, Daniel M. Herron
Division of Laparoscopic Surgery, The Mount Sinai School of Medicine, New York, NY

V3 Laparoscopic Distal Gastrectomy with a Billroth I Reconstruction for a Non-Healing Benign Gastric Ulcer
Kfir Ben-David*, Dana Portenier, Aurora D. Pryor
Surgery, Duke University, Durham, NC

V4 Laparoscopic Proctocolectomy with Inter-Sphincteric Disection and Specimen Extraction
Daniel Lawes*, Kevin Huguet, Tonia Young-Fadok, Jonathan E. Efron
Colon and Rectal Surgery, Mayo Clinic, Scottsdale, AZ

V5 Endoluminal Surgery: Transanal Endoscopic Microsurgery of a uT0 Lesion of the Mid-Rectum
John Marks*, Daniel Hunt, Lauren Kosinski, Hsiao-Ling Shen, Gerald Marks
Lankenau Hospital and Institute for Medical Research, Wynnewood, PA

V6 Notes for NOTES: How Conventional Endoscopic Instruments Work for Endoabdominal Surgery
Luca Milone², Marc Bessler², Michael Smith¹, Evran Durak², Nancy Hogle², Dennis L. Fowler², Peter D. Stevens^*1
1Medicine-GI, Columbia University Medical Center, New York, NY; ²Surgery, Columbia University Medical Cener, New York, NY

V7 Laparoscopic Pancreatic Phlegmon Debridement
Peter M. Denk*, Paul D. Hansen, Lee L. Swanstrom
Gastrointestinal and Minimally Invasive Surgery, Legacy Health System, Portland, OR

V8 Pancreaticoduodenectomy for Cancer: Technical Aspects of the Retroperitoneal Soft Tissue Dissection to Maximize a Negative Surgical Margin
Thomas J. Howard*, Nicholas J. Zyromski
Indiana Univ Med Ctr, Indianapolis, IN

DDW Combined Clinical Symposium (Ballroom B)
Endoscopy In Inflammatory Bowel Disease
Sponsored by: AGA, ASGE, SSAT

Moderators:

Asher Kornbluth, Mount Sinai School of Medicine, New York, NY Judy Collins,Oregon Health and Science University, Portland, OR

SP24 Ilecolonoscopy in IBD: Visual Pearls and Pitfalls
Asher Kornbluth, Mount Sinai School of Medicine, New York, NY

SP25 Is Dysplasia Visible?
David T. Rubin, University of Chicago, Chicago, IL

SP26 New Endoscopic Technologies for IBD
Jonathan A. Leighton, Mayo Clinic, Scottsdale, AZ

Public Policy Committee Panel (201)
Economics Of Bariatric Surgery Costs And Benefits

Moderator: C. Daniel Smith, Mayo Clinic, Jacksonville, FL

SP27 Bariatric Surgery Outcomes: The Economic Impact
Matthew M. Hutter, Massachusetts General Hospital, Boston, MA

SP28 Bariatric Surgery Accreditation: Accrediting the Center
Bruce D. Schirmer, University of Virginia Medical Center, Charlottesville, VA

SP29 Bariatric Surgery Accreditation: Accrediting the Surgeon
Philip R. Schauer, Cleveland Clinic Foundation, Cleveland, OH

SP30 The Successful Practice
Edward L. Felix, California Institute of Minimally Invasive Surgery, Fresno, CA

Panel Discussion

SSAT/AHPBA Joint Symposium (202B)
Sclerosing Cholangitis
Moderator: Sean J. Mulvihill, University of Utah, Salt Lake City, UT

SP31 Etiology and Epidemiology
Konstantinos N. Lazaridis, Mayo Clinic College of Medicine, Rochester, MN

SP32 Detection of Cancer in Strictures
Richard D. Schulick, Johns Hopkins Medical Institutions, Baltimore, MD

SP33 Surgical Approaches to Strictures
Steven A. Ahrendt, University of Pittsburgh, Pittsburgh, PA

SP34 Liver Transplantation
William C. Chapman, Washington University, St. Louis, MO

Panel Discussion

Plenary Session IV (202A)

Moderators:

Taylor S. Riall, University of Texas Medical Branch, Galveston, TX Frank S. Rotolo, Finney Trimble & Associates PA, Lutherville, MD

19. Interdisciplinary Management of Pediatric Intestinal Failure: A 10-Year Review of Rehabilitation and Intestinal Transplantation
Anita Nucci^*1,2, Cartland Burns^5,2, Kristyn Lowery², Tichianaa Armah⁴, Sharon Strohm^1,2, Geoffrey Bond³, George V. Mazariegos^3,2, Robert H. Squires^6,2
1Clinical Nutrition, Children's Hospital of Pittsburgh, Pittsburgh, PA; ²Intestinal Care and Rehabilitation Center, Children's Hospital of Pittsburgh, Pittsburgh, PA; ³Pediatric Transplant Surgery, Thomas E. Starzl Transplantation Institute, Pittsburgh, PA; ⁴University of Rochester, Rochester, NY; ⁵Pediatric Surgery, Children's Hospital of Pittsburgh, Pittsburgh, PA; ⁶Pediatric Gastroenterology, Children's Hospital of Pittsburgh, Pittsburgh, PA

20. Tobacco Smoking and Risk of Recurrence for Squamous Cell Cancer of the Anus
Sonia Ramamoorthy*, Linda Luo, Elizabeth Luo, John M. Carethers
UCSD and VA San Diego, San Diego, CA

21. Computed Tomography in the Diagnosis of Acute Appendicitis: Definitive Or Detrimental?
Sandeepa Musunuru*, Sharon M. Weber, Layton F. Rikkers, Herbert Chen
Surgery, University of Wisconsin, Madison, WI

22. Laparoscopic Nissen Fundoplication Effectively Relieves Symptoms in Patients with Laryngopharyngeal Reflux
Robert A. Catania^*1, Stephen M. Kavic¹, J. Scott Roth¹, Tommy H. Lee¹, Tanya Meyer², George T. Fantry³, Adrian E. Park^1
1Department of Surgery, University of Maryland Medical Center, Baltimore, MD; ²Department of Otolaryngology, University of Maryland Medical Center, Baltimore, MD; ³Department of Gastroenterology, University of Maryland Medical Center, Baltimore, MD

23. Seven Year Follow-Up After Swedish Laparoscopic Gastric Banding (SAGB)
Bruno M. Balsiger^*1,2, Daniel Giachino³, Ruedi Bachmann³, Andreas Glaettli^2
1Gastroenterology, University of Basel, Basel, Switzerland; ²Visceral surgery, Hirslanden Salem-Spital, Bern, Switzerland; ³Surgery, Tiefenauspital, Bern, Switzerland

DDW Combined Clinical Symposium (Ballroom B)

Diagnosis and Decision Making in Benign Liver Lesions
Sponsored by: AASLD, SSAT, AGA

Moderators:

Douglas W. Hanto, Beth Israel Deaconess Medical Center, Boston, MA David M. Mahvi, University of Wisconsin Hospital & Clinics, Madison, WI

SP35 Can You Make the Diagnosis of a Benign Liver Lesion on Biopsy?
Elizabeth Brunt, Saint Louis University Hospital, St. Louis, MO

SP36 Imaging and Differential Diagnosis of Benign Liver Lesions: How Good Are We?
Jonathan B. Kruskal, Beth Israel Deaconess Medical Center, Boston, MA

SP37 Surgical Decision Making in Benign Liver Lesions: Follow or Operate?
David M. Nagorney, Mayo Clinic, Rochester, MN

Interesting and Difficult Cases We've Seen
Douglas W. Hanto, Beth Israel Deaconess Medical Center, Boston, MA
David M. Mahvi, University of Wisconsin Hospital & Clinics, Madison, WI

Maja and Frank G. Moody State-Of-The-Art Lecture (202A)

SP39 From Intestine to Medical Device to Regeneration Medicine: A Perspective on a Biologic Scaffold
Stephen Badylak, McGowan Institute for Regenerative Medicine, Pittsburgh, PA

Meet-The-Professor Luncheons

SP40 Colorectal Cancer Liver Metastases: Which Therapy First? (140)
Yuman Fong, Memorial Sloan-Kettering Cancer Center, New York, NY

SP41 Evidence-Based Management of Pancreatic Cancer (202B)
L. William Traverso, Virginia Mason Clinic, Seattle, WA

SP42 Surgical Strategy for Crohn's Disease(102AB)
Barbara L. Bass, The Methodist Hospital, Houston, TX

SP43 Treatment of GERD Beyond PPI's (202A)
Nathaniel J. Soper, Northwestern University, Chicago, IL

Plenary Session V (201)

Moderators:

Natalie E. Joseph, Fox Chase Cancer Center, Philadelphia, PA Jennifer F. Tseng, University of Massachusetts Memorial Medical School, Worcester, MA

24 Quality-of-Life in Pancreatic Cancer: Analysis of Stage and Treatment
Stefano Crippa*, Ismael Domínguez, J. Ruben Rodriguez, Oswaldo A. Razo, Sarah P. Thayer, Andrew L. Warshaw, Carlos Fernandez-del Castillo
Department of Surgery, Massachusetts General Hospital, Boston, MA

25 Curative Laparoscopic Resection for Pancreatic Neoplasms: A Critical Analysis from One Single Institution
Laureano Fernández-Cruz*, Miguel Angel López-Boado, Emiliano Astudillo, Salvador Navarro Surgery
Hospital Clínic, Barcelona, Spain

26 Endoscopic Ultrasound and Computed Tomography Predictors of Pancreatic Cancer Resectability
Philip Bao^*1, Chad Johnson1, Elizabeth Lindsey², David Schwartz², Ronald Arildsen³, Ewa Grzeszczak³, Alexander Parikh¹, Nipun Merchant^1
1General Surgery, Vanderbilt University Medical Center, Nashville, TN; ²Gastroenterology, Vanderbilt University Medical Center, Nashville, TN; ³Radiology, Vanderbilt University Medical Center, Nashville, TN

27 Is Autotaxin (ENPP2) the Link Between Hepatitis C and Hepatocellular Cancer?
Amanda Cooper^*1, Jianmin Wu¹, Mary Maluccio^1
1General Surgery, Indiana University, Indianapolis, IN; ²Transplant Division, Department of Surgery, Indiana University, Indianapolis, IN

28 Systemic Chemotherapy and Two-Stage Hepatectomy in Patients with Extensive Bilobar Colorectal Liver Metastases: Perioperative Safety and Survival
Yun Shin Chun^*1, Jean-Nicolas Vauthey¹, Dario Ribero¹, Matteo Donadon¹, Cathy Eng², Thomas D. Brown², David Z. Chang², Linus Ho², Steven A. Curley¹, Eddie K. Abdalla^1
1Surgical Oncology, M.D. Anderson Cancer Center, Houston, TX; ²Gastrointestinal Medical Oncology, M.D. Anderson Cancer Center, Houston, TX

DDW Combined Clinical Symposium (Ballroom B)

Management Of Barrett's With High Grade Dysplasia And Early Cancer
Sponsored by: ASGE, SSAT, AGA

Moderators:

Kenneth K. Wang, Mayo Clinic, Rochester, MN Tracey L. Weigel, University of Wisconsin, Madison, WI

SP44 Chemotherapy/Radiation as the First Line Curative Treatment for Early Esophageal Cancer: The Ultimate Goal
Jaffer A. Ajani, M.D. Anderson Cancer Center, Houston, TX

SP45 Endoscopic Therapy for Treatment of High-Grade Dysplasia and Early Cancer: Dream or Reality?
Kenneth K. Wang, Mayo Clinic, Rochester, MN

SP46 Surgical Treatment for High-Grade Dysplasia and Early Cancer: The Standard of Care
Tracey L. Weigel, University of Wisconsin, Madison, WI

Controversies In GI Surgery (202B)

Debate 1: Regionalization For Complex Operations
Moderator: Mark P. Callery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

SP47 Frame the Issue
Daniel J. Deziel, Rush University Medical Center, Chicago, IL

SP48 Yes, for Better Outcomes
Charles J. Yeo, Thomas Jefferson University, Philadelphia, PA

SP49 Not So Fast
D. Rohan Jeyarajah, Methodist Dallas Medical Center, Dallas, TX

Panel and Audience Discussion

Debate 2: Band Vs. Lap Bypass
Moderator: Philip R. Schauer, Cleveland Clinic Foundation, Cleveland, OH

SP50 Frame the Issue
David Anders Provost, Southwestern Medical Center, Dallas, TX

SP51 Bands Work Best
Christine Ren, New York University Medical Center, New York, NY

SP52 Bypass Is Better
Michel Gagner, Weill Medical College of Cornell University, New York, NY

Panel and Audience Discussion

Debate 3: Necrotizing Pancreatitis: Operate Or Not?
Moderator: William H. Nealon, University of Texas Medical Branch, Galveston, TX

SP53 Frame the Issue
Stanley W. Ashley, Brigham & Women's Hospital, Boston, MA

SP54 Surgery Is Necessary
Thomas J. Howard, Indiana University Medical Center, Indianapolis, IN

SP55 Surgery Is Not Necessary
Mark A. Malangoni, MetroHealth Medical Center, Cleveland, OH

Panel and Audience Discussion

Quick Shots I (201)

Moderators:

Merril T. Dayton, Buffalo General Hospital, Buffalo, NY Fabrizio Michelassi, Weill Medical College of Cornell University, New York, NY

QS1 Influence of Imaging on the Negative Appendectomy Rate in Pregnancy
Carmelita A. Wallace*, Max Petrov, David I. Soybel, Stephen J. Ferzoco, Stanley W. Ashley, Ali Tavakkolizadeh
Surgery, Brigham and Women's Hospital, Boston, MA

QS2 Clinical Indicators of Non-Alcoholic Steatohepatitis in Patients Undergoing Bariatric Surgery
Thomas S. Helling^*1, Jagdish S. Nachnani², Krishna Gurram², John H. Helzberg^2
1Surgery, Conemaugh Memorial Med Ctr, Johnstown, PA; ²Medicine, University of Missouri-Kansas City, Kansas City, MO

QS3 A Feasibility Study of Laparoscopic Deployment of Biliary Metal Stent in 23 Patients with Pancreatico-Biliary Tumors
Everson L. Artifon^*4,5, Paulo Sakai⁴, Sergio B. Marques³, Airton Rodrigues⁵, Shinichi Ishioka⁴, Dalton M. Chaves^3,4, Atul Kumar^1,2
1Gastroenterology & Hepatology, Northport VA Medical Center, Northport, NY; ²Gastroenterology & Hepatology, Stony Brook University, Stony Brook, NY; ³Gastrointestinal Endoscopy, Hospital Sapopemba-University of Sao Paulo, Sao Paulo, Brazil; ⁴Gastrointestinal Endoscopy, Hospital of Clinics at University of Sao Paulo, Sao Paulo, Brazil; ⁵General Surgery, Hospital Ana Costa, Santos, Brazil

QS4 Intramuscular Lanreotide 30 mg LP in the Treatment of Digestive Fistulae: A Multicentre, Randomized, Placebo-Controlled, Double-Blind Study
Philippe Topart^*1, Jean-Pierre Campion², Philippe Wind³, Jean-Marc Regimbeau⁴, François Gayral^5
1Service de Chirurgie Digestive, Hôpital de la Cavale Blanche, Brest, France; ²Service de Chirurgie Digestive, Hôpital Pontchaillou, Rennes, France; ³Service de Chirurgie Digestive, Hôpital Avicenne, Bobigny, France; ⁴Service de Chirurgie Digestive, Hôpital Nord, Amiens, France; ⁵Service de Chirurgie Digestive, Hôpital Bicêtre, Kremlin Bicêtre, France

QS5 The Influence of Medical Comorbidity on the Development and Severity of Biliary Infections: A Multivariate Analysis Ttilizing the Charlson Comorbidity Index
Lygia Stewart^*1,2, J. Mcleod Griffiss³, Gary a. Jarvis³, Lawrence W. Way^1
1Surgery, UCSF, San Francisco, CA; ²Surgery, SF VAMC, San Francisco, CA; ³Microbiology, Lab Medicine, SF VAMC, San Francisco, CA

QS6 Repeat Hepatic Artery Chemoembolization for Patients with Progressive Hepatic Neuroendocrine Metastases Is Safe and Offers Similar Results to the First HACE
Kimberly A. Varker^*1, Dori Klemanski¹, Daniel Watkins¹, Edward W. Martin¹, Manisha H. Shah², Mark Bloomston^1
1Division of Surgical Oncology, The Ohio State University, Columbus, OH; ²Division of Hematology/Oncology, The Ohio State University, Columbus, OH

QS7 Partial Hepatectomy Protects Against HCC Formation in Cyclin-D1 Transgenic Mice
Ketsia B. Pierre^*1, Christopher M. Jones¹, Christopher Anderson¹, Janene Pierce¹, Ian Nicoud¹, Truman M. Earl¹, Natasha Deane², Jalal Hamaamen², Robert D. Beauchamp², Ravi Chari^1
1Division of Hepatobiliary Surgery and Liver Transplant, Vanderbilt University Medical Center, Nashville, TN; ²Division of Surgical Oncology, Vanderbilt University Medical Center, Nashville, TN

QS8 Trends in Non-Therapeutic Laparotomy Rates in Patients Undergoing Surgical Therapy for Hepatic Colorectal Metastases
Michael A. Choti*, Josephina A. Vossen, Ana L. Gleisner, Manon A. Buijs, Lia Assumpcao, Richard D. Schulick, Timothy M. Pawlik
Department of Surgery, Johns Hopkins University, Johns Hopkins Hospital, Baltimore, MD

QS9 Prognostic Significance of Pathologic Nodal Status in Patients with Resected Pancreatic Cancer
Michael G. House*, Mithat Gonen, William R. Jarnagin, Michael D'Angelica, Ronald P. Dematteo, Yuman Fong, Murray F. Brennan, Peter J. Allen
Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY

QS10 Diabetes Mellitus Is Associated with Reduced Survival After Resection for Pancreatic Ductal Adenocarcinoma
Vasili Egnatashvili*, Max Yezhelyev, Keith Delman, Charles Staley, David Kooby
Surgery, Emory University, Atlanta, GA

SSAT/ASCRS Joint Symposium (202A)

Uncommon Anorectal Tumors, Challenging Patients
Moderator: Bruce A. Orkin, George Washington University, Washington, DC

SP56 Introduction, Epidemiology, Trends
W. Douglas Wong, Memorial Sloan Kettering Cancer Center, New York, NY

SP57 Squamous Cell Carcinoma
Robert D. Madoff, University of Minnesota, Minneapolis, MN

SP58 Lymphoma, Kaposi's Sarcoma, Buscke-Lowenstein Tumors
Laurence R. Sands, University of Miami, Miami, FL

SP59 Carcinoid, Melanoma, GIST
Bruce G. Wolff, Mayo Clinic, Rochester, MN

Panel Discussion: Challenging Cases

DDW Combined Clinical Symposia

Management Of Pancreatic Masses (Ballroom B)
Sponsored by: ASGE, SSAT, AGA

Moderators:

Douglas O. Faigel, Oregon Health & Science University, Portland, OR Mark P. Callery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

SP60 Endoscopic Evaluation of Pancreatic Masses
John M. DeWitt, Indiana University School of Medicine, Indianapolis, IN

SP61 Is This an Islet Cell Tumor?
James M. Scheiman, University of Michigan, Ann Arbor, MI

SP62 New Strategies for Marginally Resectable Pancreatic Tumors
Douglas B. Evans, M.D. Anderson Cancer Center, Houston, TX

SP63 It's Unresectable... What Now?
Carlos Fernandez-del Castillo, Massachusetts General Hospital, Boston, MA

Management Of Upper GI Bleeding (Ballroom C)
Sponsored by: ASGE, AGA, SSAT

Moderators:

David J. Bjorkman, University of Utah School of Medicine, Salt Lake City, UT Neena Abraham, Baylor College of Medicine, Houston, TX

SP64 Optimizing Treatment of the Variceal Bleed: Medical Therapy, Banding, Sclerotherapy or TIPSS?
Guadalupe Garcia-Tsao, Yale University, New Haven, CT

SP65 Risk Scoring Systems and Timing to Endoscopy
David J. Bjorkman, University of Utah School of Medicine, Salt Lake City, UT

SP66 High Dose PPI Therapy: When, How Much, and What Route?
Alan N. Barkun, McGill University Health Centre, Montreal, QC, Canada

SP67 "Less Is More" or "More Is Better": Choosing the Right Hemostatic Strategy for the Non-Variceal Bleed
Loren A. Laine, USC School of Medicine, Los Angeles, CA

Education Committee Panel (202A)

Simulation In Gastrointestinal Surgery
Moderator: David I. Soybel, Brigham & Women's Hospital, Boston, MA

SP68 ACS Education Institutes Advance Patient Safety Through Simulation
Carlos A. Pellegrini, University of Washington School of Medicine, Seattle, WA

SP69 FLS Assessment of Competency Using Simulated Laparoscopic Tasks
Gerald M. Fried, Montreal General Hospital, Montreal, PQ, Canada

SP70 ACS/APDS New Skills Curriculum: Videotrainers to Virtual Reality
Daniel J. Scott, University of Texas Southwestern Medical Center, Dallas, TX

SP71 Integrating Simulation in Surgery As a Teaching Tool and Credentialing Standard
Daniel B. Jones, Beth Israel Deaconess Medical Center, Boston, MA

Q&A

Plenary Session VI (202B)

Moderators:

Bryan M. Clary, Duke University Medical Center, Durham, NC Susan Galandiuk, University of Louisville, Louisville, KY

29 Preserving the Anal Transition Zone in Ulcerative Colitis. Long Term Effects on Defecatory Function.
Alessandro Fichera^*1, Laura Ragauskaite², Alan S. Rosman³, Michele A. Rubin¹, Roger D. Hurst¹, Fabrizio Michelassi^4
1Surgery, University of Chicago, Chicago, IL; ²The Chicago Medical School, Chicago, IL; ³Medicine, Bronx VAMC and Mount Sinai School of Medicine, New York, NY; ⁴Surgery, Weill Medical College of Cornell University, New York, NY

30 Surgery for Rectal Cancer Performed at Teaching Hospitals Improves Long-Term Survival
Juan C. Gutierrez^*1, Leonidas G. Koniaris¹, Dido Franceschi¹, Rabih M. Salloum^2
1DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL; ²Department of Surgery, University of Rochester Medical Center, Rochester, NY

31 Local excision for ypT2 Rectal Cancer: Much Ado About Something?
Rodrigo O. Perez*, Angelita Habr-Gama, Igor Proscurshim, Fabio G. Campos, Desiderio R. Kiss, Rafael M. Santos, Ivan Cecconello
Department of Gastroenterology, University of São Paulo School of Medicine, São Paulo, Brazil

32 Serosal Penetration Is an Important Prognostic Factor of Gastrointestinal Stromal Tumors: Implication for Classification Systems?
Daniel Vallbohmer^*1, Hanke E. Marcus¹, Hartmut Schäfer¹, Stephan E. Baldus², Jan Brabender¹, Georg Lurje¹, Uta Drebber³, Ralf Metzger¹, Arnulf H. Hölscher¹, Paul M. Schneider^4
1Department of Surgery, University of Cologne, Cologne, Germany; ²Institute of Pathology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany; ³Institute of Pathology, University of Cologne, Cologne, Germany; ⁴Department of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich, Switzerland

33 Prognostic Factors for Pancreatic Neuroendocrine Tumors: Analysis of 5,045 Patients
Karl Y. Bilimoria^*1,2, James Tomlinson³, Clifford Y. Ko^1,3, Mark S. Talamonti², David J. Bentrem^2
1Cancer Programs, American College of Surgeons, Chicago, IL; ²Department of Surgery, Division of Surgical Oncology, Northwestern University, Chicago, IL; ³Department of Surgery, UCLA, Los Angeles, CA

34 Suberoylanilide Aydroxamic Acid (SAHA) Activates Notch¹ Signaling and Inhibits Proliferation by Inducing Cell Cycle Arrest in Carcinoid Tumor Cells
David Y. Greenblatt*, Max Cayo, Abram Vaccaro, Muthusamy Kunnimalaiyaan, Herbert Chen
Department of Surgery, University of Wisconsin, Madison, WI

DDW Combined Clincial Symposium (Ballroom C)

Cancers Of The Esophagogastric Junction: New Developments
Sponsored by: AGA, SSAT, ASGE

Moderators:

Prateek Sharma, University of Kansas Medical Center, Kansas City, MO John G. Hunter, Oregon Health & Science University, Portland, OR

SP72 Epidemiology and Classification of EGJ Cancers
Hashem El-Serag, Baylor College of Medicine, Houston, TX

SP73 Staging of EGJ Cancers
Guido Costamagna, Policlinico University A Gemelli, Rome, Italy

SP74 Endoscopic Therapy: Expanding Role
Prateek Sharma, University of Kansas Medical Center, Kansas City, MO

SP75 Minimally Invasive Surgery
Blair A. Jobe, Oregon Health Sciences Univesity, Portland, OR

Plenary Session VII (202B)

Moderators:

John C. Gould, University of Wisconsin Medical School, St Louis, MO Edward E. Whang, Brigham & Women's Hospital, Boston, MA

35 Pancreatic Cancer ErbB3 Pathway Activation Is Associated with Erlotinib Sensitivity in Vitro and Improved Postoperative Patient Survival
Ching-Wei D. Tzeng^*1, Andrey Frolov¹, Nirag Jhala², Natalya Frolova², John H. Harrison¹, Selwyn M. Vickers⁴, Donald J. Buchsbaum³, Martin J. Heslin¹, Juan P. Arnoletti^1
1Surgery, Univ of AL at Birmingham, Birmingham, AL; ²Pathology, Univ of AL at Birmingham, Birmingham, AL; ³Radiation Oncology, Univ of AL at Birmingham, Birmingham, AL; ⁴Surgery, Univ of Minnesota, Minneapolis, MN

36 Telomere shortening and Telomerase Expression During Multistage Carcinogenesis of Intraductal Papillary-Mucinous Neoplasm of the Pancreas
Yasushi Hashimoto^*1, Yoshiaki Murakami¹, Kenichiro Uemura¹, Yasuo Hayashidani¹, Takeshi Sudo¹, Hiroki Ohge¹, Emi Fukuda¹, Fumio Shimamoto³, Taijiro Sueda¹, Eiso Hiyama^2
1Department of Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan; ²Department of Biomedicine, Graduate School of Biomedical Sciences and Natural Science Center of Basic Research and Development, Hiroshima University, Hiroshima, Japan; ³Department of Pathology, Faulty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima, Japan

37 PGE2 in Pancreatic Cyst Fluid Differentiates IPMN from Mucinous Cystadenoma and May Predict Degree of IPMN Dysplasia
C. Max Schmidt^*1,5, Michele T. Yip-Schneider^1,2, Matthew C. Ralstin³, Sarah Dutkevitch¹, Sabrina C. Wentz¹, John M. Dewitt⁴, Thomas J. Howard¹, Lee Mchenry⁴, Keith D. Lillemoe^1
1Surgery, Indiana University School of Medicine, Indianapolis, IN; ²Indiana University Cancer Center, Indianapolis, IN; ³Indiana University School of Medicine, Indianapolis, IN; ⁴Gastroenterology, Indiana University School of Medicine, Indianapolis, IN; ⁵Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN

38 Incidence of Finding Residual Disease for Incidental Gallbladder Carcinoma: Implications for Reresection
Timothy M. Pawlik^*1, ANA L. Gleisner¹, David a. Kooby⁴, Todd W. Bauer³, Reid B. Adams³, Lia Assumpcao¹, Richard D. Schulick¹, Andrea Frilling⁵, Lorenzo Capussotti², Michael a. Choti^1
1Surgery, Johns Hopkins, Baltimore, MD; ²Surgery, Institute for Research and the Cure of Cancer, Candiolo, Italy; ³Surgery, University of Virginia Medical Center, Charlottesville, VA; ⁴Surgery, Emory University School of Medicine, Atlanta, GA; ⁵Surgery, University Hospital Essen, Essen, Germany

39 Trends in Survival After Surgery for Cholangiocarcinoma: A 30-Year Population-Based SEER Database Analysis
Hari Nathan*, Timothy M. Pawlik, Richard D. Schulick
Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD

40 Minimally Invasive Surgical Treatment of Sigmoid Esophagus in Achalasia
Matthew J. Schuchert*, James D. Luketich, Arman Kilic, Rodney J. Landreneau, Miguel Alvelo - Rivera, Neil a. Christie, Sebastien Gilbert, Arjun Pennathur
Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh, Pittsburgh, PA

SSAT/SAGES Joint Symposium (202A)

Endoscopic And Endoluminal Treatment Of GERD

Moderators:

John C. Bowen, III, Ochsner Clinic, New Orleans, LA Mark A. Talamini, University of California, San Diego, Medical Center, San Diego, CA

SP76 Stretta Procedure: Where Is It Now?
W. Scott Melvin, Ohio State University Medical Center, Columbus, OH

SP77 Endoluminal Treatments for Barrett's Esophagus
Brian J. Dunkin, The Methodist Hospital, Houston, TX

SP78 Update on Endoscopic Suturing Options
Charles J. Filipi, Creighton University, Omaha, NE

Panel Discussion

SP79 Endoscopic Antireflux Surgery Will Be Superior to Lap Nissen Fundoplication
Lee L. Swanstrom, Legacy Health System and the Oregon Clinic, Portland, OR

SP80 Endoscopic Antireflux Surgery Will Not Likely Be a Better Choice Than Lap Nissen Fundoplication
Adrian E. Park, University of Maryland Medical Systems, Baltimore, MD

Debate Responses

SP81 NOTES Surgery: Accomplishments to Date
Jeffrey L. Ponsky, University Hospitals, Case Medical Center, Cleveland, OH

SP82 NOTES Surgery: What Lies Ahead
David W. Rattner, Massachusetts General Hospital, Boston, MA

Panel Discussion

Quick Shots II (202B)

Moderators:

William H. Nealon, University of Texas Medical Branch, Galveston, TX Charles M. Vollmer, Jr., Beth Israel Deaconess Medical Center, Boston, MA

QS11 A Neurokinin 1 Receptor Antagonist (NK-1RA) Decreases Adhesion Reformation After Laparoscopic Lysis of Adhesions (LOA) in a Rat Model
Scott G. Prushik^*1, Cary B. Aarons¹, Ronald Matteotti¹, Karen L. Reed¹, Adam C. Gower¹, Arthur F. Stucchi¹, Susan E. Leeman², James M. Becker^1
1Surgery, Boston University, Boston, MA; ²Pharmacology, Boston University, Boston, MA

QS12 Complications and Functional Results After Ileoanal Pouch Formation in Obese Patients
Ravi P. Kiran*, Feza H. Remzi, Victor W. Fazio, Ian C. Lavery, Scott A. Strong, James M. Church, Tracy L. Hull
Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH

QS13 Medical and Surgical Treatment of Cronic Anal Fissure: A Prospective Study
Pierpaolo Sileri*, Vito Maria Stolfi, Alessandra Mele, Paolo Gentileschi, Giuseppe Sica, Michele Grande, Achille L. Gaspari
Surgery, University of Rome Tor Vergata, Rome, Italy

QS14 Minimal Important Differences in Quality of Life Improvement After Fundoplication for Gastroesophageal Reflux Disease
Vic Velanovich*
Henry Ford Hospital, Detroit, MI

QS15 Two New Biologic Prostheses Compared with Alloderm® and Permacol® for Ventral Hernia Repair in the Rat.
Wolfgang B. Gaertner*, Margaret E. Bonsack, John P. Delaney
Surgery, University of Minnesota, Minneapolis, MN

QS16 Endo-VAC Treatment for Rectal Anastomotic Insufficiency
Soeren Torge Mees*, Daniel Palmes, Rudolf Mennigen, Joerg Haier, Matthias Bruewer, Norbert Senninger, Dirk Tuebergen
General Surgery, University Hospital Muenster, Muenster, Germany

QS17 Heme Oxygenase-1 (HO-1) Generated Carbon Monoxide Und Biliverdin: Simple Principle to Treat Acute Necrotising Pancreatitis
Pascal O. Berberat*^1,2, Tomas Mitkus1, Philipp Nuhn¹, Fischer Lars¹, GüRalp O. Ceyhan¹, Nathalia Giese¹, Thomas Giese², Stefan C. Meuer², Markus W. Buechler¹, Helmut M. Friess^1
1Department of General Surgery, University of Heidelberg, Heidelberg, Germany; ²Insitut of Immunology, University of Heidelberg, Heidelberg, Germany

QS18 Stricture After Transanal Double Stapled End to End Anastomosis (EEA): Rarely Symptomatic and Inversely Related to EEA Diameter
Aviad Hoffman*, Emre Balik, Garrett NASH, Tania Azarani, Victor Moon, Dovid Moradi, Daniel Feingold, Richard L. Whelan
Columbia Presbyterian, New York, NY

QS19 Complete Endoscopic Closure of Gastric Defects Using a Full-Thickness Tissue Plicating Device
Michael F. McGee^*1,3, Jeffrey M. Marks^1,3, Judy Jin^1,3, Christina P. Williams^1,3, Jonathan P. Pearl^1,3, Raymond P. Onders^1,3, Amitabh Chak^2,3, Steve J. Schomisch^1,3, Jamie Andrews^1,3, Michael Rosen^1,3, Ashley L. Faulx^2,3, Jeffrey L. Ponsky^1,3
1Department of Surgery, Case Western Reserve University, Cleveland, OH; ²Department of Gastroenterology, Case Western Reserve University, Cleveland, OH; ³Case Medical Center, Cleveland, OH

QS20 Oncologic Outcomes of Laparoscopic Versus Open Radical Protectomy for Rectal Cancer After Preoperative Chemoradiation in 132 Patients
Lauren Kosinski*, John Marks, David Heinsch, Hsiao-Ling Shen, Gerald Marks
Lankenau Hospital and Institute for Medical Research, Wynnewood, PA

DDW Combined Clincial Symposium (Ballroom C)

Parabariatric Syndromes: You've Lost Weight But Is The Coast Clear?
Sponsored by: SSAT, AGA, ASGE

Moderators:

Bruce D. Schirmer, University of Virginia Medical Center, Charlottesville, VA David C. Metz, University of Pennsylvania, Philadelphia, PA

SP83 Anatomic Complications and Long-Term Surgical Complications
Daniel B. Jones, Beth Israel Deaconess Medical Center, Boston, MA

SP84 Strictures and Ulcers after RYGB
Bruce D. Schirmer, University of Virginia, Charlottesville, VA

SP85 Hormonal Effects of Bariatric Surgery
Rexford S. Ahima, University of Pennsylvania School of Medicine, Philadelphia, PA

SP86 Weight Gain after Bariatric Surgery: Psychological and Dietary Aspects
David B. Sarwer, University of Pennsylvania School of Medicine, Philadelphia, PA