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50th Annual Meeting Program and Abstracts

50th Annual Meeting
SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT
May 30 – June 3, 2009, 2009
McCormick Place. Chicago, Illinois,
during Digestive Disease Week®

Program and Abstracts  |  Posters

indicates a ticketed session requiring a separate registration and fee.

MONDAY, JUNE 1, 2009
7:45 AM - 8:15 AM
OPENING SESSION S504
Moderator:
David W. McFadden, Burlington, VT

Welcome and introduction of new members, announcements of SSAT scholarship awards, reports from the SSAT Foundation, recognition of the Foundation donors, presentation of the Public Service Award, and conferment of the Founders Medal, and eulogizing of Past Presidents.
8:15 AM - 9:15 AM
PRESIDENTIAL PLENARY A (PLENARY SESSION I) S504
10-minute presentation, 5-minute discussion
Moderator: Michael J. Zinner, Boston, MA
 
1. Effect of Multiple Pre-Operative Endoscopic Interventions on Outcomes After Laparoscopic Heller Myotomy for Achalasia
Christopher W. Snyder1, Ryan C. Burton2, Lindsay E. Brown2, Manasi S. Kakade1, Mary T. Hawn1
1. Department of Surgery, University of Alabama-Birmingham, Birmingham, AL; 2. School of Medicine, University of Alabama-Birmingham, Birmingham, AL
View Presentation
 
2. The Extent of Resection and Insulin-Dependent Diabetes but neither Preoperative Chemotherapy nor (Chemotherapy-Induced) Liver Injury Influence Morbidity After Surgery for Hepatic Colorectal Metastases
Frank Makowiec1, Simone Moehrle1, Hannes P. Neeff1, Oliver G. Opitz2, Ulrich T. Hopt1, Axel zur Hausen3
1. Dept. of Surgery, University of Freiburg, Freiburg, Germany; 2. Comprehensive Cancer Center, University of Freiburg, Freiburg, Germany; 3. Pathological Institute, University of Freiburg, Freiburg, Germany
View Presentation
 
3. Improvement in Peripheral Glucose Uptake After Gastric Bypass Is Only Observed After Massive Weight Loss and Is Associated with Altered Patterns of Gut and Pancreatic Hormone Secretion
Guilherme M. Campos, Charlotte Rabl, Ruxandra Ciovica, Sofia Peeva, Madhu Rao, Morris Schambelan, Jean-Marc Schwarz, Kathleen Mulligan
Surgery, University of California San Francisco, San Francisco, CA
View Presentation
 
4. Transoral Endoscopic Esophagectomy
Bart P. Witteman1, Andres Gelrud2, George M. Eid3, Alejandro Nieponice4, Stephen F. Badylak4, Blair A. Jobe1
1. The Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, PA; 2. Division of Gastroenerology, University of Pittsburgh Medical Center, Pittsburgh, PA; 3. Division of General Surgery, University of Pittsburgh
View Presentation
9:15 AM - 10:00 AM
PRESIDENTIAL ADDRESS S504

Introduction
Michael J. Zinner, Boston, MA
View Presentation

"Above Average"
David W. McFadden, Burlington, VT
View Presentation
10:30 AM - 11:15 AM
PRESIDENTIAL PLENARY B (PLENARY SESSION II) S504
10-minute presentation, 5-minute discussion
Moderator: David W. McFadden, Burlington, VT
 
5. Single-Port Access (SPATM) Surgery of the Alimentray Tract: 18 Months Experience with a Single Umbilical Incision Approach to Laparoscopy
Erica R. Podolsky, Paul G. Curcillo
Surgery, Drexel University College of Medicine, Philadelphia, PA
View Presentation
 
6. The Hindgut Improves Glucose Homeostasis After Metabolic Surgery Independent of Weight Loss and Insulin Secretion in the Goto-Kakizaki Rat
Tammy L. Kindel1, Stephanie M. Yoder1, David D'Alessio2, Patrick Tso1
1. Pathology and Laboratory Medicine, University of Cincinnati, Cincinnati, OH; 2. Medicine, University of Cincinnati, Cincinnati, OH
View Presentation
 
7. Margin Positive Pancreaticoduodenectomy Is Superior to Palliative Bypass in Advanced Stage Pancreatic Adenocarcinoma
Harish Lavu, Andres A. Mascaro, Dane Grenda, Patricia K. Sauter, Ernest L. Rosato, Eugene P. Kennedy, Charles J. Yeo
Surgery, Thomas Jefferson University, Philadelphia, PA
View Presentation
11:15 AM - 12:15 PM
DORIS AND JOHN L. CAMERON GUEST ORATION S504

Communication as a Quality Maker: A Cut to the Chase
Stephen C. Beeson, San Diego, CA
12:00 PM - 2:00 PM
POSTER SESSION I South Hall
Authors available at their posters to answer questions 12 PM – 2 PM; posters on display 8 AM – 5 PM.
12:30 PM - 1:45 PM
MEET-THE-PROFESSOR LUNCHEONS
Hyatt Regency McCormick CC22B
Minimally Invasive Esophagectomy
John G Hunter, Portland, OR

Multidisciplinary Treatment of Inflammatory Bowel Disease
Hyatt Regency McCormick CC12D
Fabrizio Michelassi, New York, NY, and Ellen J. Scherl, New York, NY

Techniques to Increase Resectability of Liver Tumors S502
J. Nicolas Vauthey, Houston, TX, and Elijah Dixon, Calgary, AB
2:15 PM - 3:45 PM
CONTROVERSIES IN GI SURGERY A S505b

DEBATE 1: IS BOWEL PREP NECESSARY FOR LOWER INTESTINAL SURGERY: YES OR NO?
Moderator: Michael S. Nussbaum, Jacksonville, FL

Frame the Issue
Michael S. Nussbaum, Jacksonville, FL

Yes, Bowel Preparation Is Necessary
Gerald M. Larson, Louisville, KY

No, Bowel Preparation Is Not Necessary
Carmine Volpe, Jacksonville, FL

Panel and Audience Discussion

DEBATE 2: NOTES vs. Single Port Surgery: Competing or Cooperating Technologies?
Moderator: Steven D. Schwaitzberg, Cambridge, MA

Frame the Issue
Steven D. Schwaitzberg, Cambridge, MA

Effective Single Port Surgery Essentially Eliminates the Need to Develop NOTES Procedures
Alexander S. Rosemurgy, Tampa, FL

NOTES Is Here to Stay Regardless of What Happens with Single Port Surgery
Mark A. Talamini, San Diego, CA

Panel and Audience Discussion
2:15 PM - 3:45 PM
DDW COMBINED CLINICAL SYMPOSIA
MULTIMODALITY DETECTION AND MANAGEMENT OF BARRETT'S AND DYSPLASIA S100
Sponsored by: AGA, ASGE, SSAT
Moderators: Stuart Jon Spechler, Dallas, TX
Kenneth K. Wang, Rochester, MN

Seeing is Believing: Multimodal Imaging of Barrett's Esophagus
Jacques J.G. Bergman, Amsterdam, Netherlands
Removing the Neoplaysia, Endoscopic Surgical (Mucosal) Resection
Kenneth K. Wang, Rochester, MN
Burning Barrett's Mucosa, What Can Be Achieved
Nicholas J. Shaheen, Chapel Hill, NC
Multimodal Approach to Barrett's Esophagus
Stuart Jon Spechler, Dallas, TX
Questions

PANCREATIC CANCER: ARE WE READY TO SCREEN? B1
Sponsored by: ASGE, AGA, SSAT
Moderators: Teresa Brentnall, Seattle, WA
Richard D. Schulick, Baltimore, MD

Epidemiology, Risk Factors, and Cost Effectiveness for Pancreatic Cancer Screening in the General Population
Richard D. Schulick, Baltimore, MD

ADULT DIABETICS AS HIGH RISK PATIENTS

Prevalence and Temporal Onset of DM in PC
Suresh T. Chari, Rochester, MN

Cost-Effectiveness of Screening for PC in New Onset DM
Luke M. Richey, Seattle, WA

SCREENING IN HIGH RISK PATIENTS: GENETIC PREDISPOSITION

Seattle Approach
Michael D. Saunders, Seattle, WA

Johns Hopkins Approach
Marcia I. Canto, Baltimore, MD

New and Evolving Screening Techniques for the General Population
Teresa Brentnall, Seattle, WA

Panel Discussion
2:15 PM - 4:30 PM
VIDEO SESSION I: CLINICAL HPB / UPPER GI S503
10-minute presentation, 5-minute discussion
Moderators: Thomas A. Aloia, Houston, TX
Margo Shoup, Maywood, IL

V1. Totally Laparoscopic Anatomic Segment 6 Liver Resection
Carlos U. Corvera1, 2
1. Surgery, UCSF, San Francisco, CA; 2. Surgery, Veterans Affairs Medical Center, San Francisco, CA

V2. Robotic Liver Tumor Resection
Awad M. Jarrar1, John J. Fung2, Eren Berber2
1. Colorectal Surgery , Cleveland Clinic Foundation, Cleveland, OH; 2. General Surgery , Cleveland Clinic Foundation, Cleveland, OH

V3. Management of Anatomic Hilar Variations During Laparoscopic Right Hepatectomy
Aziz M. Merchant, Edward Lin, Juan M. Sarmiento
Surgery, Emory University Hospital, Atlanta, GA

V4. Key Images and Technical Considerations for Minimally Invasive Robotics in Pancreaticobiliary Surgery
Shawn MacKenzie, Kambiz Kosari, Timothy D. Sielaff
Virginia Piper Cancer Institute, Minneapolis, MN

V5. Completion of Pancreatectomy for IPMN Recurrence After Pylorus-Preserving Pancreatoduodenectomy with a New Pancreaticogastrostomy Technique
Laureano Fernández-Cruz, Raquel Garcia-Roca, Mario A. Acosta Pimentel, Jaume Comas, Miguel Angel López-Boado
Surgery, Hospital Clínic, Barcelona, Spain

V6. Laparoscopic Resection of a Gastroesophageal Junction Leiomyoma
Timothy E. Oppermann, Patrick R. Reardon, Fariba Dayhim, Garth Davis, Robert Davis, Brian J. Dunkin
The Department of Surgery, The Methodist Hospital, Houston, TX

V7. Laparoscopic Paraesophageal Hernia Repair with Mesh and Collis Gastroplasty with Nissen Fundoplication
Preeti Malladi, Nathaniel J. Soper
Northwestern University, Chicago, IL
2:15 PM - 5:00 PM
PLENARY SESSION III S505a
10-minute presentation, 5-minute discussion
Moderators: Elijah Dixon, Calgary, AB Canada
David Shibata, Tampa, FL

8. Medical and Surgical Treatment of Chronic Anal Fissure: Prospective Longer-Term Results
Pierpaolo Sileri, Vito M. Stolfi, Marco Venza, Michele Grande, Stefano D' Ugo, Marco D'Eletto, Alessandra Di Giorgio, Achille Gaspari
Surgery, University of Rome Tor Vergata, Rome, Italy

9. Disparities in Presentation and Treatment of Diverticular Disease: Impact of Socioeconomic Status
Nicholas Csikesz, Anand Singla, Melissa M. Murphy, Jennifer F. Tseng, Shimul A. Shah
Surgery, University of Massachusetts Medical School, Worcester, MA

10. Improved Mortality for Same Hospital Readmission Following Rectal Cancer Resection
Hiroko Kunitake1, David S. Zingmond2, Clifford Y. Ko1
1. Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA; 2. General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, CA

11. Activation of Hepatic AMP-Protein Kinase (AMPK) Is Mediated by LKB1 After Roux-en-Y Gastric Bypass in Obese Rats
Yanhua Peng1, 3, Drew A. Rideout1, 2, Steven S. Rakita3, 1, William R. Gower3, Min You2, Michel M. Murr1, 3
1Department of Surgery, University of South Florida, Tampa, FL; 2. Molecular Pharmacology & Physiology, University of South Florida, Tampa, FL; 3. Departments of Surgery & Research, James A Haley Veterans Administration, Tampa, FL

12. Quality-Of-Life After Pancreatic Resection with Islet Cell Autotransplant for the Treatment of Severe Chronic Pancreatitis
Joshua L. Argo1, Juan L. Contreras1, Shyam Varadarajulu2, Camille D. Blackledge1, John D. Christein1
1. Department of Surgery, University of Alabama at Birmingham, Birmingham, AL; 2. Department of Gastroenterology, University of Alabama at Birmingham, Birmingham, AL

13. The Clinical Value of Hepatocyte Growth Factor in Patients with Peri-Ampullary Cancer Before and After Pancreaticoduodenectomy
Omar Barakat1, Gabriela C. Rodriguez1, Isaac Raijman2, Paul M. Allison3, Javier Nieto1, Claire F. Ozaki1, Robert P. Wood1
1. General Surgery, St. Luke's Episcopal Hospital, Houston, TX; 2. Gastroenterology, St Luke's Episcopal Hospital, Houston, TX; 3. Pathology, St Luke's Episcopal Hospital, Houston, TX

14. Impact of Institutional Case Volume on Inpatient Morbidity and Mortality After Paraesophageal Hernia Repair
Thai H. Pham, Kyle A. Perry, Eugene Y. Chang, Brian S. Diggs, James P. Dolan, John G. Hunter, Brett C. Sheppard
Surgery, Oregon Health and Science University, Portland, OR

15. Endoluminal Fundoplication (ELF) for GERD: 12 Month Follow-Up
Riccardo Rosati1, Uberto Fumagalli1, Roberta Barbera2, Alberto Malesci2, Alessandro Repici2
1. General and Minimally Invasive Surgery, Istituto Clinico Humanitas, Rozzano (Milan), Italy; 2. Gastroenterology, Istituto Clinico Humanitas, Rozzano (Milan), Italy

16. Gastric Pacing Can Eliminate Dependency on Supplemental Nutrition and Improve Medically Refractory Gastroparesis
Jill Zink, Joseph A. Talarico, Amy Cha, Fady Moustarah, Matthew Kroh, Stacy A. Brethauer, Bipan Chand
Bariatric and Metabolic, Cleveland Clinic Foundation, Cleveland, OH

17. Outcome Based on Management for Duodenal Adenomas: Sporadic Versus Familial Disease
Michael D. Johnson, Richard A. Mackey, Nancy Brown, James M. Church, Carol A. Burke, Matthew Walsh
Cleveland Clinic Foundation, Cleveland, OH

18. Duodenal Switch Provides Superior Resolution of Metabolic Comorbidities Independent of Weight Loss in the Super-Obese (BMI ? 50 kg/m2) Compared with Gastric Bypass
Vivek N. Prachand1, Marc Ward2, John C. Alverdy1
1. Surgery, University of Chicago, Chicago, IL; 2. Pritzker School of Medicine, University of Chicago, Chicago, IL
3:00 PM - 5:00 PM
SSAT/ASCRS JOINT SYMPOSIUM S504
SURGICAL MANAGEMENT OF COMPLEX COLORECTAL DISORDERS
Moderator: Anthony J. Senagore, Grand Rapids, MI

Introduction
Anthony J. Senagore, Grand Rapids, MI

Management Options for Perforated Diverticulitis: Diversion or No Diversion
Martin A. Luchtefeld, Grand Rapids, MI

Management Strategies for C Difficile Colitis: Operate Too Soon or Too Late?
David A. Margolin, New Orleans, LA

Management Options for Complicated Crohns Disease: Resection vs Stricturoplasty vs Bypass
Eric G. Weiss, Weston, FL

Management Options for Ulcerative Colitis in Acute Flares or After Prolonged Immunosuppressive Therapy: Does Too Much Medicine Make a Difference?
Eric J. Dozois, Rochester, MN

Panel and Audience Discussion
4:00 PM - 5:00 PM
CLINICAL WARD ROUNDS: BILIARY DISEASE S505b
Moderator: Attila Nakeeb, Indianapolis, IN

Panelists: Jeffrey M. Hardacre, Shaker Heights, OH
W. Scott Melvin, Columbus, OH
Paresh C. Shah, New York, NY
4:00 PM - 5:30 PM
DDW COMBINED CLINICAL SYMPOSIA

HEPATIC RESECTION FOR LIVER MASSES S100
Sponsored by: AASLD, SSAT, AGA
Moderators: David A. Geller, Pittsburgh, PA
Myron E. Schwartz, New York, NY

Open Resection for HCC in MELD Era
Myron E. Schwartz, New York, NY

Laparoscopic Resection of HCC
David A. Geller, Pittsburgh, PA

Liver Resection for HCC with Salvage Liver Transplantation
Ronnie T. Poon, Hong Kong, China

Questions and Answers

WHO OWNS ACHALASIA? B1
Sponsored by: SSAT, ASGE, AGA
Moderators: David A. Katzka, Philadelphia, PA
Donald E. Low, Seattle, WA

How Do We Measure Success in the Treatment of Achalasia and Why Is the Current Assessment of Treatment Approaches Appropriate?
David R. Urbach, Toronto, ON Canada

The Majority of Patients Are Best Managed with Endoscopic Therapy
Joel Richter, Philadelphia, PA

Laproscopic Surgical Treatment of Achalasia Should Currently Be Considered the Primary Treatment Approach for Patients with Achalasia
Marco G. Patti, Chicago, IL

Summary
David R. Urbach, Toronto, ON Canada

Panel Discussion and Questions



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