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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.

TUESDAY, JUNE 2, 2009
7:30 AM - 9:15 AM
VIDEO SESSION II: BREAKFAST AT THE MOVIES S504
10-minute presentation, 5-minute discussion
Moderators: Craig P. Fischer, Houston, TX
Randall S. Zuckerman, New Haven, CT

V8. Technical Aspects of Duodenal Preserving Pancreatic Head Resections (DPPHR): The Frey and Beger Operations
Thomas J. Howard1, Nicholas J. Zyromski1, Harish Lavu2
1. Surgery, Indiana University School of Medicine, Indianapolis, IN; 2. Surgery, Thomas Jefferson University, Philadelphia, PA

V9. Natural Orifice Translumenal Endoscopic Surgery (NOTES) Transvaginal Sleeve Gastrectomy: Initial Human Experience in the United States
Santiago Horgan, Lauren J. Fischer, Garth R. Jacobsen, Brian Wong, Adam Spivack, Kari Thompson, Mark A. Talamini
University of California- San Diego, San Diego, CA

V10. Combined Endoscopic and Transgastric Laparoscopic Resection of Gastric Gastrointestinal Stromal Tumors
Craig P. Fischer
Surgery, The Methodist Hospital, Houston, TX

V11. Laparoscopic Total Gastrectomy with Roux-en-Y Esophagojejunostomy for Hereditary Gastric Cancer Gene Carrier
Winnie Tong, Jayleen Grams, Daniel M. Herron
Dept of Surgery, Division of Laparoscopic Surgery, Mount Sinai Hospital, New York, NY

V12. Single Incision Laparoscopic Colectomy: Right Hemicolectomy
Robert B. Lim, Deborah Nagle
Colorectal and Minimally Invasive Surgery, Beth Israel Deaconess Medical Center, Boston, MA

V13. Laparoscopic Approach to Median Arcuate Ligament Syndrome
Yves Borbely1, 2, Branislav Risti2, Othmar Schoeb2
1. Departement of Visceral and Transplantation Surgery, Inselspital Bern, Bern, Switzerland; 2. Departement of Surgery, Spital Limmattal, Schlieren, Switzerland

V14. Laparoscopic Sigmoid Resection and Rectopexy for Rectal Prolapse: A 3 Step Procedure
Philippe Bouchard, Jacques Heppell, Jonathan E. Efron, Tonia Young-Fadok
Mayo Clinic, Phoenix, AZ
8:30 AM - 9:30 AM
CLINICAL WARD ROUNDS: GASTRIC TUMORS S505b
Moderator: John T. Mullen, Boston, MA

Panelists:
Martin S. Karpeh, Jr., New York, NY
Peter W.T. Pisters, Houston, TX
Chandrajit P. Raut, Boston, MA
8:30 AM - 10:00 AM
PUBLIC POLICY COMMITTEE PANEL S505a
GENOMICS AND CANCER CARE: WHAT EVERY CLINICIAN SHOULD KNOW
Moderators: Thomas John Howard, Indianapolis, IN
Kaye M. Reid Lombardo, Rochester, MN

Impact of Genetic Testing on the Cancer Patient
C. Richard Boland, Dallas, TX

Treatment Guidelines and Management Implications for Patients with HCCS
Kenneth C. Micetich, Maywood, IL

Ethical Considerations for Genetic Testing
Kimberly A. Quaid, Indianapolis, IN

Panel and Audience Discussion
9:30 AM - 11:00 AM
SSAT/AHPBA JOINT SYMPOSIUM S504
MANAGING COMPLICATIONS OF ACUTE PANCREATITIS
Moderators: Mark P. Callery, Boston, MA
Thomas John Howard, Indianapolis, IN

Introduction
Mark P. Callery, Boston, MA

Infected Pancreatic Necrosis – Minimally Invasive Approaches Are Here, Are They Better?
Karen D. Horvath, Seattle, WA

Symptomatic Sterile Necrosis – Is Débridement Beneficial?
Thomas E. Clancy, Boston, MA

Pancreatic Pseudocyst Drainage – When, How, and Most Importantly Why?
Kevin E. Behrns, Gainesville, FL

Pancreatic Neck Necrosis with an Isolated Disconnected Segment – Resection or Drainage?
William H. Nealon, Galveston, TX

Case Presentations
10:00 AM - 11:15 AM
BASIC SCIENCE PLENARY (PLENARY SESSION IV) S505a
10-minute presentation, 5-minute discussion
Moderators: Richard A. Hodin, Boston, MA
Rebecca M. Minter, Ann Arbor, MI

19. Triptolide and Anti-Death Receptor 5: An Effective Combination That Activates Both the Intrinsic and Extrinsic Apoptotic Pathways in Pancreatic Cancer Cells
Daniel Borja-Cacho, Yumi Yokoyama, Rohit Chugh, Vikas Dudeja, Ashok K. Saluja, Selwyn M. Vickers
Surgery, University of Minnesota, Minneapolis, MN

20. Induced Expression of Interaction Molecule 1 (STIM1) Sensitizes Intestinal Epithelial Cells to Apoptosis by Modulating Store-Operated Ca2+ Influx
Jennifer A. Timmons1, 2, Jaladanki N. Rao1, 2, Tongtong Zou1, 2, Lan Liu1, 2, Lan Xiao1, 2, Pengyuan Wang1, 2, Douglas J. Turner1, 2, Jian-Ying Wang1, 2
1. Surgery, University of Maryland, Baltimore, MD; 2. VA Medical Center, Baltimore, MD

21. Influence of Colonic Bacteria on the Expression of Host Intestinal Tract Genes Which Regulate Water and Electrolyte Absorption
Gail Cresci1, 2, Muthusamy Thangaraju2, Kebin Liu2, John D. Mellinger1, Vadivel Ganapathy2
1. Surgery, Medical College of Georgia, Augusta, GA; 2. Biochemistry and Molecular Biology, Medical College of Georgia, Augusta, GA

22. Expression of Chemokine Receptor CCR9 in Pancreatic Intraepithelial Neoplasia and its Progression to Invasive Cancer and Liver Metastasis
Brian A. Mailey1, Xiaoming Shen1, Joshua Khalili1, Nicelio Sanchez-luege1, Andrew M. Lowy2, Joseph Kim1
1. Surgical Oncology, City of Hope, Duarte, CA; 2. Surgical Oncology, UCSD, San Diego, CA

23. Anti-ERBB2 si- and sh-RNAs Suppress Cell Growth in ERBB2-Overexpressing Upper Gastrointestinal Adenocarcinomas
Amanda K. Arrington, Julia Davydova, Selwyn M. Vickers, Masato Yamamoto
Surgery, University of Minnesota, Minneapolis, MN
10:00 AM - 11:15 AM
QUICK SHOTS SESSION I S505b
3-minute presentation, 3-minute discussion
Moderators:
Wayne A.I. Frederick, Sr., Washington, DC
Daniel J. Scott, Dallas, TX

QS1. SELDI-TOF Mass Spectroscopy of Serum Predicts Hepatocellular Carcinoma in Patients Prior to Liver Transplantation
C. Max Schmidt1, 2, Lacey Dobrolecki 3, Avinash Agarwal1, A Joseph Tector1, Michele T. Yip-Schneider1, Jesus M. Matos1, Robert J. Hickey3
1. Surgery, Indiana University School of Medicine, Indianapolis, IN; 2. Surgery, Richard L Roudebush VAMC, Indianapolis, IN; 3. Medicine, Indiana University School of Medicine, Indianapolis, IN

QS2. Selective Management of Patients with Acute Gallstone Pancreatitis
Kimberly Bowman, Dana A. Telem, John Hwang, Celia M. Divino
Surgery, The Mount Sinai Hospital, New York, NY

QS3. Should Elective Repair of Intrathoracic Stomach Be Encouraged?
Marek Polomsky, Boris Sepesi, Matthew O'Connor, Alexi Matousek, Virginia R. Litle, Daniel Raymond, Carolyn E. Jones, Thomas J. Watson, Jeffrey H. Peters
Surgery, University of Rochester, Rochester, NY

QS4. Laparoscopic Versus Open Liver Resection: A Matched-Pair Case Control Study
Kaori Ito, Hiromichi Ito, William R. Jarnagin, Yuman Fong, Ronald P. DeMatteo, Michael D'Angelica
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY

QS5. Characteristics at Presentation and Oncologic Outcomes for IBD Patients with Colorectal Cancer
Wisam Khoury, Feza H. Remzi, Ian Lavery, James M. Church, Victor W. Fazio, Pokala R. Kiran
Colorectal, Cleveland Clinic, Cleveland, OH

QS6. Variation in Number of Lymph Nodes Assessed in Colorectal Cancer Resection: Surgeon, Pathologist, or Hospital?
Hari Nathan1, Andrew D. Shore1, Robert A. Anders2, Susan L. Gearhart1, Timothy M. Pawlik1
1. Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD; 2. Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD

QS7. Laparoscopic Cholecystectomy in the UK: A Decade of Litigation
Bilal Alkhaffaf, Bart Decadt
General Surgery, Stockport NHS Foundation Trust, Manchester, United Kingdom

QS8. Angiotensin II Regulates the Expression of Monocyte Chemoattractant Protein-1 in Pancreatic Cancer Cells
Navdeep Chehl, Galina Chipitsyna, Qiaoke Gong, Charles J. Yeo, Hwyda A. Arafat
Surgery, Thomas Jefferson University, Philadelphia, PA

QS9. Acute Pancreatitis (AP) in Aging Animals – Loss of PAP Protection?
Sophia Fu, Albert Stanek, Ehab Hassanain, Okiremute Oyiborhoro, Cathy M. Mueller, Nefertiti A. Brown, Chongmin Huan, Michael E. Zenilman
Dept Surgery, SUNY Downstate , Brooklyn, NY

QS10. Role of Vagal Innervation in Diurnal Rhythm of Intestinal Peptide Transporter 1 (PEPT1)
Hisham G. Qandeel, Fernando Alonso, David J. Hernandez, Judith A. Duenes, Ye Zheng, Michael G. Sarr
Surgery, Mayo Clinic, Rochester, MN

QS11. EP300—A miRNA Regulated Metastasis Suppressor Gene in Ductal Adenocarcinomas of the Pancreas
Soeren Torge Mees1, Wolf A. Mardin1, Claudia Wendel1, Nicole Baeumer2, Edith Willscher3, Norbert J. Senninger1, Mario Colombo-Benkmann1, Joerg Haier1
1. General and Visceral Surgery, University Hospital Muenster, Muenster, Germany; 2. arrows biomedical GmbH, Muenster, Germany; 3. Bioinformatics, Integrated Functional Genomics, Muenster, Germany

QS12. The Rate of Post Operative Infections Is Not Reduced by Peroperative Antibiotics in Elective Cholecystectomy: An Analysis of 10927 Operations Registered in the Swedish Register for Gallstone Surgery and ERCP (GallRiks)
Gunnar Persson1, Patrik Lundstrom3, Johanna Osterberg3, Bodil Svennblad2, Gabriel Sandblom4
1. Dept. of Surgery, Ryhov Hospital, Jönköping, Sweden; 2. Uppsala Clinical Reseach Center, Uppsala University, Uppsala, Sweden; 3. Dept. of Surgery, Mora Hospital, Mora, Sweden; 4. Dep. of Surgery, Karolinska University Hospital, Huddinge, Sweden
10:00 AM - 11:15 AM
VIDEO SESSION III: NOTES APPENDECTOMY—READY, SET...GO? S503
10-minute presentation, 5-minute discussion
Moderators: Brian J. Dunkin, Houston, TX
Blair A. Jobe, Pittsburgh, PA

V15. NOTES Transvaginal Appendectomy
Santiago Horgan, Lauren J. Fischer, Kari Thompson, Adam Spivack, Garth R. Jacobsen, Brian Wong, Mark A. Talamini
University of California- San Diego, San Diego, CA

V16. Transrectal Endoscopic Appendectomy in a Cadaveric Model
Sonia Ramamoorthy, Adam Spivack, Kari Thompson, Lauren J. Fischer, Brian Wong, Santiago Horgan, Mark A. Talamini, Garth R. Jacobsen
UCSD General Surgery, San Diego, CA

V17. Transrectal Simulated Appendectomy in a Porcine Model with Novel Balloon Dilation in Retroperitoneum
Sonia Ramamoorthy, Garth R. Jacobsen, Kari Thompson, Adam Spivack, Lauren J. Fischer, Brian Wong, Mark A. Talamini, Santiago Horgan
Surgery, University of California San Diego, San Diego, CA

V18. Laparo-Endoscopic Single Site (LESS) Appendectomy with the Endoscope
Kevin M. McGill, Nikalesh Ippagunta, Glenn Forrester, Julio Teixeira, Steven Binenbaum
Surgery, St. Luke's-Roosevelt Hospital Center, New York, NY

V19. Rigid and Flexible Trocars for NOTES Access in Human Anatomy
Monika E. Hagen1, Oliver J. Wagner1, Philippe Morel2, Santiago Horgan1, Mark A. Talamini1, Paul Swain1
1. Department of Surgery, University of California San Diego, San Diego, CA; 2. Division of Digestive Surgery, University Hospital Geneva, Geneva, Switzerland
10:30 AM - 12:00 PM
DDW COMBINED CLINICAL SYMPOSIUM B1
MANAGEMENT OF HEPATITIS C NON-RESPONDERS AND RELAPSERS
Sponsored by:
AASLD, AGA, SSAT
Moderators:
Adrian M. Di Bisceglie, St. Louis, MO
Mitchell L. Shiffman, Richmond, VA

Approaches to Retreatment with Conventional Therapy
Gregory T. Everson, Aurora, CO

Is there Still a Role for Maintenance Therapy?
Adrian M. Di Bisceglie, St. Louis, MO

Retreatment with Protease and Polymerase Inhibitors
Paul Kwo, Indianapolis, IN

Panel Discussion
11:15 AM - 12:00 PM
MAJA AND FRANK G. MOODY STATE-OF-THE-ART LECTURE S504
The Evolving Era of Surgeon Shortage
George F. Sheldon, Chapel Hill, NC
12:00 PM - 2:00 PM
POSTER SESSION II 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

Laparoscopic Sleeve Gastrectomy for Obesity S501BC
Paul T. Cirangle, San Francisco, CA

NOTES S505b
David W. Rattner, Boston, MA, and Patricia Sylla, Boston, MA

Technical Tricks to Avoid Anastomotic Complications in Colorectal Procedures
Hyatt Regency McCormick CC21A
Neil Hyman, Burlington, VT
2:15 PM - 3:45 PM
PLENARY SESSION V S505a
10-minute presentation, 5-minute discussion
Moderators: Jason B. Fleming, Houston, TX
Magesh Sundaram, Morgantown, WV

24. Does Neoadjuvant Chemotherapy with FOLFOX- or FOLFIRI Improve the Disease-Free Interval or Survival of Patients with Colorectal Metastases?
Sarah Y. Boostrom, David Nagorney, John H. Donohue, Florencia G. Que, Michael L. Kendrick, Kaye Reid Lombardo
Division of General Surgery, Mayo Clinic - Rochester, Rochester, MN

25. Pre-Operative Nomogram to Predict Risk of Peri-Operative Mortality Following Pancreatic Resections for Malignancy
Chantal Afuh1, Lynette M. Smith2, Fred Ullrich2, Chandrakanth Are1
1. Divison of Surgical Oncology, Department of Surgery, University of Nebraska Medical Centre, Omaha, NE; 2. Department of Biostatistics, University of Nebraska Medical Centre, Omaha, NE

26. Characteristics and Outcome of Patients Undergoing Debridement of Pancreatic Necrosis
Sebron W. Harrison, Desiree E. Morgan, Manasi S. Kakade, Justin A. Parden, John D. Christein
University of Alabama at Birmingham, Birmingham, AL

27. Repeat Curative Intent Liver Surgery Is Safe and Effective for Recurrent Colorectal Liver Metastases: Results from an International Multi-Institutional Analysis
Mechteld C. de Jong1, Carlo Pulitano2, Alessandro Ferrero3, Jennifer Strub4, Michael A. Choti1, Richard D. Schulick1, Gilles Mentha4, Lorenzo Capussotti3, Timothy M. Pawlik1
1. Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD; 2. Vita-Salute San Raffaele University, Milan, Italy; 3. Unit of Hepato-Biliary-Pancreatic Surgery, A.O. Ordine Mauriziano, Torino, Italy; 4. University Hospitals of Geneva, Geneva, Switzerland

28. Readmission After Pancreatectomy for Pancreatic Cancer in Medicare Patients
Deepthi M. Reddy1, Courtney M. Townsend1, William H. Nealon1, Yong Fang Kuo2, Jean L. Freeman2, Taylor S. Riall1
1. Surgery, University of Texas Medical Branch, Galveston, TX; 2. Internal Medicine, University of Texas Medical Branch, Galveston, TX

29. Does Size Really Matter in the Resection of Primary Cystic Neoplasms of the Pancreas?
Eugene P. Ceppa, Sebastian G. de la Fuente, Srinevas K. Reddy, Sandra Stinnett, Bryan M. Clary, Douglas S. Tyler, Theodore N. Pappas, Rebekah White
Surgery, Duke University Medical Center, Durham, NC
2:15 PM - 3:45 PM
CONTROVERSIES IN GI SURGERY B S505b

DEBATE 3: SYNCHRONOUS COLORECTAL CANCER METASTASES: SIMULTANEOUS VS> STAGED RESERTIONS
Moderator: David Shibata, Tampa, FL

Frame the Issue
David Shibata, Tampa, FL

Simultaneous Resections for Synchronous Colorectal Cancer Liver Metastases
Michael D'Angelica, New York, NY

Staged Resections for Synchronous Colorectal Cancer Liver Metastases
Bryan M. Clary, Durham, NC

Panel and Audience Discussion

DEBATE 4: DO WE REALLY HELP PEOPLE WITH RESECTION FOR PANCREATIC CANCER?
Moderator: Andrew M. Lowy, La Jolla, CA

Frame the Issue
Andrew M. Lowy, La Jolla, CA

Surgery Has a Major Impact
Mark S. Talamonti, Evanston, IL

Surgery Has a Minimal Impact
Douglas S. Tyler, Durham, NC

Panel and Audience Discussion
2:15 PM - 3:45 PM
DDW COMBINED CLINICAL SYMPOSIA
BARIATRICS FOR THE ENDOSCOPIST: BYPASSES, ROADBLOCKS, AND DETOURS
S100
Sponsored by: ASGE, AGA, SSAT
Moderators: Steven A. Edmundowicz, St. Louis, MO
Christopher C. Thompson, Boston, MA

Access Techniques to the Papilla and Excluded Stomach in Bariatric Patients
Patrick I. Okolo, Baltimore, MD

Endoscopic Management of Complications of Bariatric Surgery
Christopher C. Thompson, Boston, MA

Evolving Endoscopic Therapies for Morbid Obesity
Steven A. Edmundowicz, St. Louis, MO

Case Discussion

911 FOR GASTROENTEROLOGISTS (GI EMERGENCIES) B1
Sponsored by: ASGE, AGA, SSAT
Moderators: Neena S. Abraham, Houston, TX
Sarah S. Rodriguez, Portland, OR

Variceal and Nonvariceal Upper GI Bleeding
Loren Laine, Los Angeles, CA

Fulminant Colitis in the IBD Patient
David T. Rubin, Chicago, IL

Fulminant Hepatic Failure
Norman L. Sussman, Houston, TX

Acute and Necrotizing Pancreatitis
Grace H. Elta, Ann Arbor, MI
2:15 PM - 5:00 PM
SSAT/AGA/ASGE STATE-OF-THE-ART CONFERENCE S504
BARRETT'S ESOPHAGUS, DYSPLASIA, AND EARLY ESOPHAGEAL ADENOCARCINOMA: MANAGING THE TRANSITION
Moderator: George A. Sarosi, Jr., Gainesville, FL

Introduction
George A. Sarosi, Jr., Gainesville, FL

The Molecular Basis of Carcinogenesis in Barrett's Esophagus
Rhonda F. Souza, Dallas, TX

Reflux, Barrett's and Adenocarcinoma: Can We Disrupt the Pathway?
Steven R. DeMeester, Los Angeles, CA

Endoscopic Therapy of Barrett's Esophagus and Early Esophageal Cancer
Kenneth K. Wang, Rochester, MN

Minimally Invasive Esophagectomy for Barrett's with High Grade Dysplasia and Early Adenocarcinoma of the Esophagus
Arjun Pennathur, Pittsburgh, PA

Case Presentations

Q&A
4:00 PM - 5:00 PM
CLINICAL WARD ROUNDS: ANORECTAL DISORDERS S505b
Moderator: Mark L. Welton, Stanford, CA
Panelists: Elisa H. Birnbaum, St. Louis, MO

Harry T. Papaconstantinou, Temple, TX
Janice F. Rafferty, Cincinnati, OH
4:00 PM - 5:00 PM
QUICK SHOTS SESSION II S505a
3-minute presentation, 3-minute discussion
Moderators: Bridget N. Fahy, Houston, TX
Timothy M. Pawlik, Baltimore, MD

QS13. Molecular Predictors of Response to Neoadjuvant Topotecan and Radiation for Rectal Cancer: Correlative Study to a Phase I Trial
Alfredo A. Santillan1, William Dinwoodie1, Timothy J. Yeatman1, Steven A. Eschrich1, Daniel Sullivan1, Caio S. Rocha-Lima2, Harvey M. Greenberg1, Catherine Chodkiewicz1, Andy Trotti1, Jorge Marcet3, Sophie Dessureault1, Philippe Legenne4, Paul Wissel4, Preeta Tyagi 4, David Shibata1
1. Department of GI Oncology, Moffitt Cancer Center, Tampa, FL; 2. Department of Surgery, University of Miami, Miami, FL; 3. Department of Surgery, University of South Florida College of Medicine, Tampa, FL; 4. Clinical Development Oncology, Glaxo-Smith-Kline, Philadelphia, PA

QS14. Population-Based Analysis and Growth Factor Receptor Expression of GI Carcinoid Tumors
Kanika A. Bowen1, Scott R. Silva1, Taylor S. Riall1, Hung Q. Doan1, B. M. Evers1, 2
1. Department of Surgery, The University of Texas Medical Branch, Galveston, TX; 2. Sealy Center for Cancer Cell Biology, The University of Texas Medical Branch, Galveston, TX

QS15. Can the Frey Procedure Relieve Biliary Obstruction in Chronic Pancreatitis Without a Separate Drainage Procedure?
H Ramesh, George Jacob
Lakeshore Hospital & Research Center, Cochin, Kerala, India

QS16. Immediate Versus Tailored Immunoprophylaxis After Surgery for Crohn's Disease (CD)
Liliana Bordeianou1, Sharon L. Stein3, Vanessa P. Ho3, Bruce E. Sands2, Joshua R. Korzenik2, Vinita E. Jacob4, Brian P. Bosworth4, Richard A. Hodin1
1. Surgery, Massachusetts General Hospital, Boston, MA; 2. Gastroenterology, Massachusetts General Hospital, Boston, MA; 3. Surgery, NewYork Presbyterian Hospital Weill Cornell Medical Center, New York, NY; 4. Gastroenterology, New York Presbyterian Hospital Weill Cornell Medical Center, New York, NY QS17. Management Algorithm for Pneumatosis Intestinalis and Portal Venous Gas
Erik Wayne1, Matthew Ough2, Andrew Wu4, Junlin Liao3, Kelli Andresen4, David M. Kuehn4, Neal Wilkinson3
1. Surgery, University of Louisville, Louisville, KY; 2. Surgery, Rush University, Chicago, IL; 3. Surgery, University of Iowa, Iowa City, IA; 4. Radiology, University of Iowa, Iowa City, IA

QS18. Success and Complication Rates from 4997 ERCP Examinations in Sweden 2007: Data from the Swedish Register for Gallstone Surgery and ERCP (GallRiks)
Lars Enochsson1, 2, Fredrik Swahn1, 2, Urban Arnelo1, 2, Magnus Nilsson1, 2, Matthias Löhr1, 2, Gunnar Persson3
1. Department of Surgery, Karolinska University Hospital, Stockholm, Sweden; 2. Department of Clinical Science Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden; 3. Department of Surgery, Ryhov County Hospital, Jönköping, Sweden

QS20. Does Octreotide Have Any Beneficial Effect in Patients with High Risk to Develop Pancreatic Fistula After Pancreaticoduodenectomy: A Prospective Randomized Trial
Andre S. Matheus, Andre L. Montagnini, José Jukemura, Marcos V. Perini, Luciana B. Haddad, Emerson S. Abe, Sonia Penteado, José Eduardo M. Cunha
Gastroenterology, University of São Paulo, São Paulo, São Paulo, Brazil

QS21. A Broad Assessment of Clinical Outcomes After Laparoscopic Antireflux Surgery
Brant K. Oelschlager, Kevin C. Ma, Renato V. Soares, Martin I. Montenovo, Juan E. Munoz Oca, Carlos A. Pellegrini
Surgery, University of Washington, Seattle, WA

QS22. Is Laparoscopic Heller Myotomy Still Indicated in Stage IV Sigmoid Megaesophagus?
Martina Ceolin, Mario Costantini, Renato Salvador, Lisa Zanatta, Emanuele Di Fratta, Elena Finotti, Christian Rizzetto, Loredana Nicoletti, Giovanni Zaninotto, Ermanno Ancona
Department of Surgical and Gastroenterological Sciences, Clinica Chirurgica III, University of Padua, Padua, Italy
4:00 PM - 5:30 PM
DDW COMBINED CLINICAL SYMPOSIUM B1
GASTROINTESTINAL SURGERY IN THE ELDERLY
Sponsored by: SSAT, AGA, ASGE
Moderators: Suzanne Rose, New York, NY
Michael E. Zenilman, Brooklyn, NY

GI Surgery in the Elderly: Demographics and Special Considerations
Karen E. Hall, Ann Arbor, MI

Screening, Diagnostic, and Therapeutic Colonoscopy in the Elderly
Grace H. Elta, Ann Arbor, MI

Elective High-Acuity Surgery in the Elderly: Pancreatic Resection as a Paradigm
Charles M. Vollmer, Jr., Boston, MA

Techniques: Laparoscopy, NOTES
Sandhya A. Lagoo-Deenadayalan, Durham, NC
5:00 PM - 6:00 PM
ANNUAL BUSINESS MEETING S504
Members Only.
7:00 PM - 9:00 PM
MEMBERS RECEPTION
Chicago Stock Exchange Trading Room, Art Institute of Chicago



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