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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.

WEDNESDAY, JUNE 3, 2009
7:30 AM - 9:30 AM
SSAT/ISDS JOINT BREAKFAST SYMPOSIUM: PREVENTION, EVALUATION, AND TREATMENT OF LEAKS AFTER GASTROINTESTINAL SURGERY S504
Moderators: Susan Galandiuk, Louisville, KY
Marco G. Patti, Chicago, IL

Introduction
Marco G. Patti, Chicago, IL

ESOPHAGUS

Prevention
Brant K. Oelschlager, Seattle, WA
Evaluation and Treatment
Donald E. Low, Seattle, WA

Audience Discussion

BARIATRIC

Prevention
Ninh T. Nguyen, Orange, CA

Evaluation and Treatment
John C. Alverdy, Chicago, IL

Audience Discussion

BILIARY

Prevention
Nathaniel J. Soper, Chicago, IL

Evaluation and Treatment
Gary C. Vitale, Louisville, KY

Audience Discussion

PANCREATIC

Prevention
Keith D. Lillemoe, Indianapolis, IN

Evaluation and Treatment
Jeffrey B. Matthews, Chicago, IL

Audience Discussion

COLON

Prevention
James W. Fleshman, St. Louis, MO

Evaluation and Treatment
Tonia M. Young-Fadok, Scottsdale, AZ

Audience Discussion
8:30 AM - 10:00 AM
EDUCATION COMMITTEE PANEL: ADVANCING ENDOSCOPY IN GI SURGERY S505b
Moderator: Jeffrey L. Ponsky, Cleveland, OH

TRAINING: HOW MUCH IS ENOUGH?

ABS General Surgery Requirements
Jo Buyske, Philadelphia, PA

SKILLS SET FOR ADVANCED ENDOSCOPIC APPLICATIONS: WHAT'S NEEDED NEXT?

Therapeutic Endoscopy Fellowships for Surgeons
Ram Chuttani, Boston, MA

Bariatric Surgery
Eric J. DeMaria, Durham, NC

Colorectal Surgery
Steven D. Wexner, Weston, FL

NOTES
Jeffrey L. Ponsky, Cleveland, OH

Q&A
8:30 AM - 10:00 AM
TRANSLATIONAL SCIENCE PLENARY (PLENARY SESSION VI) S505a
10-minute presentation, 5-minute discussion
Moderators: O. Joe Hines, Los Angeles, CA
Sharon M. Weber, Madison, WI

30. Infection Rates in a Large Investigational Trial of Sacral Nerve Stimulation for Fecal Incontinence
Steven Wexner1, Richard McCallum9, Anders Mellgren11, John A. Coller4, Ghislain Devroede5, Tracy L. Hull15, Jennifer Ayscue2, Michael J. England6, David A. Margolin8, S. Abbas Shobeiri12, Howard S. Kaufman7, William J. Snape13, Ece Mutlu10, Paul Pettit3, Joe Tjandra14
1. Cleveland Clinic Florida, Weston, FL; 2. Washington Hospital Center, Washington, DC; 3. Mayo Clinic, Jacksonville, FL; 4. Lahey Clinic, Burlington, FL; 5. CHUS Centre Hospital, Fleurimont, FL; 6. Norman F. Gant Research Foundation, Forth Worth, TX; 7. University of Southern California, Los Angeles, CA; 8. Ochsner Clinic Foundation, New Orleans, LA; 9. University of Kansas Medical Center, Kansas City, KS; 10. Rush-Presbyterian-St. Luke’s Medical Center, Chicago, IL; 11. Center for Pelvic Floor Disorders, Minneapolis, MN; 12. University of Oklahoma, Oklahoma, OK; 13. California Pacific Medical Center, San Francisco, CA; 14. Royal Melbourne Hospital, Parkville, VIC, Australia; 15. Cleveland Clinic Foundation, Cleveland, OH

31. [18F]-Fluorodeoxyglucose-Positron Emission Tomography for the Assessment of Histopathologic Response and Prognosis After Completion of Neoadjuvant Chemotherapy in Gastric Cancer
Daniel Vallbohmer1, Arnulf H. Hölscher1, Paul M. Schneider1, 2, Matthias Schmidt3, Markus Dietlein3, Elfriede Bollschweiler1, Stephan E. Baldus4, Jan Brabender1, Ralf Metzger1, Stefan Monig1
1. Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany; 2. Department of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich, Switzerland; 3. Department of Nuclear Medicine, University of Cologne, Cologne, Germany; 4. Department of Pathology, University of Dusseldorf, Cologne, Germany

32. Transvaginal Cholecystectomy Without Laparoscopic Support Using Prototype Flexible Endoscopic Instruments
Shean Satgunam, Brent W. Miedema, Klaus Thaler
Surgery - General Surgery, University of Missouri, Columbia, MO

33. Immunonutrition with Long Chain Fatty Acids Prevents Activation of Macrophages in the Gut Wall
Petra Jacob1, Julia Frick2, Maximilian Feilitzsch1, Mario H. Mueller3, Markus A. Küper1, Helen Raybould4, Alfred Konigsrainer1, Jorg Glatzle1
1. General Surgery, University, Tuebingen, Germany; 2. Microbiology, University of Tuebingen, Tuebingen, Germany; 3. General Surgery, University of Munich, Munich, Germany; 4. Anat. Phys. Cell Biol, University of California, Davis, CA

34. Plectin-1 as a Biomarker in Malignant Pancreatic Intraductal Papillary Mucinous Neoplasms
Dirk Bausch1, Mari Mino-Kenudson2, Carlos Fernandez del-Castillo1, Andrew L. Warshaw1, Kimberly Kelly3, Sarah P. Thayer1
1. Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA; 2. Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA; 3. Department of Biomedical Engineering, University of Virginia, Charlottesville, VA

35. Enhancing Detection of Free Peritoneal Cancer Cells in Gastric Cancer Using Newcastle Disease Virus
Joyce Wong1, Allison Schulman1, Kaitlyn Kelly1, Dmitriy Zamarin1, Peter Palese2, Yuman Fong1
1. Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY; 2. Microbiology, Mount Sinai Medical Center, New York, NY
9:45 AM - 11:45 AM
VIDEO SESSION IV: NOTES — SINGLE PORT ACCESS SURGERY S504
10-minute presentation, 5-minute discussion
Moderators: Nathaniel J. Soper, Chicago, IL
Lee L. Swanstrom, Portland, OR

V21. Single Incision Laparoscopic Surgery (SILS): Cholecystectomy
Parag Butala, Brian Jacob, Neil Cambronero, George D. Xipoleas, Mark A. Reiner
Mount Sinai NY, New York, NY

V22. Natural Orifice Surgery for Early Stage Esophageal Malignancy: Proof of Concept
Bart P. Witteman1, Andres Gelrud2, George M. Eid3, Alejandro Nieponice4, Stephen F. Badylak4, 3, Blair A. Jobe1
1. The Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, PA; 2. Division of Gastroenterology, Hepatology & Nutrition, University of Pittsburgh Medical Center , Pittsburgh, PA; 3. Division of General Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA; 4. McGowan Institute for Regenerative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA

V23. Optical Coherence Tomography of the Colon and Its Mesentery (Including Virtual Sentinel Node Biopsy) by Natural Orifice Transluminal Endoscopic Surgery (N.O.T.E.S.)
Ronan A. Cahill1, Mitsuhiro Asakuma1, Joseph A. Trunzo2, Steve J. Schomisch2, Joel Leroy1, Bernard Dallemagne1, Jacques Marescaux1, Jeffrey M. Marks2
1. Surgery, IRCAD/EITS, Strasbourg, France; 2. Departments of General Surgery and Surgical Endoscopy, University Hospitals, Case Medical Center, Cleveland, OH

V24. Dissection Techniques for NOTES Cholecystectomy with the Flexible Endoscope
Kevin M. McGill, Nikalesh Ippagunta, Glenn Forrester, Julio Teixeira
Surgery, St. Luke's-Roosevelt Hospital Center, New York, NY

V25. Endoscopic Assisted Transgastric Removal of an Eroded Verticle Gastric Band
Steven Hodgett, J Christopher Eagon
Minmally Invasive Surgery, Washington University in St. Louis, St. Louis , MO

V26 Laparoscopic Assisted TransAnal Sigmoidectomy (LATAS): A Bridge to NOTES?
Joep Knol1, Eric J. Dozois2
1. Digestive Surgery, MZNL Hospital Overpelt, Overpelt, Belgium; 2. Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN
10:30 AM - 11:45 AM
QUICK SHOTS SESSION III S505b
3-minute presentation, 3-minute discussion
Moderators: Ellen J. Hagopian, New York, NY
Amy L. Halverson, Chicago, IL

QS23. High Resolution Manometry Has Less Interobserver Variability Than Conventional Manometry
Attila Dubecz1, 2, Renato Salvador1, Marek Polomsky1, Oliver Gellersen1, 3, Daniel Raymond1, Carolyn E. Jones1, Thomas J. Watson1, Jeffrey H. Peters1
1. Division of Thoracic and Foregut Surgery, University of Rochester, School of Medicine and Dentistry, Rochester, NY; 2. Department of General Surgery, Klinikum Nürnberg, Nürnberg, Germany; 3. Department of Surgery, Paracelsus Private Medical University, Salzburg, Austria

QS24 The National Mortality Burden and Significant Factors Associated with Open and Laparoscopic Cholecystectomy: 1997-2006
James P. Dolan1, Brian S. Diggs1, Brett C. Sheppard1, John G. Hunter1
1. Surgery, L-223A, Oregon Health and Science University, Portland, OR

QS25. Murine Functional Liver Mass Is Reduced Following Partial Small Bowel Resection
Zhaohua Qiu1, Shannon W. Longshore3, Brad W. Warner3, David A. Rudnick1, 2
1. Pediatrics, Washington Univ Sch of Med, St Louis, MO; 2. Developmental Biology, Washington Univ Sch of Med, St Louis, MO; 3. Surgery, Washington Univ Sch of Med, St. Louis, MO

QS26. Predicting Organ Space Surgical Site Infection with a Nomogram
Luiz F. Lobato1, Brian Wells2, Elizabeth Wick3, Kevin T. Pronty1, Pokala R. Kiran1, Feza H. Remzi1, Jon D. Vogel1
1. Colorectal Surgery, Cleveland Clinic OH, Cleveland, OH; 2. Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH; 3. Surgery, John Hopkins, Baltimore, MD

QS27. Impact of KIT and PDGFRA Gene Mutations on Prognosis of Patients with Gastrointestinal Stromal Tumors After Complete Primary Tumor Resection
Andrea Frilling, Ying Hou, Florian Grabellus, Frank Weber, Christoph E. Broelsch
University Hospital Essen, Essen, Germany

QS28. Management of Symptomatic Intraabdominal Collections After 672 Hepatic Resections
Pedro Mastrodomenico, Vin Yael, Sofocleous T. Constantinos, Mithat Gonen, Peter J. Allen, Ronald P. DeMatteo, Yuman Fong, Leslie H. Blumgart, William R. Jarnagin, Michael D'Angelica
MSKCC, New York, NY

QS29. Mortality After Nonhepatic General Surgery in Patients with Concomitant Liver Cirrhosis: An Analysis of 138 Operations in the 2000S Using CHILD- and MELD Scores
Frank Makowiec1, Dimitri Mariaskin1, Hans-Christian Spangenberg2, Ulrich T. Hopt1
1. Dept. of Surgery, University of Freiburg, Freiburg, Germany; 2. Dept. of Gastroenterology and Hepatology, University of Freiburg, Freiburg, Germany

QS30. Major Complications After Laparoscopic Cholecystectomy: A Simple Risk Score
Melissa M. Murphy, Shimul A. Shah, Jessica P. Simons, Nicholas Csikesz, Sing Chau Ng, Zheng Zhou, Jennifer F. Tseng
University of Massachusetts Medical School, Worcester, MA

QS31. Survival After Proximal, Local and Distal Resection of Extrahepatic Cholangiocarcinoma: Analysis of Prognostic Factors
Niels Anthony Van Der Gaag, Jaap Kloek, Jacob de Bakker, Boudewijn Musters, Olivier R. Busch, Dirk J. Gouma, Thomas M. Van Gulik
Surgery, Academic Medical Center, Amsterdam, Netherlands

QS32. Fine Needle Aspiration Cytology from Pancreatic Cysts: Limited Utility in Surgical Decision Making
Craig P. Fischer1, 2, Bridget N. Fahy1, 2, Thomas A. Aloia1, 2, Isaac Raijman1, Alberto O. Barroso1, 2, Peter J. Schwarz1, 2, Barbara L. Bass1, 2
1. Surgery, The Methodist Hospital, Houston, TX; 2. Surgery, Weill Cornell Medical College, Houston, TX

QS33. Inhibition of IkB Kinase Attenuates Lipopolysaccharide Induced Hepatic Injury
Jeremy L. Ward, Jordan L. Pleitz, Daniel L. MacDougall, David W. Mercer
Department of Surgery, University of Texas Medical School at Houston, Houston, TX

QS34. Frequency of CASH and Its Effect on Surgical Outcomes After Neoadjuvant FOLFOX Therapy for the Treatment of Colorectal Metastasis to the Liver
Kaye Reid Lombardo1, Vishal Chandan2, William S. Harmsen3, Christina M. Wood3, David Nagorney1
1. Division of General Surgery, Mayo Clinic - Rochester, Rochester, MN; 2. Department of Anatomic Pathology, Mayo Clinic, Rochester, MN; 3. Division of Biomedical Statistics and Informatics, Mayo Clinic , Rochester, MN
10:30 AM - 12:00 PM
DDW COMBINED CLINICAL SYMPOSIUM B1
COMMON APPROACHES TO PELVIC FLOOR ABNORMALITIES
Sponsored by: SSAT, AGA
Moderators: James W. Fleshman, St. Louis, MO
Satish S.C. Rao, Iowa City, IA

Epidemiology, Pathophysiology & Evaluation of Urogynecological Disorders of the Pelvic Floor: An Update from PFDN
Linda Brubaker, Maywood, IL

Advances in Diagnostic Evaluation of Pelvic Floor Disorders
Adil E. Bharucha, Rochester, MN

Behavioral Therapies for Fecal Incontinence and Dyssynergic Defecation: Are They Effective?
Satish S.C. Rao, Iowa City, IA

What's New in Surgical Therapies for Pelvic Floor Disorders
Marc Singer, Chicago, IL

Discussion
10:30 AM - 12:00 PM
PLENARY SESSION VII S505a
10-minute presentation, 5-minute discussion
Moderators: Jonathan F. Critchlow, Boston, MA
Vic Velanovich, Detroit, MI

36. The Effects of Sympathetic and Parasympathetic Denervation on Distal Colon Motility in Conscious Rats
Timothy J. Ridolfi1, Toku Takahashi2, Lauren Kosinski1, Kirk A. Ludwig1
1. Surgery, Medical College of Wisconsin, Milwaukee, WI; 2. Surgery, Zablocki VA Medical Center, Milwaukee, WI

37. Comparison of the Prognostic Value of Inflammation Based Pathological and Biochemical Criteria in Colorectal Cancer
Campbell Roxburgh1, Jonathan M. Salmond2, Karin Oien2, Paul G. Horgan1, Donald C. McMillan1
1. University Department of Surgery, Glasgow Royal Infirmary, Glasgow, United Kingdom; 2. University Dept of Patholgy, Glasgow Royal Infirmary, Glasgow, United Kingdom

38. National Trends in Esophageal Surgery – Are Outcomes as Good as We Believe?
Geoffrey P. Kohn1, Joseph A. Galanko2, Michael O. Meyers1, Richard H. Feins1, Timothy M. Farrell1
1. Department of Surgery, University of North Carolina, Chapel Hill, NC; 2. Department of Medicine, University of North Carolina, Chapel Hill, NC

39. Preoperative Gastric Acid Secretion Defines a Subgroup of Patients with High-Risk to Develop Barrett's Esophagus in the Esophageal Stump After Esophagectomy for End Stage Chagasic Achalasia
Julio R. da Rocha1, Ulysses Ribeiro1, Sérgio Szachnowicz1, Elisa R. Baba1, 2, Adriana V. Safatle-Ribeiro1, Kiyoshi Iriya2, Ary Nasi1, Rubens Sallum1, Ivan Cecconello1
1. Gastroenterology, University of São Paulo, São Paulo, Brazil; 2. Pathology, University of São Paulo, São Paulo, Brazil

40 Lack of Association Between a Self-Administered Questionnaire, GERDQ, and Objective GERD Findings Diagnosed by 24-Hour Esophageal pH Monitoring
Kevin Chan2, Geoffrey Liu2, Linda Miller1, Clement Ma3, Wei Xu3, Gail Darling1
1. Thoracic Surgery, Toronto General Hospital, Toronto, ON, Canada; 2. Applied Molecular Oncology, Princess Margaret Hospital, Toronto, ON, Canada; 3. Biostatistics, Ontario Cancer Institute, Toronto, ON, Canada

41. Surgical Resection for Locoregional Esophageal Cancer Is Underutilized in the United States
Attila Dubecz1, 2, Boris Sepesi1, Renato Salvador1, Marek Polomsky1, Carolyn E. Jones1, Virginia R. Litle1, Daniel Raymond1, Thomas J. Watson1, Juan P. Wisnivesky3, Jeffrey H. Peters1
1. Division of Thoracic and Foregut Surgery, University of Rochester, School of Medicine and Dentistry, Rochester, NY; 2. Department of Surgery, Klinikum Nürnberg, Nürnberg, Germany; 3. Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY
12:00 PM - 2:00 PM
POSTER SESSION III South Hall
Authors available at their posters to answer questions 12 PM – 2 PM; posters on display 8 AM – 5 PM.
12:00 PM - 3:00 PM
SSAT/SAGES JOINT LUNCHEON SYMPOSIUM: THE ENDOSCOPE AS A SURGICAL TOOL S504
Moderators: David M. Mahvi, Chicago, IL
C. Daniel Smith, Jacksonville, FL

FOREGUT

Endoscopic Fundoplication: Real of Fantasy?
Blair A. Jobe, Pittsburgh, PA

Endoscopic Mucosal Resection
Jeffrey H. Peters, Rochester, NY

Transmediastinal Endoscopic Intervention
Denise W. Gee, Boston, MA

Panel Discussion

PANCREATOBILIARY

Endoscopic Management of Pancreatic Necrosis
Jeffrey L. Ponsky, Cleveland, OH

Endoscopic Management of Chronic Pancreatitis
Gary C. Vitale, Louisville, KY

NOTES Cholecystectomy
Nathaniel J. Soper, Chicago, IL

Panel Discussion

COLORECTAL

Colonic ESD & EMR: Techniques to Avoid Segmental Resection
Richard L. Whelan, New York, NY

TEMS: Indications & Technique
John R.T. Monson, Rochester, NY

TEM as a Platform for NOTES
John H. Marks, Wynnewood, PA

Panel Discussion
12:30 PM - 1:45 PM
MEET-THE-PROFESSOR LUNCHEONS

Minimally Invasive Pancreatic Surgery: When?
Hyatt Regency McCormick S501D
Attila Nakeeb, Indianapolis, IN

Radiofrequency Ablation of Barrett's Esophagus S503
Blair A Jobe, Pittsburgh, PA
2:15 PM - 3:45 PM
DDW COMBINED CLINICAL SYMPOSIUM B1
DETECTING AND MANAGING COLONIC DYSPLASIA IN IBD: NOW AND THE FUTURE
Sponsored by: AGA, SSAT
Moderators: Steven H. Itzkowitz, New York, NY
Jonathan P. Terdiman, San Francisco, CA

Understanding Dyplasia
Steven H. Itzkowitz, New York, NY

Interpreting Dysplasia
Robert D. Odze, Boston, MA

Finding Dysplasia
Ralf Kiesslich, Mainz, Germany

So, How Do I Manage IBD Dysplasia?
Thomas A. Ullman, Chappaqua, NY

Panel Discussion



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