OPENING SESSION
Moderator: David M. Mahvi, Chicago, IL

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.

PRESIDENTIAL PLENARY A (PLENARY SESSION I)
Moderator: Merril T. Dayton, Buffalo, NY

10-minute presentation, 5-minute discussion

1. The Effects of RAGE Signaling on the Development of Colorectal Liver Metastases
Joseph Dinorcia*, Nikalesh Ippagunta, Mark Foster, Dorota N. Moroziewicz, Jean C. Emond, Ann Marie Schmidt, John D. Allendorf
Surgery, Columbia University College of Physicians and Surgeons, New York, NY
View Presentation

2. The Preoperative Manometric Pattern Predicts the Outcome of Surgical Treatment for Esophageal Achalasia
Renato Salvador*, Mario Costantini, Giovanni Zaninotto, Tiziana Morbin, Christian Rizzetto, Lisa Zanatta, Martina Ceolin, Elena Finotti, Emanuela Guirroli, Loredana Nicoletti, Francesco Cavallin, Gianfranco Da Dalt, Ermanno Ancona
Department of Surgical and Gastroenterological Sciences, Clinica Chirurgica I, University of Padua, Padua, Italy
View Presentation

3. Long-Term Follow-Up After Anti-Reflux Surgery in Patients with Barrett's Esophagus
Joerg Zehetner*, Steven R. Demeester, Shahin Ayazi, Jesse L. Costales, Florian Augustin, Helen J. Sohn, John C. Lipham, Jeffrey a. Hagen, Tom R. Demeester
Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA
View Presentation

4. Pay-for-Obesity? Performance Metrics Ignore Differences in Complication Rates and Cost for Obese Patients Undergoing Two Common General Surgical Procedures
Kenzo Hirose*, Andrew D. Shore, Elizabeth C. Wick, Martin a. Makary
Surgery, Johns Hopkins, Baltimore, MD
View Presentation

PRESIDENTIAL ADDRESS
Introduction
Merril T. Dayton, Buffalo, NY
View Presentation

Zen and the Art of Surgery: How to Make Johnny a Surgeon
David M. Mahvi, Chicago, IL
View Presentation

PRESIDENTIAL PLENARY B (PLENARY SESSION II)
Moderator: David M. Mahvi, Chicago, IL

10-minute presentation, 5-minute discussion

5. Disappearing Colorectal Metastases After Chemotherapy: Should We Be Concerned?
Mark G. Van Vledder*, Mechteld C. De Jong, Timothy M. Pawlik, Richard D. Schulick, Luis Diaz, Michael a. Choti
Surgery, Johns Hopkins Hospital, Baltimore, MD
View Presentation

6. Radiation Dose from Computed Tomography in Patients with Necrotizing Pancreatitis: How Much Is Too Much?
Chad G. Ball*, Camilo Correa-Gallego, Thomas J. Howard, Nicholas J. Zyromski, Michael House, Henry a. Pitt, Attila Nakeeb, C. Max Schmidt, Keith D. Lillemoe
Surgery, Indiana University, Indianapolis, IN
View Presentation

7. Image-Guided Stereotactic Radiosurgery for Locally Advanced Pancreatic Adenocarcinoma: Results of First 85 Patients
Mukund S. Didolkar*¹, Cardella Coleman², Mark J. Brenner², Kyo U. Chu1, Elizabeth Stanwyck³, Airong Yu³, Nicole Olexa¹, Nagaraj Neerchal^3
1Surgical Oncology, Sinai Hospital of Baltimore, Baltimore, MD; ²Radiation Oncology, Sinai Hospital of Baltimore, Baltimore, MD; ³Department of Mathematics, University of Maryland at Baltimore County Campus, Baltimore, MD
View Presentation

DORIS AND JOHN L. CAMERON GUEST ORATION
Nanotechnology in Biology and Medicine
Chad A. Mirkin, Evanston, IL
View Presentation

POSTER SESSION I
Authors available at their posters to answer questions 12 PM – 2 PM; posters on display 8 AM – 5 PM.

MEET-THE-PROFESSOR LUNCHEONS

Appendicitis: Is It Still an Emergency?
Christopher R. Mantyh, Durham, NC

Endoscopic Management of Esophageal Perforation and Leaks
Donald E. Low, Seattle, WA

CONTROVERSIES IN GI SURGERY A
DEBATE 1: INCISIONAL HERNIA: LAPAROSCOPIC OR OPEN REPAIR?
Moderator: Bruce J. Ramshaw, Columbia, MO

Frame the Issue
Bruce J. Ramshaw, Columbia, MO

Laparoscopic Repair for Incisional Hernia
Michael Rosen, Cleveland, OH

Open Repair for Incisional Hernia
Robert J. Fitzgibbons, Jr, Omaha, NE

Panel and Audience Discussion

DEBATE 2: ESOPHAGECTOMY FOR CANCER: WHAT'S THE BEST APPROACH?
Moderator: Donald E. Low, Seattle, WA

Frame the Issue
Donald E. Low, Seattle, WA

Open Resection
Thomas J. Watson, Rochester, NY

Minimally Invasive Esophagectomy
Blair A. Jobe, Pittsburgh, PA

Panel and Audience Discussion

DDW COMBINED CLINICAL SYMPOSIA
COMPLICATED CROHN'S DISEASE: A MULTIDISCIPLINARY APPROACH TO FISTULAS, ABSCESSES, AND STRICTURES
Sponsored by: AGA, ASGE, SSAT

Moderators:

Charles Bernstein, Winnipeg, MB Jeffry Katz, Cleveland, OH

The Management of Intraabdominal Abcesses
Richard A. Hodin, Boston, MA

Impact of A nti-TNF Therapy on Surgery in IBD
Robert R. Cima, Rochester, MN

Endoscopic Management of Strictures: Outcomes, Benefits, and Risks
Severine Vermeire, Leuven Belgium

Panel and Audience Discussion

NON-TRANSPLANT SURGICAL OPTIONS FOR HEPATOCELLULAR CARCINOMA
Sponsored by: AASLD, SSAT, AGA

Moderators:

Laura Kulik, Chicago, IL Myron E. Schwartz, New York, NY

Surgical Options from a Transplant Hepatologist's Viewpoint
Laura Kulik, Chicago, IL

HCC: Limits of Resectability
Myron E. Schwartz, New York, NY

Role of Minimally Invasive Surgery and Ablation as Definitive Treatment for HCC
Robert C.G. Martin, Louisville, KY

Panel and Audience Discussion

VIDEO SESSION I: COLON-RECTAL & HEPATOBILIARY

Moderators:

William G. Hawkins, St. Louis, MO Mark L. Welton, Stanford, CA

10-minute presentation, 5-minute discussion

V1. Single Incision Laparoscopic Liver Resection of Colorectal Liver Metastases
Ameet G. Patel1, Ajay P. Belgaumkar*1,2, Jojo James1, Beth Murgatroyd1,2, Kirstin Carswell1
1Department of Surgery, King's College Hospital NHS Foundation Trust, London, United Kingdom; 2Department of Surgery, Princess Grace Hospital, London, United Kingdom

V2. Single-Incision Laparoscopic Completion Proctectomy and Ileal J-Pouch-Anal Anastomosis in an 18 Year-Old Male with Ulcerative Colitis Refractory to Medical Therapy
Alexandre Bouchard*, Tonia M. Young-Fadok
Mayo Clinic-Arizona, Phoenix, AZ

V3. Intra-Operative Ultrasound During Laparoscopic Cholecystectomy: A Video Library
Jason M. Pfluke*, Michael Parker, Horacio J. Asbun, C. Daniel Smith, Steven P. Bowers
Mayo Clinic Florida, Jacksonville, FL

V4. Laparoscopic-Assisted Isolated Caudate Lobe Resections
Edward Lin, Juan M. Sarmiento*
SURGERY, Emory University School of Medicine, Atlanta, GA

V5. Laparoscopic Low Anterior Resection with Transrectal Specimen Extraction and Intracorporeal Anastomosis
Philip a. Omotosho*, Jin S. Yoo, Aurora D. Pryor
Surgery, Duke University Medical Center, Durham, NC

V6. Laparoscopic Ventral Mesh Rectopexy for Rectal Prolapse
Pierpaolo Sileri*, Vito M. Stolfi, Domenico Benavoli, Luana Franceschilli, Lodovico Patrizi, Achille Gaspari
Surgery, University of Rome Tor Vergata, Rome, Italy

V7. Laparoscopic Anterior Resection for Sigmoid Cancer with Transanal Extraction Using TEM (Transanal Endoscopic Microsurgery)
Janivette Alsina*, Patricia Sylla
General Surgery, MGH, Boston, MA

SSAT/AGA/ASGE STATE-OF-THE-ART CONFERENCE
NECROTIZING PANCREATITIS: NOVEL MINIMALLY INVASIVE STRATEGIES
Moderator: C. Max Schmidt, Indianapolis, IN

Introduction
C. Max Schmidt, Indianapolis, IN

Open Pancreatic Necrosectomy: Indications in the Minimally Invasive Era
Carlos Fernandez-del-Castillo, Boston, MA

Minimally Invasive/Laparoscopic Pancreatic Necrosectomy
Jeffrey B. Matthews, Chicago, IL

Endoscopic Pancreatic Necrosectomy
Evan Fogel, Indianapolis, IN

Necrotizing Pancreatitis: Interventional Radiology & Management
Eric vanSonnenberg, Phoenix, AZ

Case Presentations

Panel and Audience Discussion

PLENARY SESSION III: QUALITY, OUTCOMES, & RISK ASSESSMENT

Moderators:

Patrick M. Forgione, Burlington, VT Shimul A. Shah, Worcester, MA

10-minute presentation, 5-minute discussion

8. Are You Calling Me a Poor Performer? Comparison of Outlier Identification Methods in Hospital Surgical Quality Improvement Programs
Karl Y. Bilimoria*^1,2, Ryan P. Merkow³, Mark E. Cohen¹, David J. Bentrem², Bruce L. Hall⁴, Clifford Y. Ko^1,5
1Divison of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL; ²Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL; ³Departmet of Surgery, University of Colorado, Denver, CO; ⁴Department of Surgery, Washington University St. Louis, St. Lous, MO; ⁵Department of Surgery, UCLA, Los Angeles, MO

9. Elective Surgery for Diverticulitis Is Associated with High Risk of Intestinal Diversion and Hospital Readmission in Older Adults
Anne O. Lidor*¹, Eric B. Schneider¹, Amy Sheer², Albert W. Wu², Jodi B. Segal², Robert Herbert², David C. Chang^1
1Surgery, Johns Hopkins University School of Medicine, Baltimore, MD; ²Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

10. Repair of Symptomatic Giant Paraesophageal Hernias in Elderly (> 70 Yrs) Patients Results in Improved Quality of Life
Brian E. Louie*¹, Maurice Blitz², Jeraldine Orlina¹, Alex Farivar¹, Ralph W. Aye^1
1Thoracic Surgery, Swedish Medical Center and Cancer Institute, Seattle, WA; ²Thoracic Surgery, St. Joseph's Health Center, Toronto, ON, Canada

11. Redefining Mortality After Pancreatic Cancer Resection
James E. Carroll*, Jillian K. Smith, Jessica P. Simons, Melissa M. Murphy, Sing Chau Ng, Shimul a. Shah, Zheng Zhou, Jennifer F. Tseng
Surgery, Surgical Outcomes Analysis & Research, University of Massachusetts Medical School, Worcester, MA

12. Patients Admitted with Acute Abdominal Conditions Are at High Risk for Development of Symptomatic Venous Thromboembolism (VTE) but Often Fail to Receive Adequate Prophylaxis
Emily Pearsall*², Ujash Sheth², Darlene Fenech^3,1, Marg Mckenzie², J. Charles Victor⁴, Robin S. Mcleod^1,2
1Surgery, University of Toronto, Toronto, ON, Canada; ²Surgery, Mount Sinai Hospital, Toronto, ON, Canada; ³Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; ⁴Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

13. The Yield of Non-Invasive Testing in Post-Cholecystectomy Patients with Suspected Bile Duct Injury
John M. Iskander*¹, Gregory a. Cote¹, Riad R. Azar¹, J Christopher Eagon², Dayna S. Early¹, Steven a. Edmundowicz¹, Daniel Mullady¹, Faris Murad¹, Jerry Wallis³, Sreenivasa S. Jonnalagadda^1
1Gastroenterology, Washington University, St Louis, MO; ²Surgery, Washington University, St. Louis, MO; ³Nuclear Medicine, Washington University, St. Louis, MO

14. Risk Stratification for Distal Pancreatectomy Utilizing ACS-NSQIP: Preoperative Factors Correlate with Morbidity
Kaitlyn J. Kelly*, Yin Wan, Robert J. Rettammel, Emily Winslow, Clifford S. Cho, Sharon M. Weber
Surgery, University of Wisconsin Hospital and Clinics, Madison, WI

15. Multivisceral Transplantation with Preservation of Native Liver, Pancreaticoduodenal Complex and Spleen: Indications and Long-Term Outcome
Ruy Cruz*, Guilherme Costa, Geoffrey Bond, Kyle Soltys, William C. Stein, Guosheng Wu, Dolly Martin, Rakesh Sindhi, George V. Mazariegos, Kareem M. Abu-Elmagd
Univ of Pittsburgh, Pittsburgh, PA

16. Waist Circumference Predicts Complications in Rectal Cancer Surgery
Courtney Balentine*^1,2, Celia Robinson^1,2, Christy Marshall^1,2, Jonathan Wilks^1,2, Kujtim Haderxhanaj², Shubhada Sansgiry², Nancy J. Petersen², Daniel Albo^1,2, David H. Berger^1,2
1Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; ²Michael E DeBakey Veterans Affairs Hospital, Houston, TX

17. Impact on Hospital Systems by Esophagectomy (EG) and Pancreaticoduodenectomy (PD): Objective Comparison of Surgical Complications Using the Accordion Severity Grading System
Donald E. Low*, Madhankumar Kuppusamy, Yasushi Hashimoto, L. William Traverso
General Surgery, Virginia Mason Clinic, Seattle, WA

18. Predicting Post-Operative Mortality in Colorectal Cancer Surgery: A Systematic Review of the Accuracy of POSSUM, P-POSSUM and CR-POSSUM
Colin Richards*, Fiona Leitch, Paul G. Horgan, Donald C. Mcmillan
University Department of Surgery, Glasgow Royal Infirmary, Glasgow, United Kingdom

CLINICAL WARD ROUNDS: MANAGING OSTOMY COMPLICATIONS
Moderator: Bruce A. Orkin, Boston, MA

Panelists:

Kirk A. Ludwig, Milwaukee, WI Michael S. Nussbaum, Jacksonville, FL Alan G. Thorson, Omaha, NE

DDW COMBINED CLINICAL SYMPOSIA

LIVER URGENCIES AND EMERGENCIES: WHAT YOU NEED TO KNOW
Sponsored by: AASLD, AGA, SSAT

Moderators:

Bruce R. Bacon, St. Louis, MO Michael B. Fallon, Houston, TX

Acute Altered Mental Status in Cirrhosis
Jasmohan Bajaj, Richmond, VA

The Rising Creatinine in Liver Disease
Thomas Boyer, Tucson, AZ

Hematemesis in Liver Disease
Anne Larson, Dallas, TX

Panel and Audience Discussion

MANAGEMENT OF COMPLEX COLORECTAL ISSUES
Sponsored by: ASGE, SSAT, AGA

Moderators:	Barry A. Salky, New York, NY David Schwartz, Nashville, TN
Panelists:	Alessandro Fichera, Chicago, IL Phillip Fleshner, Los Angeles, CA Scott Lee, Seattle, WA David Schwartz, Nashville, TN

Panel and Audience Discussion