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51st Annual Meeting Program and Abstracts

51st Annual Meeting
SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT
May 1 – 5, 2010
New Orleans, Louisiana
during Digestive Disease Week

Program and Abstracts  |  Posters

indicates a ticketed session requiring a separate registration and fee.
indicates the papers also being presented at the Residents & Fellows Research Conference. Participation in and attendance at this conference is by invitation only.

TUESDAY, MAY 4, 2010
7:30 AM – 9:15 AM
244-245
VIDEO SESSION II: BREAKFAST AT THE MOVIES
Moderators: David Shibata, Tampa, FL
J. Nicolas Vauthey, Houston, TX

10-minute presentation, 5-minute discussion

V8. Flexible Endoscopic Cricopharyngeal Myotomy for Zenker's Diverticulum
Richard a. Pierce*, Danny V. Martinec, Trudie a. Goers, Erwin Rieder, Lee L. Swanstrom Minimally Invasive Surgery, Legacy Health System, Portland, OR

V9. Laparoscopic Pancreaticoduodenectomy
Sujit Kulkarni*, David Vivas, Tanuja Damani, Paresh C. Shah
Lenox Hill Hospital, New York, NY

V10. A Standardized Approach to Minimally Invasive Transhiatal Esophagectomy
James Lopes, Steven N. Hochwald, Kfir Ben-David*
General Surgery, Univeristy of Florida, Gainesville, FL

V11. Laparoscopic Bile Duct Cyst Resection
Guido M. Sclabas*, Michael L. Kendrick
Mayo Clinic, Rochester, MN

V12. Central Pancreatectomy with Pancreaticogastrostomy: Open and Laparoscopic Approaches
Laureano FernแNdez-Cruz*
Surgery, Hospital Clํnic, Barcelona, Spain

V13. Gastric Volvulus Following Laparoscopic Heller Myotomy and Dor Fundoplication for Achalasia
Chirag Dholakia*, Kevin M. Reavis
Surgery, University of California Irvine, Orange, CA

V14. Laparoscopic Component Separation in Complex Abdominal Wall Reconstruction
Karem C. Harth, Jeffrey A. Blatnik*, Michael J. Rosen
General Surgery, University Hospitals Case Medical Center, Cleveland, OH
8:30 AM – 9:30 AM
255-257
CLINICAL WARD ROUNDS: SURGERY FOR DIVERTICULITIS: WHEN AND WHY?
Moderator: Neil Hyman, Burlington, VT
Panelists: Jonathan F. Critchlow, Boston, MA
Janice F. Rafferty, Cincinnati, OH
Bruce G. Wolff, Rochester, MN
8:30 AM – 10:00 AM
Ballroom AB
DDW COMBINED CLINICAL SYMPOSIUM
GIST THE FACTS

Sponsored by: SSAT, AGA, ASGE
Moderators: Steven I. Itzkowitz, New York, NY
Chandrajit P. Raut, Boston, MA

Endoscopic Diagnosis, Surveillance, and Management of Small GISTs
William Brugge, Boston, MA

GIST Histopathology and Mutation Analysis
Christopher Corless, Portland, OR

Medical Management of Advanced GIST and Role of Serum Drug-Level Testing
Margaret von Mehren, Philadelphia, PA

Surgical Management of Primary and Metastatic GIST and Indications for Adjuvant and Neoadjuvant Therapy for Primary GIST
Chandrajit P. Raut, Boston, MA

Panel and Audience Discussion
8:30 AM – 10:00 AM
243
SSAT PUBLIC POLICY COMMITTEE/AGA PRACTICE MANAGEMENT AND ECONOMICS COMMITTEE JOINT PANEL
HEALTH CARE REFORM AND GASTROINTESTINAL DISEASES

Moderator: Jonathan R. Hiatt, Los Angeles, CA

Impact of Reform on Academic Health Centers
Michael J. Zinner, Boston, MA

Quality Measures and the Effect on Health Care Reform
Clifford Y. Ko, Los Angeles, CA

What Does a Digestive Disease Practice Look Like in a Reformed Health Care Model?
Joel Brill, Phoenix, AZ

Panel and Audience Discussion
9:30 AM – 11:00 AM
244-245
SSAT/AHPBA JOINT SYMPOSIUM
TODAY'S APPROACHES TO COLORECTAL CANCER (CRC) LIVER METASTASES

Moderator: Scott Helton, New Haven, CT

Introduction
Scott Helton, New Haven, CT

Prognostic Markers and Staging Systems for Patients with CRC Metastases
Michael D'Angelica, New York, NY

The Role of Perioperative Chemotherapy in Resectable CRC Metastases: What Does the Evidence Support?
Timothy M. Pawlik, Baltimore, MD

Optimal and Individually Tailored Resection of CRC Metastases
Eddie K. Abdalla, Houston, TX

What, How, and When to Offer Non-Resection Therapy for CRC Metastases
N. Joseph Espat, Providence, RI

Panel and Audience Discussion
10:00 AM – 11:15 AM
243
BASIC SCIENCE PLENARY (PLENARY SESSION IV)
Moderators: Richard A. Hodin, Boston, MA
Emina H. Huang, Gainesville, FL

10-minute presentation, 5-minute discussion

19. Insulin, Leptin, and Tumoral Adipocytes Promote Murine Pancreatic Cancer Growth
Patrick B. White*, Eben M. True, Kathryn M. Dalbec, Sue Wang, Deborah a. Swartz-Basile, Henry a. Pitt, Nicholas J. Zyromski
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN

20. Involvement of Osteopontin in the Matrix Degrading and Proangiogenic Changes Mediated by Nicotine in Pancreatic Cancer Cells
Melissa Lazar*1, Jennifer Sullivan1, Tamer Aziz1, Galina Chipitsyna1, Charles J. Yeo1,3, Hwyda A. Arafat1,2
1Surgery, Thomas Jefferson University, Philadelphia, PA; 2Pathology Anatomy and Cell Biology, Thomas Jefferson University, Philadelphia, PA; 3Jefferson Pancreatic, Biliary & Related Cancer Center, Thomas Jefferson University, Philadelphia, PA

21. Intestinal Adaptation of Oligopeptide Absorption via PepT1 After Massive (70%) Mid Small Bowel Resection
Srivats Madhavan*, Jeffrey S. Scow, Munenori Nagao, Ye Zheng, Judith a. Duenes, Michael G. Sarr
Dept. of Surgery and Gastroenterology Research Unit, Mayo Clinic, Rochester, MN

22. Genetic Deletion of Hematopoietic 5-Lipoxygenase Suppresses Intestinal Polyposis in Apc?468 Knockout Mice
Eric C. Cheon*1,2, Matthew J. Strouch2, Seth B. Krantz2, Mohammad K. Khan3, Kristen Dennis3, Nichole R. Blatner3, Elias Gounaris3, Khashayarsha Khazaie3, David J. Bentrem2,4
1Surgery, Mount Sinai Hospital, University of Illinois College of Medicine at Chicago, Chicago, IL; 2Surgery, Northwestern Memorial Hospital and Feinberg School of Medicine, Chicago, IL; 3Gastroenterology, Northwestern Memorial Hospital and Feinberg School of Medicine, Chicago, IL; 4Surgery, Jesse Brown Veterans Affairs Medical Center, Chicago, IL

23. TNF-a Treatment Induces Directional IL-8 Secretion in Polarized Caco-2 Cells
Dennis I. Sonnier*, Stephanie R. Bailey, Rebecca M. Schuster, Alex B. Lentsch, Timothy a. Pritts
Dept. of Surgery, University of Cincinnati, Cincinnati, OH
10:00 AM – 11:15 AM
253-254
QUICK SHOTS SESSION I
Moderators: Wayne Frederick, Washington, DC
Charles M. Vollmer, Jr, Boston, MA

3-minute presentation, 3-minute discussion

QS1. Intraoperative Assessment of Perfusion in Gastric Grafts for Reconstruction After Esophagectomy: Predicting Anastomotic Complications
Joerg Zehetner, Steven R. Demeester*, Jeffrey A. Hagen, Shahin Ayazi, Jesse L. Costales, Florian Augustin, Helen J. Sohn, John C. Lipham, Tom R. Demeester
Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA

QS2. A Drain Amylase < 1000 U/L on the First Post-Operative Day Effectively Predicts the Absence of a High-Impact Fistula Following Pancreatic Resection
Gregory R. Veillette*, Camilo Correa-Gallego, Cristina R. Ferrone, Sarah P. Thayer, Jennifer a. Wargo, Andrew L. Warshaw, Carlos Fernandez Del-Castillo
Surgery, Massachusetts General Hospital, Boston, MA

QS3. Functional Lumen Imaging Probe to Assess Geometric Changes in the Esophagogastric Junction Following Endolumenal Fundoplication
Toshitaka Hoppo, Barry P. Mcmahon*, Bart P. Witteman, Stefan J. Kraemer, Robert W. O'Rourke, Flemming H. Gravesen, Blair a. Jobe
Division of Thoracic and Foregut Surgery, The Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, PA

QS4. Increased Risk of Surgery After Attenuation of Anti-TNFa Therapy for Crohn's Disease
Brian P. Bosworth*1, Benjamin Lebwohl2, Raja Taunk3, Nicole Green1, Harrison Lakehomer1, Ugonna Iroku2, Arun Swaminath2, Jeffrey W. Milsom4, Fabrizio Michelassi4, Ellen J. Scherl1
1Gastroenterology and Hepatology, Weill Medical College of Cornell University, New York, NY; 2Digestive and Liver Diseases, Columbia College of Physicians and Surgeons, New York, NY; 3Medicine, New York Presbyterian Hospital: Weill Cornell Center, New York, NY; 4Surgery, Weill Medical College of Cornell University, New York, NY

QS5. Validation of an Endovascular-First Strategy for the Treatment of Chronic Mesenteric Ischemia
Christopher a. Durham*1, Michael M. Mcnally1, Bryan a. Ehlert1, Walter J. Pories1, Frank M. Parker2, William M. Bogey2, Charles S. Powell2, Michael C. Stoner2
1Surgery, East Carolina University, Greenville, NC; 2Cardiovascular Sciences, East Carolina University, Greenville, NC

QS6. Efficacy of Adjuvant Versus Neoadjuvant Therapy for Resectable Pancreatic Adenocarcinoma: A Decision Analysis
Hiromichi Ito*, Daniel T. Ruan, Edward E. Whang Department of Surgery, Brigham and Women's Hospital, Boston, MA

QS7. Improvement of Respiratory Symptoms Following Heller Myotomy for Achalasia
Saurabh Khandelwal*1, Rebecca Petersen1, Roger P. Tatum2,1, Daniel M. Aaronson1, Fernando Mier1, Huseyin Sinan1, Ana V. Martin1, Carlos a. Pellegrini1, Brant K. Oelschlager1
1Surgery, University of Washington, Seattle, WA; 2Surgery, VA Puget Sound Health Care System, Seattle, WA

QS8. Adenocarcinoma of the Esophagus in the Young
Arzu Oezcelik*, Steven R. Demeester, Shahin Ayazi, Emmanuele Abate, Joerg Zehetner, Jessica M. Leers, Jeffrey a. Hagen, John C. Lipham, Helen J. Sohn, Tom R. Demeester
Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA

QS9. Resection or Pallative Bypass for Locally Advanced Pancreatic Cancer?
Tobias Keck, Ulrich F. Wellner*, Dietlind Tittelbach-Helmrich, Frank Makowiec, Ulrich T. Hopt
Dept. for General and Visceral Surgery, University of Freiburg, Freiburg, Germany

QS10. Effect of Pulmonary Hypertension on Adult Patients Undergoing Non-Cardiac Surgery
I. Michael Leitman*1,2, Andrew D. Yu2, Joseph Park2, Martin S. Karpeh1
1Department of Surgery, Beth Israel Medical Center, New York, NY; 2Albert Einstein College of Medicine, New York, NY

QS12. Which Is Better: Routine or Selective Endoscopy Before Bariatric Surgery?
Paul N. Montero*, Timothy Kuwada, Keith S. Gersin, B. Todd Heniford, Dimitrios Stefanidis
Gastrointestinal and Minimally Invasive Surgery, Carolinas Medical Center, Charlotte, NC
10:00 AM – 11:15 AM
255-257
VIDEO SESSION III: EMERGING TECHNOLOGIES IN MINIMAL ACCESS GI SURGERY
Moderators: Brian J. Dunkin, Houston, TX
Michael Rosen, Cleveland, OH

10-minute presentation, 5-minute discussion

V15. Hybrid Transvaginal NOTES Cholecystectomy Using a Novel Flexible Toolbox and Internal Retraction System
Eric S. Hungness*1, Byron F. Santos1, Magdy P. Milad2, Nathaniel J. Soper1
1Department of Surgery, Northwestern University, Chicago, IL; 2Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL

V16. Modified Single Incision Laparoscopic Gastric Band Placement with Intracorporeal Gastric Retraction
Lauren B. Mashaud*, Emmanuel Eisenstein, Homero Rivas, Daniel J. Scott
UT Southwestern Center for Minimally Invasive Surgery, UT Southwestern Medical Center, Dallas, TX

V17. Natural Orifice Translumenal Endoscopic Surgery (NOTES) Retraction
Byron F. Santos*, Eric S. Hungness, Edward Auyang, Nathaniel J. Soper
Department of Surgery, Northwestern University, Chicago, IL

V18. Magnetic Cautery Dissector for Single Site Laparoscopic Cholecystectomy in a Cadaver Model
Lauren B. Mashaud1, Emmanuel Eisenstein1, Deborah C. Hogg1, Heather E. Beardsley2, Raul Fernandez2, Jeffrey a. Cadeddu1, Richard Bergs2, Daniel J. Scott*1
1UT Southwestern Center for Minimally Invasive Surgery, UT Southwestern Medical Center, Dallas, TX; 2University of Texas Arlington, Arlington, TX

V19. Laparoscopic Placement of a Novel Anti-Reflux Device
Noam Belkind, Kari Thompson, Julieta Paleari, Ozanan R. Meireles, Michael Sedrak*, Garth R. Jacobsen, Bryan J. Sandler, Mark a. Talamini, Santiago Horgan
Surgery, UCSD, San Diego, CA
10:30 AM – 12:00 PM
Ballroom AB
DDW COMBINED CLINICAL SYMPOSIUM
THE PROBLEMATIC BILIARY STRICTURE

Sponsored by:ASGE. SSAT, AASLD, AGA
Moderators: John Lee, Orange, CA
Henry A. Pitt, Indianapolis, IN

Endoscopic Management of Postoperative Biliary Strictures
Michel Kahaleh, Charlottesville, VA

Surgical Management of Postoperative Biliary Strictures
Steven M. Strasberg, St. Louis, MO

Endoscopic Management of Primary Sclerosing Cholangitis (PSC)
Adam Slivka, Pittsburgh, PA

Surgical Resection for Primary Sclerosing Cholangitis (PSC)
Timothy M. Pawlik, Baltimore, MD

Panel and Audience Discussion
11:15 AM – 12:00 PM
244-245
MAJA AND FRANK G. MOODY STATE-OF-THE-ART LECTURE
Some of My Best Friends Are Surgeons

Peter B. Cotton, Charleston, SC
12:00 PM – 2:00 PM
Hall F
POSTER SESSION II
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

383-385
Endoscopic Bariatric Procedures(SSAT, ASGE)
Jeffrey M. Marks & Christopher C. Thompson, Cleveland, OH, & Boston, MA

Grand Salon C, Section 18, Hilton Riverside
Multidisciplinary Treatment of Inflammatory Bowel Disease: What’s New (SSAT, AGA)
Fabrizio Michelassi & Ellen Scherl, New York, NY, & New York, NY
2:15 PM – 3:15 PM
244-245
"MOC": HOW THE SSAT CAN HELP YOU
Moderators: David M. Mahvi, Chicago, IL
David W. Rattner, Boston, MA

Online GI-Focused Maintenance of Certification (MoC)
David M. Mahvi, Chicago, IL

MoC Requirements: The ABS Perspective
Steven C. Stain, Albany, NY

MoC's Potential Impact on Malpractice Premiums
Daniel B. Jones, Boston, MA

The 2011 – 2013 SSAT Postgraduate Courses: A Three-Year MoC Cycle
David W. Rattner, Boston, MA

Panel and Audience Discussion
2:15 PM – 3:45 PM
255-257
CONTROVERSIES IN GI SURGERY B
DEBATE 3: LAPAROSCOPY VERSUS OPEN SURGERY FOR RECTAL CANCER
Moderator: Steven D. Wexner, Weston, FL

Frame the Issue
Steven D. Wexner, Weston, FL

Laparoscopy for Rectal Cancer
James W. Fleshman, St Louis, MO

Laparotomy for Rectal Cancer
Victor W. Fazio, Cleveland, OH

Panel and Audience Discussion

DEBATE 4: BARIATRIC SURGERY IN NON-OBESE PATIENTS?
Moderator: Philip R. Schauer, Cleveland, OH

Frame the Issue
Philip R. Schauer, Cleveland, OH

Bariatric Surgery Is Indicated for Non-Obese Patients
Francesco Rubino, New York, NY

Bariatric Surgery Is Not Justified for Patients Who Are Not Obese
Bruce D. Schirmer, Charlottesville, VA

Panel and Audience Discussion
2:15 PM – 3:45 PM
DDW COMBINED CLINICAL SYMPOSIA
Auditorium C
FROM OGILVIE'S TO SWALLOWED KEYS: EMERGENCIES THAT WILL GET YOU OUT OF BED
Sponsored by: AGA, ASGE, SSAT
Moderators: Neena S. Abraham, Houston, TX
Nicholas J. Shaheen, Chapel Hill, NC

Fulminant Colitis: Who, What and How to Treat
David Rubin, Chicago, IL

Ogilvie's Syndrome: True Emergency, or Cause for a Measured Medical Approach?
Loren Laine, Los Angeles, CA

Foreign Body Ingestions: Planning and Executing the Best Approach
Michael Kochman, Philadelphia, PA

Caustic Ingestions: Immediate Management and Prevention of Future Complications
Sharmila Anandasabapathy, New York, NY

Panel and Audience Discussion

Ballroom AB
GE JUNCTION TUMORS
Sponsored by: SSAT, ASGE, AGA
Moderators: Jeffrey H. Peters, Rochester, NY
Kenneth K. Wang, Rochester, MN

Early Neoplasia of the Cardia: Endoscopic Management
Kenneth K. Wang, Rochester, MN

Surgical Treatment: Selection of Esophagectomy or Gastrectomy
Stanley W. Ashley, Boston, MA

The Increasing Evidence for Lymphadenectomy in Curable GEJ Cancer
Jeffrey H. Peters, Rochester, NY

Neoadjuvant Therapy in 2010: Chemo Only vs. Chemorads
Jaffer Ajani, Houston, TX

Panel and Audience Discussion
2:15 PM – 3:45 PM
243
PLENARY SESSION V
Moderators: Steven R. DeMeester, Los Angeles, CA
Jennifer F. Tseng, Worcester, MA

10-minute presentation, 5-minute discussion

O24. Laparo-Endoscopic Single Site (LESS) Fundoplication: Initial Experience with Safety and Reduction of Symptoms
Seaborn a. Roddenbery*, Sharona B. Ross, Connor a. Morton, Michelle Vice, Sujat Dahal, Linda K. Barry, Michelle Hamel, Alexander S. Rosemurgy
Surgery, University of South Florida, Tampa, FL

O25. Trends in the Management and Survival of Surgically Managed Gallbladder Adenocarcinoma: A Population-Based Analysis
Skye C. Mayo*1, Andrew D. Shore3, Christopher L. Wolfgang1, Barish H. Edil1, Kenzo Hirose1, Joseph M. Herman2, Richard D. Schulick1, Michael a. Choti1, Timothy M. Pawlik1
1Surgery, The Johns Hopkins Hospital, Baltimore, MD; 2Radiation Oncology, The Johns Hopkins Hospital, Baltimore, MD; 3Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

O26. Alcohol Consumption as a Modifiable Risk Factor in Elective Surgery
Bharath Nath*, Youfu Li, James Carroll, Gyongyi Szabo, Jennifer F. Tseng, Shimul a. Shah
Surgery, University of Massachusetts Medical School, Worcester, MA

O27. Loss of Alkalization in Proximal Esophagus: A New Diagnostic Paradigm for Patients with Laryngopharyngeal Reflux
Shahin Ayazi*, Jeffrey a. Hagen, Joerg Zehetner, Matthew Lilley, Priyanka Wali, Florian Augustin, John C. Lipham, Steven R. Demeester, Tom R. Demeester
Surgery, University of Southern California, Los Angeles, CA

O28. Time Course for Malignant Degeneration of Pancreatic Intraductal Papillary Mucinous Neoplasms (IPMN) Based on 210 Resected Cases
Toshiyuki Moriya*, L. William Traverso
General Surgery, Virginia Mason Clinic, Seattle, WA
3:15 PM – 4:45 AM
244-245
SSAT/ASCRS JOINT SYMPOSIUM
MULTIMODALITY MANAGEMENT OF RECTAL CANCER: UPDATE AND CURRENT CONTROVERSIES

Moderators: Susan Galandiuk, Louisville, KY
Jose G. Guillem, New York, NY

The Surgeon's Role in the Management of Locally Advanced Rectal Cancer
David A. Rothenberger, Minneapolis, MN

Current Pre- and Post-Op Chemotherapeutic Options for Locally Advanced Rectal Cancer
Axel Grothey, Rochester, MN

The Role of Preoperative Chemoradiation in Facilitating Local Control and Restorative Surgery
Bruce Minsky, Chicago, IL

Case Presentations, and Panel and Audience Discussion
4:00 PM – 5:00 PM
255-257
CLINICAL WARD ROUNDS: POST-OP SMALL BOWEL OBSTRUCTION
Moderator: Merril T. Dayton, Buffalo, NY
Panelists: Daniel T. Dempsey, Melrose Park, PA
Gerald M. Larson, Louisville, KY
Dmitry Oleynikov, Omaha, NE
4:00 PM – 5:00 PM
243
QUICK SHOTS SESSION II
Moderators: Robert E. Glasgow, Salt Lake City, UT
Brant K. Oelschlager, Seattle, WA

3-minute presentation, 3-minute discussion

QS13. Prophylactic Pancreatic Resection in Patients with IPMN Does Not Negatively Impact Patient Quality of Life: A Preliminary Study
Minna K. Lee*, Joseph Dinorcia, Marc M. Holden, Lisa J. Pursell, Wei-Yann Tsai, Peter D. Stevens, Nicole Goetz, Victor R. Grann, John a. Chabot, John D. Allendorf
Surgery, Columbia University College of Physicians and Surgeons, New York, NY

QS14. Citizen Perceptions of LESS Surgery and NOTES: The Impact of Age, Gender, and BMI
Sharona B. Ross*, Connor a. Morton, Robert Boyle, Seaborn a. Roddenbery, Linda K. Barry, Jennifer C. Cooper, Carl B. Bowers, Alexander S. Rosemurgy
Surgery, University of South Florida, Tampa, FL

QS15. 15-Year Trend of Peptic Ulcer Complications in the US: A Decline in Mortality, but at What Price?
Alexander De Los Reyes*, Samuel Jacob, Vijay K. Maker, Marek Rudnicki
Surgery, Advocate Illinois Masonic Medical Center, Chicago, IL

QS16. Outcomes of Abdominal Surgery in Neutropenic Patients
Riad H. Al Natour*, Stanley W. Ashley, Ali Tavakkolizadeh
Surgery, Brigham and Women's Hospital, Boston, MA

QS17. Medically Managed Hypercholesterolemia and Insulin-Dependent Diabetes Mellitus Preoperatively Predicts Poor Survival After Surgery for Pancreatic Cancer
Ryaz Chagpar*1, Robert C. C. Martin1, Syed A. Ahmad2, Hong Jin Kim4, Sharon Weber3, David Kooby5, Charles A. Staley5, Kelly M. Mcmasters1, Charles R. Scoggins1
1Surgery, University of Louisville, Louisville, KY; 2Surgery, University of Cincinnati, Cincinnati, OH; 3Surgery, University of Wisconsin, Madison, WI; 4Surgery, University of North Carolina, Chapel Hill, NC; 5Surgery, Emory University, Atlanta, GA

QS18. Hepatic Artery Infusion of Obatoclax Increases Survival and Decreases Tumor Size in a Rat Model of Cholangiocarcinoma
Rory Smoot*1, Alphonse E. Sirica2, Gregory J. Gores3
1Department of Surgery, Mayo Clinic, College of Medicine, Rochester, MN; 2Department of Pathology, Virginia Commonwealth University School of Medicine, Richmond, VA; 3Division of Gastroenterology and Hepatology, Mayo Clinic, College of Medicine, Rochester, MN

QS19. The Relationship Between Patient Physiology, the Systemic Inflammatory Response and Survival in Patients Undergoing Curative Resection of Colorectal Cancer
Colin Richards, Fiona Leitch*, Paul G. Horgan, Donald C. Mcmillan
Glasgow University Department of Surgery, Glasgow Royal Infirmary, Glasgow, United Kingdom

QS20. Obstetric and Cryptoglandular Rectovaginal Fistulas: Long-Term Surgical Outcome; Quality of Life; and Sexual Function
Galal El-Gazzaz*, Tracy L. Hull, Emilio D. Mignanelli, Jeffrey Hammel, Brooke Gurland, Massarat Zutshi
Colorectal surgery, Cleveland Clinic, Cleveland, OH

QS21. Peripancreatic Fat Invasion Is an Independent Predictor of Poor Outcome Following Pancreaticoduodenectomy for Pancreatic Ductal Adenocarcinoma and Influences the Pattern of Recurrence
Nigel B. Jamieson*1, Karin Oien2, Alan K. Foulis2, Euan J. Dickson1, Clem W. Imrie1, Ross Carter1, Colin Mckay1
1West of Scotland Pancreatic Unit, Glasgow University Department of Surgery, Glasgow Royal Infirmary, Glasgow, United Kingdom; 2Glasgow University Department of Pathology, Glasgow Royal Infirmary, Glasgow, United Kingdom

QS22. The Short-Term Outcome of Transoral Incisionless Fundoplication 2.0 Procedure for Gastroesophageal Reflux Disease in a Highly Selected Population
Toshitaka Hoppo*, Blair a. Jobe
Division of Thoracic and Foregut Surgery, The Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, PA
4:00 PM – 5:30 PM
DDW COMBINED CLINICAL SYMPOSIA
Auditorium C
LIVER AND GI COMPLICATIONS OF SHORT BOWEL SYNDROME
Sponsored by: AASLD, AGA, SSAT
Moderators: Samuel Kocoshis, Cincinnati, OH
Bernard Messing, Clichy La Garenne, France


Intestinal Failure as a Major Complication of SBS
Bernard Messing, Clichy La Garenne, France

Hepatic Complications of Short Bowel Syndrome
Saul Karpen, Houston, TX

Surgical Rescue of Pediatric and Adult Patients With Short Bowel Syndrome
Jon S. Thompson, Omaha, NE

Panel and Audience Discussion

Ballroom AB
OBSCURE GI BLEEDING
Sponsored by: ASGE, AGA, SSAT
Moderators: Glenn Eisen, Portland, OR
Lauren Gerson, Stanford, CA

Wireless Enteroscopy
Jonathan Leighton, Scottsdale, AZ

Balloon and Spiral Enteroscopy
Lauren Gerson, Stanford, CA

Therapeutic Management of OGIB
John Vargo, Cleveland, OH

Medical Management of OGIB
Jamie Barkin, Miami Beach, FL

Panel and Audience Discussion
5:00 PM – 6:00 PM
244-245
ANNUAL BUSINESS MEETING
7:00 PM – 9:00 PM
MEMBERS RECEPTION
Stage Door Canteen and Atrium, National World War II Museum



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