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54th Annual Meeting
SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT
May 17 - 21, 2013
Orange County Convention Center - Orlando, Florida
during Digestive Disease Week®


Final Program

All rooms at Orange County Convention Center West Building unless otherwise indicated.

<<Monday | Program and Abstracts Home

Ticket-holder only - requires separate registration and fee indicates a ticketed session requiring a separate registration and fee.
indicates a session offering CME with self-assessment.
Video presentation scheduled during a Plenary Session indicates a video presentation scheduled during a Plenary Session
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only indicates a Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only.
TUESDAY, MAY 21, 2013
6:30 AM - 7:45 AM
104A
Ticket-holder only - requires separate registration and fee BREAKFAST WITH THE EXPERT

COMPLEX PARAESOPHAGEAL HERNIA REPAIR: TRICKS FOR THE GIANT HIATUS KEY STEPS TO DO IT SAFELY
W. Scott Melvin, Columbus, OH
Jeffrey H. Peters, Rochester, MN

 
7:30 AM - 9:30 AM
303ABC
SSAT/ISDS JOINT BREAKFAST SYMPOSIUM

YOU DID YOUR BEST, AND IT STILL LEAKED! MODERN MANAGEMENT OF GI LEAKS
Moderators: Liliana G. Bordeianou, Boston, MA
Tonia M. Young-Fadok, Phoenix, AZ

Esophagus
Marco G. Patti, Chicago, IL

Gastric, Bariatric
Marina S. Kurian, New York, NY

Biliary
David M. Mahvi, Chicago, IL

Pancreatic
Jennifer F. Tseng, Boston, MA

Ileoanal
Alessandro Fichera, Seattle, WA

Early Salvage of Low Anastomoses
Willem A. Bemelman, Amsterdam Netherlands

 
8:00 AM - 9:30 AM
308D
PLENARY SESSION VI
Moderators: Clifford S. Cho, Madison, WI
Rebekah White, Durham, NC

10-minute presentation, 5-minute discussion
858 Plasma Lipids and Biliary Infections: Decreased Levels of HDL Are Associated with More Severe Biliary Infections: A Multivariate Analysis
Lygia Stewart1, 2, Gary Jarvis3, Lawrence Way1
1. Surgery, UCSF, San Francisco, CA; 2. Surgery, SF VA Medical Center, San Francisco, CA; 3. Infectious Disease and Laparotory Medicine, SF VA Medical Center, San Francisco, CA
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only859 Laparoscopic-Assisted ERCP After Gastric Bypass Surgery for Choledocholithiasis
Jonathan Carter, Jennifer Kaplan, Steve Elliott, Stanley J. Rogers, John P. Cello
Department of Surgery, UCSF, San Francisco, CA
860 Development and Characterization of a Surgical, Mouse Model of Reflux Esophagitis and Barrett's Esophagus
Thai H. Pham1, David H. Wang2, Robert M. Genta3, Rhonda F. Souza2, Stuart J. Spechler2
1. Surgery, North Texas VAMC; UT Southwestern Medical Center, Dallas, TX; 2. Medicine, North Texas VAMC; UT Southwestern Medical Center, Dallas, TX; 3. Pathology, North Texas VAMC; UT Southwestern Medical Center, Dallas, TX
Video presentation scheduled during a Plenary Session861 A Standardized Radiographic Assessment of the Tumor-Vein Interface Predicts the Need for Venous Resection and the Presence of Histologic Venous Invasion in Borderline Resectable Pancreatic Cancer
Hop S. Tran Cao1, Aparna Balachandran2, Huamin Wang3, Jason B. Fleming1, Jeffrey E. Lee1, Peter W. Pisters1, Matthew Katz1
1. Surgical Oncology, U.T. M.D. Anderson Cancer Center, Houston, TX; 2. Diagnostic Radiology, U.T. M.D. Anderson Cancer Center, Houston, TX; 3. Pathology, U.T. M.D. Anderson Cancer Center, Houston, TX
Video presentation scheduled during a Plenary Session862 Depth of Submucosal Tumor Infiltration and Its Relevance in Lymphatic Metastasis Formation for T1b Squamous-Cell and Adenocarcinomas of the Esophagus
Michael F. Nentwich1, Katharina von Loga2, 1, Matthias Reeh1, Guido Sauter2, Thomas Rösch3, Jakob R. Izbicki1, Dean Bogoevski1
1. General, Visceral and Thoracic Surgery, University Clinic Hamburg-Eppendorf, Hamburg, Germany; 2. Dept. of Pathology, University Clinic Eppendorf, Hamburg, Germany; 3. Clinic for Interdisciplinary Endoskopy, University Clinic Eppendorf, Hamburg, Germany
Video presentation scheduled during a Plenary Session863 High Resolution Manometry Classifications for Idiopathic Achalasia in Patients with Chagas Disease Esophagopathy
Fernando P. Vicentine1, Fernando A. Herbella1, Luciana C. Silva1, Marco E. Allaix2, Marco G. Patti2
1. HSP - Unifesp, Sao Paulo, Brazil; 2. University of Chicago Pritzker School of Medicine, CHicago, IL
 
8:00 AM - 9:30 AM
415 (Valencia BC)
DDW COMBINED CLINICAL SYMPOSIUM (AGA-Accredited)

DIAGNOSIS AND MANAGEMENT OF EARLY PANCREATIC CANCER
Sponsored by: AGA, ASGE, SSAT
Moderators: Banke Agarwal, St. Louis, MO
Teresa Brentnall, Seattle, WA
Carlos Fernandez-del Castillo, Boston, MA

What Is "Early Pancreatic Cancer" and Why Is It Important to Diagnosis of Pancreatic Cancer Early?
Carlos Fernandez-del Castillo, Boston, MA

So Why Are We Not Diagnosing Pancreatic Cancer Early?
Banke Agarwal, St. Louis, MO

Biomarkers: The Key to Early Diagnosis of Pancreatic Cancer?
Teresa Brentnall, Seattle, WA

Alternate Strategies for Diagnosing Pancreatic Cancer Early
Suresh Thiruvenkata Chari, Rochester, MN

 
9:30 AM - 12:00 PM
308D
PLENARY SESSION VII
Moderators: Thomas Aloia, Houston, TX
John T. Mullen, Boston, MA

10-minute presentation, 5-minute discussion
910 Does Preoperative Imaging Accurately Predict Main Duct Involvement in Intraductal Papillary Mucinous Neoplasm
Morgan R. Barron1, Joshua A. Waters1, Janak A. Parikh1, John DeWitt2, Mohammad A. Al-Haddad2, Eugene P. Ceppa1, Michael G. House1, Nicholas J. Zyromski1, Attila Nakeeb1, Henry A. Pitt1, C. Max Schmidt1
1. Surgery, Indiana University School of Medicine, Indianapolis, IN; 2. Gastroenterology, Indiana University School of Medicine, Indianapolis, IN
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only911 Spleen Preserving Laparoscopic Distal Pancreatectomy for a Solid Pseudopapillary Tumor in a Male Patient (This Video Demonstrates Technical Details of a Rare Tumor of the Pancreas in a Male Patient. Only Few Cases Have Been Reported in Males)
Bestoun H. Ahmed, Reginald L. Griffin, Ziad Awad, Carmine Volpe, Michael S. Nussbaum
Surgery, University of Florida College of Medicine/ Jacksonville, Jacksonville, FL
Video presentation scheduled during a Plenary Session912 High Fat Diet Enhances Villus Growth During Adaptation After Massive Small Bowel Resection
Pamela M. Choi, Raphael C. Sun, Jun Guo, Christopher R. Erwin, Brad Warner
Department of Pediatric Surgery, Washington University, St Louis, MO
Video presentation scheduled during a Plenary Session913 Pharmacologic Prophylaxis, Postoperative INR, and Risk of Venous Thromboembolism After Hepatectomy
Hari Nathan, Matthew J. Weiss, Ronald P. DeMatteo, Peter J. Allen, T. P. Kingham, Yuman Fong, William R. Jarnagin, Michael D'Angelica
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, MD
Video presentation scheduled during a Plenary Session914 Clinical Significance of Incidental Pulmonary Nodules in Esophageal Cancer Patients
Amin Madani1, 2, Lorenzo E. Ferri2, 1, Jonathan Spicer1, 2, David S. Mulder2
1. General Surgery, McGill University , Montreal, ON, Canada; 2. Thoracic Surgery, McGill University, Montreal, QC, Canada
Video presentation scheduled during a Plenary Session915 Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass
Ayman Obeid1, David M. Breland1, Richard Stahl1, Ronald H. Clements2, Jayleen M. Grams1
1. Surgery, University of Alabama at Birmingham, Birmingham, AL; 2. Surgery, Vanderbilt University, Nashville, TN
Video presentation scheduled during a Plenary Session916 Tumor Grade, Not Extent of Resection, Is Associated with Recurrence-Free Survival in Patients with Duodenal Neuroendocrine Tumors
Brian Untch, Laura H. Tang, Keisha Bonner, Kevin K. Roggin, Michael D'Angelica, Ronald P. DeMatteo, William R. Jarnagin, T. P. Kingham
Surgery, Memorial Sloan-Kettering Cancer Center, New York, IL
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only917 Laparoscopic Pancreas Sparing Segmental Resection of the Distal Duodenum for GIST
Robert Sung, Diana J. McPhee, Paresh C. Shah
Lenox Hill Hospital, New York, NY
918 Overexpressing TNF-alpha in Pancreatic Ductal Adenocarcinoma Cells and Fibroblasts Modifies Cell Survival and Reduces Fatty Acid Synthesis via Downregulation of Sterol Regulatory Element Binding Protein-1 and Activation of Acetyl COA Carboxylase
Mazhar Al-Zoubi, Galina Chipitsyna, Konrad Sarosiek, Christopher Y. Kang, Charles J. Yeo, Hwyda A. Arafat
Surgery, Thomas Jefferson University, Philadelphia, PA
Video presentation scheduled during a Plenary Session919 Does Resident Experience Affect Outcomes in Complex Abdominal Surgery?
Daniel Relles1, Richard Burkhart1, Michael J. Pucci1, Jocelyn Sendecki2, Renee Tholey1, Ross E. Drueding1, Patricia K. Sauter1, Eugene P. Kennedy1, Jordan M. Winter1, Harish Lavu1, Charles J. Yeo1
1. Surgery, Thomas Jefferson University, Philadelphia, PA; 2. Biostatistics, Thomas Jefferson University, Philadelphia, PA
 
10:00 AM - 11:30 AM
415 (Valencia BC)
DDW COMBINED CLINICAL SYMPOSIUM (ASGE-Accredited)

MANAGEMENT OF PANCREATIC NECROSIS: WHEN TO SCOPE, POKE, OR CUT
Sponsored by: ASGE, SSAT, AGA
Moderators: Banke Agarwal, St. Louis, MO
Teresa Brentnall, Seattle, WA
Carlos Fernandez-del Castillo, Boston, MA

The Causes, Natural History, and Medical Management of Pancreatic Necrosis
Firas H. Al-Kawas, Washington, DC

Poking: Cross-Sectional and Interventional Radiology in the Management of Pancreatic Necrosis
Rendon C. Nelson, Durham, NC

Cutting: Surgery for Pancreatic Necrosis
Alexander Perez, Durham, NC

Scoping: Endoscopic Necrosectomy—Where Angels Fear to Tread?
Richard A. Kozarek, Seattle, WA

 
10:30 AM - 12:00 PM
304AB
SSAT HEALTH CARE QUALITY & OUTCOMES COMMITTEE PANEL

IF YOU CANNOT MEASURE IT, YOU CANNOT IMPROVE IT: DEVELOPING A QUALITY METRIC FOR COMPLEX GI SURGERY
Moderator: Matthew M. Hutter, Boston, MA

The Nuts and Bolts of Metric Development - The ACS-NSQIP Experience
David B. Hoyt, Chicago, IL

How Quality is Measured in Cardiac Surgery: The STS Experience
David M. Shahian, Sudbury, MA

WHAT SURGEONS WANT/NEED FOR A QUALITY METRIC

What Surgeons Want/Need For a Quality Metric: ASCRS
Fabio Potenti, Weston, FL

What Surgeons Want/Need For a Quality Metric: AHPBA
Sean P. Cleary, Toronto, ON

What Surgeons Want/Need For a Quality Metric: ASMBS
Bruce M. Wolfe, Portland, OR

What Surgeons Want/Need For a Quality Metric: SAGES
Tonia M. Young-Fadok, Phoenix, AZ

What Surgeons Want/Need For a Quality Metric: SSAT
Steven C. Stain, Albany, NY

Panel and Audience Discussion

 
11:00 AM - 11:45 AM
West Hall A
Ticket-holder only - requires separate registration and fee DDW POSTER TOUR: SMALL BOWEL AND COLON-RECTAL (NON-CME)
Ticketed session; registration is complimentary but limited.
 
12:00 PM - 2:00 PM
West Hall A
POSTER SESSION III (NON-CME)
Authors available at their posters to answer questions 12:00 PM - 2:00 PM; posters on display 8:00 AM - 5:00 PM.
 
12:00 PM - 3:00 PM
303ABC
KELLY AND CARLOS PELLEGRINI SSAT/SAGES JOINT LUNCHEON SYMPOSIUM

MANAGEMENT AND RESCUE FROM COMPLICATIONS FOLLOWING COMPLEX UPPER GI SURGERY: STENTS, CLIPS, AND BEYOND
Moderators: Gerald M. Fried, Montreal, QC
Robin S. McLeod, Toronto, ON

BARIATRIC SURGERY

Endoscopic Management of Early Gastrointestinal Leak After Gastric Bypass and Sleeve Gastrectomy
Bipan Chand, Chicago, IL

Endoscopic Treatment of Chronic Fistulas After Bariatric Surgery
Lee L. Swanstrom, Portland, OR

Management of Anastomotic Stenosis After Bariatric Surgery
Raul J. Rosenthal, Weston, FL

Endoscopic and Hybrid Techniques for Managing Gastric Band Erosion
Santiago Horgan, San Diego, CA

Panel and Audience Discussion

NON-BARIATRIC FOREGUT SURGERY

Evaluation and Management of the Failed Fundoplication
Sumeet K. Mittal, Omaha, NE

Mesh at the Diaphragmatic Hiatus Following Paraesophageal Hernia Repair: Potential Long-Term Consequences and Treatment Options
C. Daniel Smith, Jacksonville, FL

Management of Recurrent and Persistent Dysphagia After Heller Myotomy
Nathaniel J. Soper, Chicago, IL

Management of Anastomotic Leak After Esophagectomy
Jeffrey H. Peters, Rochester, NY

Panel and Audience Discussion

 
12:30 PM - 1:45 PM
205A
Ticket-holder only - requires separate registration and fee MEET-THE-PROFESSOR LUNCHEON

WRITERS WORKSHOP PART 2: REVIEWING
The Writers Workshop is a two-day interactive session led by editorial board members and senior editors of several surgical journals including the SSAT's own Journal of Gastrointestinal Surgery. Participants will gain insight into scientific writing and peer review with practical tips for manuscript preparation and for navigating the publication process.
Moderators: John G. Hunter, Portland, OR
Jeffrey B. Matthews, Chicago, IL

Overview of the Peer Review Process
Jeffrey B. Matthews, Chicago, IL

Plagiarism, Duplicate Publication, and Other Forms of Misconduct
John G. Hunter, Portland, OR

How to Write a High Quality Review
Mark P. Callery, Boston, MA

How to Respond to Critiques
Robin S. McLeod, Toronto, ON, Canada

 
2:00 PM - 3:30 PM
415 (Valencia BC)
DDW COMBINED CLINICAL SYMPOSIUM

CURRENT MULTI-MODALITY APPROACH TO GE JUNCTION TUMORS
Sponsored by: SSAT, ASGE, AGA
Moderators: Charles J. Lightdale, New York, NY
Vivian E.M. Strong, New York, NY

Surgical Management of GE Junction Cancers: Selecting the Best Options
Lorenzo E. Ferri, Montreal, QC

When Should Multi-Modality Therapy Be Applied for GE Junction Cancers, and Which Treatments Should Be Chosen
David H. Ilson, New York, NY

The Role of Endoscopic Therapy in the Management of High-Grade Dysplasia and Mucosal Carcinoma at the GE Junction
Nicholas J. Shaheen, Chapel Hill, NC

 
2:00 PM - 4:00 PM
TBD
BEST OF DDW 2013 (NON-CME)

Discussants from the SSAT, AASLD, AGA, and ASGE will review their societies’ top presentations; attend this session to get an overview of the latest, best, and most thought-provoking research presented all week. Consult MyDDW or the DDW program Book for the schedule of expert critiques.



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