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55th Annual Meeting
SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT
May 2 – 6, 2014
McCormick Place – Chicago, Illinois
during Digestive Disease Week®


Final Program

All rooms at McCormick Place unless otherwise indicated.

<<Monday | Program and Abstracts Home

Ticketed Session indicates a ticketed session requiring a separate registration and fee.
CME with self-assessment 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 6, 2014
7:30 AM - 9:30 AM
S504BCD
CME with self-assessment SSAT/ISDS BREAKFAST SYMPOSIUM
UPDATES IN SURGERY FOR GI CANCER
Moderators: Syed A. Ahmad, Cincinnati, OH
Tonia M. Young-Fadok, Phoenix, AZ

Esophagus: Are Mucosal Ablation Techniques Reducing the Esophagectomy Rate?
Sp811 Marco G. Patti, Chicago, IL

Pancreas: Laparoscopic Outcomes - Yet Another Call for Centers of Excellence?
Sp812 Horacio Asbun, Jacksonville, FL

Colon Cancer: The 2nd Cause of Cancer Deaths - Why Haven't Outcomes Improved?
Sp813 Hermann Kessler, Cleveland, OH

Rectal Cancer: Are Transanal/TAMIS Techniques Ignoring Oncological Principles?
Sp814 Patricia Sylla, Boston, MA

Jelly Belly: HIPEC - Why (Do We Do This), Who (Is a Candidate) and When (Is the Timing Right)?
Sp815 Nabil Wasif, Phoenix, AZ

Liver Metastases: Cryotherapy/Ultrasound/Microwave/Cold Steel - The Algorithm for Liver Metastases
Sp816 David C. Mulligan, New Haven, CT

Panel and Audience Discussion

8:00 AM - 9:30 AM
S103
DDW COMBINED CLINICAL SYMPOSIUM (ASGE-Accredited)
PRACTICAL MANAGEMENT OF PANCREATIC CYSTS
Sponsored by: ASGE, AGA, SSAT
Moderators: Michelle A. Anderson, Ann Arbor, MI
Marcia I. Canto, Baltimore, MD
Carlos Fernandez-del Castillo, Boston, MA

The Role of EUS, FNA, Markers, and Imaging in Initial Evaluation
Sp826 Anne Marie Lennon, Baltimore, MD

When and How to Survey
Sp827 Brintha K. Enestvedt, Portland, OR

When to Ablate
Sp828 William R. Brugge, Boston, MA

When to Operate
Sp829 Peter J. Allen, New York, NY

8:00 AM - 9:30 AM
S504A
PLENARY SESSION VII
Moderators: Steven J. Hughes, Gainesville, FL
Jennifer F. Tseng, Boston, MA

10-minute presentation, 5-minute discussion
898 Importance of Lymph Node Involvement in Pancreatic Neuroendocrine Tumors: Impact on Survival and Implications for Surgical Resection
Thomas Curran*1, Barbara a. Pockaj2, Richard J. Gray2, Nabil Wasif2
1Surgery, Beth Israel Deaconess Medical Center, Boston, MA; 2Surgery, Mayo Clinic in Arizona, Scottsdale, AZ
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only 899 Pancreaticoduodenectomy with Major Vascular Resection: A Comparisson of Laparoscopic Versus Open Approaches
Kristopher Croome*, Michael B. Farnell, Mark J. Truty, Florencia G. Que, Kaye M. Reid Lombardo, David M. Nagorney, Michael L. Kendrick
Mayo Clinic, Rochester, MN
900 Reappraisal of Peritoneal Cytology in 984 Patients with Pancreatic Cancer Who Underwent Curative Resection
Sohei Satoi*1,8, Fuyuhiko Motoi2,8, Kenichiro Uemura3,8, Manabu Kawai4,8, Masanao Kurata5,8, Masayuki Sho6,8, Ippei Matsumoto7,8, Hiroaki Yanagimoto1,8, Michiaki Unno2,8, Hiroki Yamaue4,8, Goro Honda5,8, Yoshiyuki Nakajima6,8, Makoto Shinzeki7,8, a-Hon Kwon1,8, Yoshiaki Murakami3,8
1Department of Surgery, Kansai Medical University, Hirakata, Japan; 2Department of Surgery, Tohoku University, Sendai, Japan; 3Department of Surgery, Hiroshima University, Hiroshima, Japan; 4Second Department of Surgery, Wakayama Medical University, Wakayama, Japan; 5Department of Surgery, Komagome Hospital, Tokyo, Japan; 6Department of Surgery, Nara Medical University, Nara, Japan; 7Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan; 8Multicenter Study Group of Pancreatobiliary Surgery, Japan, Japan
901 Volume Regeneration of Segment 2+3 After Right Portal Vein Embolization in Patients Undergoing 2-Stage Hepatectomy
Yoshihiro Mise*, Thomas Aloia, Claudius Conrad, Steven Y. Huang, Michael J. Wallace, Jean-Nicolas Vauthey
MD Anderson cancer centor, Houston, TX
902 Multivisceral Transplantation for Non-Resectable Abdominal Neuroendocrine Tumors
Richard S. Mangus*, Mary Maluccio, Chandrashekhar a. Kubal, Jonathan a. Fridell, a. Joseph Tector
Surgery, Transplantation Section, 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 only / 903 Single-Stage Cholecystectomy at the Time of Pancreatic Necrosectomy Is Safe and Prevents Future Biliary Complications: A 20-Year Single Institutional Experience with 217 Consecutive Patients
Zhi Ven Fong*, Miroslav P. Peev, Andrew L. Warshaw, Keith D. Lillemoe, Carlos Fernandez-Del Castillo, George C. Velmahos, Peter J. Fagenholz
General Surgery, Massachusetts General Hospital, Boston, MA
10:00 AM - 11:30 AM
S501
CME with self-assessment CONTINUING EDUCATION COMMITTEE PANEL
STRATEGIES FOR THE DEPLOYMENT OF CONTINUING EDUCATION ACROSS THE SURGEON CAREER SPECTRUM
Moderator: Ranjan Sudan, Durham, NC

Ensuring Competence of Medical Students Entering Residency: A Review of the Programs Offered by the American College of Surgeons
Sp918 Ajit K. Sachdeva, Chicago, IL

Teaching Residents GI Surgery and Assessing Competence
Sp919 John R. Potts, III, Chicago, IL

Teaching New Techniques to Established Surgeons: MOC, Safe Introduction of New Technologies, the Ethics of New Technology, and Teaching Rural Surgeons and Those Reentering Surgery
Sp920 Daniel B. Jones, Boston, MA

Ensuring the Aging Surgeon Maintains Competency
Sp921 Mark A. Malangoni, Philadelphia, PA

Panel and Audience Discussion

10:00 AM - 11:30 AM
S103
DDW COMBINED CLINICAL SYMPOSIUM
EVALUATION AND APPROACHES FOR BORDERLINE RESECTABLE PANCREAS CANCER
Sponsored by: SSAT, ASGE, AGA
Moderators: Mark P. Callery, Boston, MA
Matthew H. Katz, Houston, TX
Michael L. Kochman, Philadelphia, PA

Surgical Strategies and Techniques
Sp871 Syed Ahmad, Cincinnati, OH

Systemic Chemotherapy for Borderline Resectable Pancreas Cancer: Gemcitabine, FOLFIRINOX, and Beyond
Sp872 Hedy L. Kindler, Chicago, IL

Radiation Therapy: Role and Strategy
Sp873 Ross A. Abrams, Chicago, IL

Developing an Integrated Multidisciplinary Program for Advanced Pancreas Cancer
Sp874 A. James Moser, Boston, MA

10:00 AM - 11:30 AM
S504A
PLENARY SESSION VIII
Moderators: Imran Hassan, Springfield, IL
Benjamin Gallo Arriaga, Leon, Mexico

10-minute presentation, 5-minute discussion
971 Is Sacral Nerve Stimulation Here to Stay? Clinical Outcomes of a New Treatment for Fecal Incontinence
Ian M. Paquette*, Bobby L. Johnson, Martha Ferguson, Janice F. Rafferty
Colon and Rectal Surgery, University of Cincinnati College of Medicine, Cincinnati, OH
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only 972 Predictors and Outcomes of Readmission for Clostridium Difficile in a National Sample of Medicare Beneficiaries
Courtney Collins*1, M. Didem Ayturk1,2, Frederick a. Anderson1,2, Heena P. Santry1
1Surgery, University of Massachusetts, Worcester, MA; 2Center for Outcomes Research, Worcester, MA
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only 973 Bariatric Outcomes Are Significantly Improved in Hospitals with Fellowship Council Accredited Bariatric Fellowships
Pamela Kim*, Dana a. Telem, Mark a. Talamini, Maria Altieri, Aurora D. Pryor
Surgery, Stony Brook University Medical Center, Stony Brook, NY
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only 974 Small Bowel Resection Induces Long-Term Changes in the Enteric Microbiome of Mice
Josh Sommovilla*, Yanjiao Zhou, Raphael C. Sun, Pamela M. Choi, Jose Diaz-Miron, Erica Sodergren, Barbara Warner, George Weinstock, Phillip I. Tarr, Brad Warner
Washington University, St Louis, St Louis, MO
Plenary presentation that is also being presented at the Residents & Fellows Research Conference; participation in and attendance at this conference is by invitation only 975 Short-Term Oncologic Outcomes Are Superior Following Laparoscopic Versus Open Low Anterior Resection for Rectal Cancer: Results from the National Cancer Database
Daniel P. Nussbaum*, Paul J. Speicher, Asvin M. Ganapathi, Brian R. Englum, Jeffrey E. Keenan, Christopher R. Mantyh, John Migaly
Surgery, Duke University Medical Center, Durham, NC
Video presentation scheduled during a Plenary Session 976 Transanal Minimally Invasive Surgery for Total Mesorectal Excision (TAMIS-TME) with Laparoscopic Assistance
Michael Grieco*, Elia Charbel Abboud, James R. Williams, Sowsan H. Rasheid, Jorge Marcet, Jaime E. Sanchez
Surgery, University of South Florida, Tampa, FL
12:00 PM - 2:00 PM
South Hall
POSTER SESSION III (non-CME)
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
S504BCD
CME with self-assessment KELLY AND CARLOS PELLEGRINI SSAT/SAGES LUNCHEON SYMPOSIUM
QUALITY INDICATORS: DEFINING IT BEFORE SOMEONE ELSE DOES IT FOR US!
Moderators: L. Michael Brunt, St. Louis, MO
Jeffrey H. Peters, Rochester, NY
WHAT IS QUALITY IN SURGERY?

The ACS-NSQIP Experience
Sp924 Matthew M. Hutter, Boston, MA

The STS Experience
Sp925 David M. Shahian, Boston, MA

The National Quality Forum Perspective
Sp926 Frank G. Opelka, River Ridge, LA

Panel and Audience Discussion

Coffee Break

MEASURING QUALITY BY DISCIPLINE

Measuring Quality in Bariatric Surgery
Sp927 John Morton, Stanford, CA

Measuring Quality in HPB Surgery
Sp928 Clifford S. Cho, Madison, WI

Measuring Quality in Colorectal Surgery
Sp929 Gregory D. Kennedy, Madison, WI

Measuring Quality in Endoscopy
Sp930 Jeffrey M. Marks, Cleveland, OH

Panel and Audience Discussion

12:30 PM - 1:45 PM Ticketed Session MEET-THE-PROFESSOR LUNCHEONS
S102D
Complications, Tribulations, and Challenges in Anorectal Surgery: What Have We Learned?

*Cancelled due to low registration numbers


S104B
Writers Workshop 2: Key Points in Submitting and Revising Your Manuscript

*Cancelled due to low registration numbers
2:00 PM - 3:00 PM
S102D
DDW COMBINED RESEARCH FORUM (AGA-Accredited)

Pancreatic Cancer: Now and in the Future
Moderators: Jason B. Fleming, Houston, TX
Rodger A. Liddle, Durham, NC
986 P120catenin Facilitates Pancreatic Regeneration and Monoallelic Loss Accelerates Kras-Driven Carcinogenesis and Metastasis
Maximilian Reichert*1,2, Basil Bakir1,2, Christopher Hahn1,2, Andrew D. Rhim3, Robert H. Vonderheide4,7, Albert B. Reynolds5, Volkan Adsay6, Anil K. Rustgi1,7
1Division of Gastroenterology, University of Pennsylvania, Philadelphia, PA; 2Department of Medicine, University of Pennsylvania, Philadelphia, PA; 3Division of Gastroenterology, University of Michigan Medical School, Ann Arbor, MI; 4Division of Hematology-Oncology, University of Pennsylvania, Philadelphia, PA; 5Department of Cancer Biology, Vanderbilt University Medical Center, Nashville, TN; 6Department of Pathology and Laboratory Medicine, Emory University Hospital, Atlanta, GA; 7Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA
987 Clinical Utility of Using Second-Line Integrated Molecular Pathology Testing in Addition to First-Line Test Algorithms to Determine the Malignant Potential of Pancreatic Cysts (N=492)
Thomas E. Kowalski*1, David E. Loren1, Ali Siddiqui1, Howard Mertz3, Damien Mallat4, Nadim Haddad5, Nidhi Malhotra5, Brett Sadowski5, Mark J. Lybik6, Sandeep Patel7, Emuejevoke Okoh7, Laura Rosenkranz7, Michael Karasik8, Michael Golioto8, Jeffrey D. Linder9, Keith M. Callenberg11, Sara A. Jackson11, Marc F. Catalano10, Mohammad A. Al-Haddad2
1Thomas Jefferson University, Philadelphia, PA; 2Indiana University, Indianapolis, IN; 3Nashville GI Specialists, Nashville, TN; 4Premier Gastroenterology of Texas, Dallas, TX; 5Georgetown University, Washington, DC; 6Northside Gastroenterology, Indianapolis, IN; 7University of Texas San Antonio, San Antonio, TX; 8Connecticut GI, PC, Hartford, CT; 9Digestive Health Associates of Texas, Dallas, TX; 10St. Luke's Medical Center, Milwaukee, WI; 11RedPath Integrated Pathology, Pittsburgh, PA
988 Sequence Alterations in the WEE1 Non-Coding Region Is a Facilitator and Marker for Pancreatic Tumorigenesis
Shruti Lal, Joseph A. Cozzitorto, Fernando Blanco, Janáe A. Ritz-Romeo, Theresa P. Yeo, Charles J. Yeo, Jonathan R. Brody, Jordan M. Winter*
Surgery, Thomas Jefferson University, Philadelphia, PA
2:00 PM - 3:30 PM
S103
DDW COMBINED CLINICAL SYMPOSIUM (AGA-Accredited)
BARRETT'S CONSENSUS CONFERENCE
Sponsored by:
AGA, ASGE, SSAT
Moderators: Jeffrey H. Peters, Cleveland, OH
Prateek Sharma, Kansas City, MO
Kenneth K. Wang, Rochester, MN

Occurrence of Barrett's Esophagus in the Population
Sp955 Douglas A. Corley, San Francisco, CA

Diagnosis of Barrett's Esophagus and Neoplasia
Sp956 Kenneth K. Wang, Rochester, MN

Biomarkers of Progression of Intestinal Metaplasia to Cancer
Sp957 Rhonda F. Souza, Dallas, TX

Surgical Treatment of Barrett's Esophagus
Sp958 Steven R. DeMeester, Los Angeles, CA

Medical and Endoscopic Treatment of Barrett's Esophagus
Sp959 Nicholas J. Shaheen, Chapel Hill, NC

2:00 PM - 4:00 PM
S102ABC
BEST OF DDW 2014 (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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