Faculty:

Karen Gibbs, New Haven, CT Konstantinos Spaniolas, Stony Brook, NY

Moderators:

Ruchir Puri, Jacksonville, FL

697. EMERGENCY HIATAL HERNIA REPAIR WITH ISCHEMIC STOMACH
Arianna Vittori*^1,2, Andrés R. Latorre-Rodríguez^1,3, Andrew Keogan^1,4, Sumeet K. Mittal^1,4
1Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ; ²University of Padua, School of Medicine, Padova, Italy; ³Universidad del Rosario. Escuela de Medicina y Ciencias de la Salud, Bogotá D.C., Colombia; ⁴Creighton University School of Medicine, Phoenix, AZ

698. POSTERIOR RECTUS SHEATH FLAP FOR HIATAL AUGMENTATION (PORSHA) WITH DIAPHRAGMATIC RELAXING INCISIONS
Michelle Campbell*, Yalini Vigneswaran
Surgery, The University of Chicago, Chicago, IL

699. MULTIFACTORIAL DYSPHAGIA AFTER HELLER MYOTOMY IS BEST REMEDIATED WITH REVISIONAL HELLER MYOTOMY
Mohammad Alomari*, Holland Korbitz, Daniel Knewitz, Steven Bowers
General Surgery, Mayo Clinic, Jacksonville, FL

700. RE-DO LAPAROSCOPIC PARACONDUIT HIATAL HERNIA REPAIR AFTER ROBOTIC-ASSISTED HIATOPLASTY WITH VASCULARIZED AUTOLOGOUS POSTERIOR RECTUS SHEATH
Luca Giulini*¹, Melissa Kemeter¹, Filitsa Farmaki¹, Lucas Thumfart¹, Attila Dubecz², Markus K. Diener^1
1Klinikum Nurnberg, Nuremberg, BY, Germany; ²HELIOS Klinikum Erfurt, Erfurt, Thuringia, Germany

701. LAPAROSCOPIC HELLER MYOTOMY AND PARTIAL EPIPHRENIC DIVERTICULECTOMY INTRAOPERATIVE CHALLENGES AND CLINICAL OUTCOMES
Peijun Zhao², Austin Zhu*², Farzaneh Banki^1
1Cardiothoracic and Vascular Surgery, University of Texas Health Science Center, Memorial Hermann Southeast Esophageal Disease Center, Houston, TX; ²The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, TX

702. LAPAROSCOPIC REVISIONAL HELLER MYOTOMY WITH GASTROPEXY
Jon Vandenberg*, Steven Bowers
Mayo Clinic Florida, Jacksonville, FL

703. LAPAROSCOPIC HELLER MYOTOMY WITH PULL-DOWN TECHNIQUE AND ROUX-EN-Y GASTRIC BYPASS IN A PATIENT WITH OBESITY AND SIGMOID SHAPE ESOPHAGUS (END-STAGE ACHALASIA)
Luca Provenzano*^1,2, Francesca Forattini^1,2, Giovanni Capovilla^1,2, Andrea Costantini^1,2, Giulia Pozza^1,3, Alice Albanese^1,3, Michele Valmasoni^1,2, Mirto Foletto^1,3, Renato Salvador^1,2
1Universita degli Studi di Padova Dipartimento di Scienze Chirurgiche Oncologiche e Gastroenterologiche, Padova, Veneto, Italy; ²UOC Chirurgia Generale ¹, Azienda Ospedale - Universitŕ Padova, Padova, Italy; ³UOSD Week Surgery, Azienda Ospedale - Universitŕ Padova, Padova, Italy

704. REFRACTORY ACHALASIA: ROBOTIC-ASSISTED DOR FUNDOPLICATION TAKEDOWN AND HIATAL HERNIA REPAIR, REDO HELLER MYOTOMY AND TOUPET FUNDOPLICATION
Agustina A. Pontecorvo*, Tamar Tsenteradze, Enrique F. Elli
Mayo Clinic Florida, Jacksonville, FL

705. LAPAROSCOPIC DIAPHRAGMATIC PLICATION AND FUNDOPEXY FOR THE TREATMENT OF LEFT DIAPHRAGMATIC PARALYSIS AND INTRA-ABDOMINAL GASTRIC VOLVULUS
Jared McDonald², Robert Anderton*², Farzaneh Banki^1
1Cardiothoracic and Vascular Surgery, University of Texas Health Science Center, Memorial Hermann Southeast Esophageal Disease Center, Houston, TX; ²The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, TX

706. PEPTIC PERFORATION OF THE ESOPHAGUS IN A PATIENT WITH ZOLLINGER-ELLISON SYNDROME
Arianna Vittori*^1,2, Andrés R. Latorre-Rodríguez^1,3, Andrew Keogan^1,4, Sumeet K. Mittal^1,4
1Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ; ²University of Padua, School of Medicine, Padova, Italy; ³Universidad del Rosario. Escuela de Medicina y Ciencias de la Salud, Bogotá D.C., Colombia; ⁴Creighton University School of Medicine, Phoenix, AZ

Moderators:

Elena Penettieri, Rome, Italy Saumya Singh, Phoenix, AZ Toms Augustin, Cleveland, OH

707. PUSHING THE BOUNDARIES OF ROBOTIC SURGERY: TWO CASES OF SPLENORENAL SHUNT IN PEDIATRIC PATIENTS
Erin M. Duggan*, Nathaly Llore, Alexis Schiazza, Steven Lobritto, Mercedes Martinez, Jean Emond, Tomoaki Kato, Jason Hawksworth
Transplant Surgery, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY

708. LESS IS MORE: MINIMALLY INVASIVE APPROACH TO MIRIZZI'S SYNDROME REQUIRING BILIARY RECONSTRUCTION
Ramiro Cadena Semanate*, Sherif Saleh, Alejandro Feria, Ala Abdel-Jalil, Kevin El-Hayek
Surgery, MetroHealth Medical Center, Cleveland, OH

709. CENTRAL HEPATECTOMY WITH IN-SITU VASCULAR RECONSTRUCTION: A CASE FOR FEASIBILITY AND ONCOLOGIC SAFETY
Saurabh Singhal*
Aakash Healthcare Private Limited, Dwarka, DL, India

710. COMBINED RESECTION AND RECONSTRUCTION OF INVADED PORTAL VEIN IN LAPAROSCOPIC RADICAL RESECTION OF GALLBLADDER CYSTIC DUCT CANCER
Yu-Shi Dai, Rui-Qi Zou*, Fei Liu, YanWen Jin, FuYu Li
Department of Medical Ultrasound, West China Hospital of Sichuan University, Chengdu, Sichuan, China

711. TECHNIQUES OF BLEEDING CONTROL DURING ROBOTIC LIVER RESECTION IN VARIOUS SETTINGS
Kristina Milivojev Covilo*, Sharona B. Ross, Hasan Al Harakeh, Iswanto Sucandy
Digestive Health Institute, Advent Health Tampa, Tampa, FL

712. EXTENDED RIGHT HEPATECTOMY WITH EXTRAHEPATIC BILE DUCT RESECTION FOR CYSTIC DUCT CANCER
Hiromichi Ito*, Kosuke Kobayashi, Atsushi Oba, Yoshihiro Ono, Yosuke Inoue, Yu Takahashi
Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan

713. NAVIGATING LARGE CBD STONES INTRAOPERATIVELY: DIRECT VIDEO VISUALIZATION, EXPLORATION, AND RETRIEVAL
Mary K. Winslow*, Karan Kumar, Ramanathan Seshadri
Surgery, Danbury Hospital, Danbury, CT

714. ROBOTIC REPAIR AFTER COMMON HEPATIC BILE DUCT TRANSECTION DURING LAPAROSCOPIC CHOLECYSTECTOMY
Olivia Hopper*, Ziad Awad
Surgery, University of Florida Jacksonville, Jacksonville, FL

715. ROBOTIC HEPATIC DEBRIDEMENT AND PARTIAL RESECTION FOR CHRONICALLY INFECTED BILOMA WITH BILIARY FISTULA
Ahmed Younos*, Mohamad Younos, Sharona B. Ross, Iswanto Sucandy
AdventHealth, Altamonte Springs, FL

716. S8DORSAL SMALL ANATOMICAL LAPAROSCOPIC LIVER RESECTION USING SIMULATION AND NAVIGATION FOR A DEEP TINY HCC WITHOUT DETECTION BY US AFTER OPEN POSTERIOR SECTIONECTOMY
Zenichi Morise*
Fujita Health University Okazaki Medical Center, OKAZAKI, AICHI, Japan

Moderators:

Taylor S. Riall, Tucson, AZ

691. ADJUVANT CHEMOTHERAPY IN OLDER PATIENTS WITH LOCALLY ADVANCED COLON CANCER: IS LESS MORE?
Julia Frebault*^1,2, Alexander Troester¹, Michael Horsey¹, Sarah Mott³, Schelomo Marmor¹, Arjun Gupta¹, Imran Hassan⁴, Pridvi Kandagatla⁵, Paolo Goffredo^1
1University of Minnesota Twin Cities, Minneapolis, MN; ²Hennepin County Medical Center, Minneapolis, MN; ³University of Iowa Hospitals and Clinics, Iowa City, IA; ⁴MercyOne, Des Moines, IA; ⁵Allina Health, Minneapolis, MN

692. EXPONENTIAL SURGE IN ANTIREFLUX SURGERY UTILIZATION IN THE UNITED STATES: RESULTS FROM A 25-YEAR NATIONWIDE POPULATION-BASED ANALYSIS
Daniel M. Simadibrata*¹, Ronnie Fass^2
1Department of Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH; ²Division of Gastroenterology and Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH

693. POSTOPERATIVE CTDNA IS ASSOCIATED WITH OUTCOMES AFTER CURATIVE-INTENT HEPATECTOMY: RESULTS FROM THE INTERCEPT PROGRAM
Brittany C. Fields*, Antony Haddad, Yifan Wang, Elsa M. Arvide, Deborah E. Mrema, Kristin D. Alfaro-Munoz, Robert J. Kell, Van Karlyle Morris, Arvind Dasari, Tsuyoshi Konishi, Yun Shin Chun, Hop S. Tran Cao, Ching-Wei D. Tzeng, Scott Kopetz, Jean-Nicolas Vauthey, Timothy E. Newhook
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX

694. SPECIFIC TARGETING OF PANCREATIC CANCER IN ORTHOTOPIC MOUSE MODELS WITH AN ANTI CA-19-9 ANTIBODY CONJUGATED TO A NIR FLUOROPHORE
Javier Bravo*¹, Kristin E. Cox¹, Sunidhi Jaiswal¹, Siamak Amirfakhri¹, Thinzar Lwin³, Sumbal Talib², Maneesh Jain², Robert Hoffman¹, Aaron Mohs², Surinder Batra², Michael Bouvet^1
1Surgery, UC San Diego, San Diego, CA; ²University of Nebraska Medical Center, Omaha, NE; ³City of Hope, Duarte, CA

695. CRACKING THE CODE: KEY FACTORS INFLUENCING RECURRENCE TIMING AFTER HIATAL HERNIA REPAIR
Mikhail Attaar*, Bradley Kushner, Michael M. Awad
Surgery, Washington University in St Louis School of Medicine, St. Louis, MO

696. CARDIOVASCULAR RISK REDUCTION IN A LARGE COHORT STUDY: COMPARATIVE OUTCOMES OF SLEEVE GASTRECTOMY, ROUX-EN-Y GASTRIC BYPASS, AND BILIOPANCREATIC DIVERSION SURGERIES
Wissam Ghusn*^1,2, Tala Abedalqader², Nour El Ghazal², Noura Jawhar², Donna Abboud², Simon J Laplante², Eric J. Vargas², Andres Acosta², Omar M. Ghanem^2
1Internal Medicine, Boston University, Boston, MA; ²Mayo Clinic Minnesota, Rochester, MN

Sp785
BOTH SIDES NOW
Taylor S. Riall, MD, PhD, FACS
University of Arizona, Tucson, AZ

Moderator:

Taylor S. Riall, Tucson, AZ

Sp874
BREAKING DOWN THE TAPE: USING VIDEO REVIEW AND ROBOTICS TO ADVANCE PANCREATIC SURGERY
Herbert J. Zeh, III, MD
UT Southwestern Medical Center, Dallas, TX

Colorectal Moderators:
PAWS Moderators:

Authors available at their posters to answer questions 12:30 pm - 1:30 pm; posters on display 9:30 AM - 4 PM.

Faculty:

Sajid Khan, New Haven, CT Jeffrey B. Matthews, Madison, WI Emily R. Winslow, Chicago, IL Vikas Dudeja, Miami, FL Rebekah White, San Diego, CA

Faculty:

Paulo Goffredo, Minneapolis, MN Andrew D. Newton, Houston, TX Victoria Gershuni, St. Louis, MO Kimberly Washington, Arlington, TX

Moderators:

Joerg Zehetner, Bern, Switzerland Rasa Zarnegar, New York, NY Ziad Awad, Jacksonville, FL

864. THE IMPACT OF GAS BLOAT SYNDROME ON OUTCOMES AFTER NISSEN FUNDOPLICATION AND ITS ASSOCIATION WITH ANATOMICAL FAILURE AND NEED FOR REVISIONAL SURGERY
Inanc Sarici*^1,3, Sven Eriksson^1,3, Johnathan Nguyen¹, Naveed Chaudhry¹, Ping Zheng¹, Shahin Ayazi^1,2,3
1Foregut Division, Surgical Institute, Allegheny Health Network, Pittsburgh, PA; ²Department of Surgery, Drexel University, Philadelphia, PA; ³Chevalier Jackson Research Fellowship, Esophageal Institute, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA

865. THE PADOVA CLASSIFICATION IN ACTION: AN INTERNATIONAL STUDY ON POST-FUNDOPLICATION OUTFLOW OBSTRUCTION (PFOO)
Francesca Forattini*¹, Khanh Hoang Nicholas Le², Luca Provenzano¹, Matteo Santangelo¹, Giovanni Capovilla¹, Arianna Vittori¹, Matteo Pittacolo¹, Loredana Nicoletti¹, Lucia Moletta¹, Michele Valmasoni¹, Rena Yadlapati², Renato Salvador^1
1Department of Surgical, Oncological and Gastroenterological Sciences, Universita degli Studi di Padova, Padova, Veneto, Italy; ²University of California San Diego, San Diego, CA

866. EVALUATING LYON CONSENSUS 2.0 VS. DEMEESTER SCORE: PREDICTIVE ACCURACY OF ESOPHAGEAL ACID EXPOSURE CRITERIA FOR ANTIREFLUX SURGERY OUTCOMES
Sven Eriksson*^1,3, Inanc Sarici^1,3, Amanda Scobie¹, Nicholas Belleza¹, Mara Fryer¹, Ping Zheng¹, Shahin Ayazi^1,2,3
1Foregut Division, Surgical Institute, Allegheny Health Network, Pittsburgh, PA; ²Department of Surgery, Drexel University, Philadelphia, PA; ³Chevalier Jackson Research Fellowship, Esophageal Institute, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA

867. REDEFINING PARAESOPHAGEAL HERNIA REPAIR: MIDTERM OUTCOMES OF THE NOVEL PORSHA TECHNIQUE FOR COMPLEX HIATUS RECONSTRUCTION
Michelle Campbell*, Yalini Vigneswaran, Mustafa Hussain, Vivek Prachand
Surgery, The University of Chicago, Chicago, IL

868. PERORAL ENDOSCOPIC MYOTOMY AND LAPAROSCOPIC HELLER MYOTOMY SHOW SIMILAR OUTCOMES IN TYPE III ACHALASIA
Archana Jeeji*, Alexander S. Farivar, Emily M. Mackay, Adam J. Bograd, Peter T. White, Brian E. Louie
Thoracic Surgery, Swedish Medical Center, Seattle, WA

869. TRANSHIATAL VERSUS TRANSTHORACIC ESOPHAGECTOMY: THE INFLUENCE OF ONE-LUNG VENTILATION ON POSTOPERATIVE PULMONARY COMPLICATIONS, LYMPH NODE YIELD AND OVERALL SURVIVAL
Jasmin Trachsel², Sarah Gerber¹, Pauline Aeschbacher¹, Dino Kröll¹, Yves Borbély*^1
1Inselspital Universitatsspital Bern, Bern, BE, Switzerland; ²Inselspital Universitatsspital Bern, Bern, BE, Switzerland

Moderators:

Kimberly Washington, Portland, OR Dulundu Ender, Istanbul, Turkey Sean Cleary, Stoke-on-Trent, UK

870. TUMOR BURDEN PREDICTS OUTCOMES AFTER CURATIVE RESECTION OF MULTIFOCAL INTRAHEPATIC CHOLANGIOCARCINOMA
Jun Kawashima*^1,2, Miho Akabane¹, Zayed Rashid¹, Abdullah Altaf¹, Selamawit Woldesenbet¹, Mujtaba Khalil¹, Azza Sarfraz¹, Diamantis Tsilimigras¹, Odysseas Chatzipanagiotou¹, François Cauchy³, Federico Aucejo⁴, Hugo P. Marques⁵, Tom Hugh⁶, Feng Shen⁷, Shishir K. Maithel⁸, B. Groot Koerkamp⁹, Irinel Popescu¹⁰, Minoru Kitago¹¹, Matthew Weiss¹², Guillaume Martel¹³, Carlo Pulitano¹⁴, Luca Aldrighetti¹⁵, George A. Poultsides¹⁶, Andrea Ruzzenente¹⁷, Todd W. Bauer¹⁸, Ana Gleisner¹⁹, Itaru Endo², Timothy M. Pawlik^1
1The Ohio State University Wexner Medical Center, Columbus, OH; ²Yokohama Shiritsu Daigaku, Yokohama, Kanagawa, Japan; ³Hopital Beaujon, Clichy, Île-de-France, France; ⁴Cleveland Clinic, Cleveland, OH; ⁵Hospital Curry Cabral, Lisboa, Lisboa, Portugal; ⁶The University of Sydney, Sydney, New South Wales, Australia; ⁷Shanghai Eastern Hepatobiliary Surgery Hospital, Shanghai, China; ⁸Emory University, Atlanta, GA; ⁹Erasmus Universiteit Rotterdam, Rotterdam, Zuid-Holland, Netherlands; ¹⁰Institutul Clinic Fundeni, Bucuresti, Romania; ¹¹Keio Gijuku Daigaku, Minato-ku, Tokyo, Japan; ¹²Northwell Health Feinstein Institutes for Medical Research, Manhasset, NY; ¹³University of Ottawa, Ottawa, ON, Canada; ¹⁴Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia; ¹⁵IRCCS Ospedale San Raffaele, Milano, Italy; ¹⁶Stanford University, Stanford, CA; ¹⁷Universita degli Studi di Verona, Verona, Veneto, Italy; ¹⁸University of Virginia, Charlottesville, VA; ¹⁹University of Colorado Denver, Denver, CO

871. EFFECT OF PANTOPRAZOLE AS AN ADJUNCT TO STANDARD MEDICAL THERAPY IN PATIENTS WITH UNCOMPLICATED AMOEBIC LIVER ABSCESS: A RANDOMIZED PILOT STUDY
Ramesh Kumar*, Rishabh Patel, Sudhir Kumar, Rajeev Nayan Priyadarshi
Gastroenterology, All India Institute of Medical Sciences Patna Library, Patna, Bihar, India

872. TARGETING THE GUT MICROBIOME IMPROVES ANTI-TUMOR CYTOTOXIC CD8 T-CELL RESPONSE AGAINST HEPATOCELLULAR CARCINOMA
Dhanisha S. Suresh, Tejeshwar Jain*, Utpreksha Vaish, Srikanth Iyer, Vikas Dudeja
surgery, The University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL

873. ASSOCIATION OF ELEVATED CA19-9 AND OUTCOMES AFTER CURATIVE-INTENT HEPATECTOMY FOR COLORECTAL LIVER METASTASES: AN INTERNATIONAL EXPERIENCE
Elena Panettieri*^1,2, Antony Haddad², Andrea Campisi¹, Jace P. Landry², Agostino Maria De Rose¹, Francesco Ardito¹, Hop S. Tran Cao², Ching-Wei D. Tzeng², Yun Shin Chun², Felice Giuliante¹, Jean-Nicolas Vauthey², Timothy E. Newhook^2
1Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Lazio, Italy; ²The University of Texas MD Anderson Cancer Center, Houston, TX

874. CLINICAL AND MOLECULAR FEATURES OF YOUNG-ONSET INTRAHEPATIC CHOLANGIOCARCINOMA: A MULTI-INSTITUTIONAL ANALYSIS
Adriana C. Gamboa*¹, Elena Panettieri¹, Yun Shin Chun¹, Ashton A. Connor³, Milind Javle², Timothy E. Newhook¹, Shubham Pant², Hop S. Tran Cao¹, Ching-Wei D. Tzeng¹, Jean-Nicolas Vauthey^1
1The University of Texas MD Anderson Cancer Center Division of Surgery, Houston, TX; ²The University of Texas MD Anderson Cancer Center Gastrointestinal Cancer Center, Houston, TX; ³Houston Methodist, Houston, TX

875. OUTCOMES OF PATIENTS WITH INDETERMINATE BILIARY STRICTURES FOLLOWING COMPREHENSIVE ENDOSCOPIC WORKUP
Andrew Kleehammer*¹, Matthew Giansiracusa¹, Sean Olson¹, Lindsey Creech¹, Tayna D. Latortue¹, Tiffany Y. Chua¹, Jennifer Fieber², Chris Forsmark¹, Aleksey A. Novikov^1
1Gastroenterology, University of Florida, Gainesville, FL; ²Surgery, University of Florida, Gainesville, FL

Moderators:

Annie Benzie, Edison, NJ Jacquelyn Turner, New Orleans, LA

Sp932, Sp933
WE NEED MORE GENERALISTS VERSUS WE NEED MORE SPECIALISTS

GENERALIST
Rohan Jeyarajah
Methodist Health System, Dallas, TX

SPECIALIST
Michael D'Angelica
Memorial Sloan Kettering Cancer Center, New York, NY

Sp934, Sp935
TRAINING IN ACADEMIC CENTERS VERSUS HEALTH / COMMUNITY SYSTEMS

ACADEMIC PERSPECTIVE
Tara Kent
Beth Israel Deaconess Medical Center, Boston, MA

COMMUNITY PERSPECTIVE
Michael Truitt
Methodist Healthcare System of San Antonio Ltd, San Antonio, TX

Sp936, Sp937
WHAT IS AN ACADEMIC SURGEON: RESEARCH IN ACADEMIA VERSUS OUTSIDE ACADEMIA

INSIDE ACADEMIA
Mary Hawn
Stanford University, Stanford, CA

OUTSIDE ACADEMIA
Lee Swanstrom
Institute for Image-guided Surgery, University of Strasbourg, Portland, OR

Moderator:

Vic Velanovich, Tampa, FL

Sp938
THE ETHICS OF SURGICAL CARE: SHAPING THE FUTURE OF SURGERY
Peter Angelos, MD, PhD
Department of Surgery, University of Chicago, Chicago, IL

Moderators:

952. MANAGING POUCH POLYPS: COMBINED ENDOSCOPIC AND ENDOROBOTIC SUBMUCOSAL DISSECTION
Salih N. Karahan*, Brogan Catalano, Mustafa Oruc, Phoenix Bell, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

953. TRANSVERSE PERINEAL SUPPORT: A SURGICAL SOLUTION FOR PERINEAL DESCENT
Luca Manfrino*, Claudio Missaglia, Francesco Palmieri, Cozzolino Sofia, Andrea Vignali, Pierpaolo Sileri
Colorectal Surgery, IRCCS Ospedale San Raffaele, Milano, Lombardia, Italy

954. UNTWISTING THE PLOT: RESOLVING A MISDIAGNOSIS OF CROHN'S DISEASE IN AN ULCERATIVE COLITIS PATIENT WITH A TWISTED J-POUCH
Kamil Erozkan, Imran Khan*, Faris S. Almadi, Tracy Hull, Olga Lavryk
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

955. LAPAROSCOPIC SUTURE RECTOPEXY FOR RECURRENT RECTAL PROLAPSE AFTER FAILED VENTRAL MESH RECTOPEXY AND PERINEAL REPAIR
Oscar Santes*, Florencia Lucero-Serrano, Danilo Tueme de la Peńa, Emilio Sánchez-García Ramos, Noel Salgado-Nesme
Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, Mexico, Mexico

956. ENDOSCOPIC INTERMUSCULAR DISSECTION (EID) FOR RECTAL CANCER
Shaimaa Elkholy*¹, Karim Essam¹, Abeer A. Abdellatef¹, Kerolis Yousef¹, Hany Haggag¹, Hussein H. Okasha¹, Ahmed H. Rashad¹, Mohamed Nabil Alkady¹, Mohamed Abdel Zaher¹, Mostafa Kabeel², Dalia Abd El-Kareem¹, Sara Shaban³, Mohamed El-Sherbiny^1
1Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt; ²Al-Azhar University Faculty of Medicine, Nasr City, Cairo, Egypt; ³Ahmed Maher Teaching Hospital, Cairo, Egypt

957. ENDOSCOPIC SUBMUCOSAL DISSECTION FOR A CHALLENGING RECTAL LESION IN A SYMPTOMATIC CHILD WITH SOLITARY RECTAL ULCER SYNDROME
Ahmad A. Madkour*^1,2, Amr El Fouly¹, Ahmad H. Salem², Badreya Abd Allah², Mahkoud Khamees², Mohamed G. Saqr², Hassan Atalla^3
1Gastroenterology, Helwan University, Helwan, Cairo, Egypt; ²Egypt General Authority for Healthcare, Cairo, Egypt; ³Mansoura University Gastroenterology Surgical Center, Mansoura, Egypt

958. COMPLEX LAPAROSCOPIC HARTMANN REVERSAL WITH ANASTOMOTIC LEAK MANAGEMENT
Mustafa Oruc*, Joshua Sommovilla, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

959. ROBOTIC SIGMOID RESECTION IN A PATIENT WITH PELVIC KIDNEY ANOMALY: OVERCOMING ANATOMICAL AND SURGICAL CHALLENGES
Mustafa Oruc*, Joshua Sommovilla, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

960. ROBOTIC EXCISION OF PRESACRAL MATURE CYSTIC TERATOMA IN A MALE: A VIDEO VIGNETTE
Jessica Chin*, Jared Emolo, Joaquin Estrada, Jan Kaminski
Advocate Illinois Masonic Medical Center, Chicago, IL

961. ROBOTIC ISOPERISTALTIC SIDE TO SIDE ANASTOMOSIS: A SOLUTION FOR OBESE PATIENTS WITH LIMITED INTESTINAL MOBILITY
Salih N. Karahan*, Mustafa Oruc, Brogan Catalano, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

Moderators:

Stephanie Worrell, Tucson, AZ Brian Louie, Seattle, WA

968. DURABILITY OF ESOPHAGEAL ACID NORMALIZATION: A COMPARATIVE ANALYSIS OF NISSEN FUNDOPLICATION AND MAGNETIC SPHINCTER AUGMENTATION OVER TIME
Inanc Sarici*^1,3, Sven Eriksson^1,3, Johnathan Nguyen¹, Naveed Chaudhry¹, Mara Fryer¹, Ali H. Zaidi^1,2, Kirsten Newhams¹, Ping Zheng¹, Shahin Ayazi^1,2,3
1Foregut Division, Surgical Institute, Allegheny Health Network, Pittsburgh, PA; ²Department of Surgery, Drexel University, Pittsburgh, PA; ³Chevalier Jackson Research Fellowship, Esophageal Institute, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA

970. INTERIM ANALYSIS OF A RANDOMIZED CONTROL TRIAL EVALUATING THE EFFICACY OF PLATELET-RICH PLASMA TO REDUCE RECURRENCES AFTER LARGE PARAESOPHAGEAL HERNIA REPAIR
Ashley Tran*, Luke R. Putnam, Katie Galvin, Caitlin C. Houghton, John C. Lipham
Keck Hospital of USC, Los Angeles, CA

971. IMPACT OF DIFFERENT ANATOMIC FAILURE PATTERNS OF ANTIREFLUX SURGERY ON DISTAL ESOPHAGEAL PH MONITORING AND GASTROESOPHAGEAL REFLUX SYMPTOMS
Inanc Sarici*^1,3, Sven Eriksson^1,3, Naveed Chaudhry¹, Mostafa Abdelhalim¹, Kirsten Newhams¹, Ping Zheng¹, Shahin Ayazi^1,2,3
1Foregut Division, Surgical Institute, Allegheny Health Network, Pittsburgh, PA; ²Department of Surgery, Drexel University, Philadelphia, PA; ³Chevalier Jackson Research Fellowship, Esophageal Institute, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA

972. ROLE OF MUCOSAL IMPEDANCE IN ASSESSMENT OF THE REFLUX BARRIER AFTER NISSEN FUNDOPLICATION
Inanc Sarici*^1,3, Sven Eriksson^1,3, Johnathan Nguyen¹, Ping Zheng¹, Shahin Ayazi^1,2,3
1Foregut Division, Surgical Institute, Allegheny Health Network, Pittsburgh, PA; ²Department of Surgery, Drexel University, Pittsburgh, PA; ³Chevalier Jackson Research Fellowship, Esophageal Institute, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA

973. POEM VS LAPAROSCOPIC HELLER-DOR IN THE TREATMENT FOR ESOPHAGEAL ACHALASIA: LONG TERM RESULTS (> 5 YEARS) OF A COMPARATIVE STUDY USING PROPENSITY SCORE
Andrea Costantini*¹, Francesca Mangiola², Giovanni Capovilla¹, Rosario Landi², Luca Provenzano¹, Loredana Nicoletti¹, Michele Valmasoni¹, Cristiano Spada², Mario Costantini¹, Pietro Familiari², Renato Salvador^1
1Azienda Ospedale Universita Padova, Padova, Veneto, Italy; ²Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Lazio, Italy

974. DECISION REGRET FOR PATIENTS UNDEROING PER ORAL ENDOSCOPIC MYOTOMY AND LAPAROSCOPIC HELLER MYOTOMY
Sullivan A. Ayuso*, Miracle Burt, Kristine Kuchta, Jean-Christophe Rwigema, Derrius Anderson, Jonathan Chao, Joann Carbray, Natalie Liu, H. Mason Hedberg, Michael Ujiki
Surgery, NorthShore University HealthSystem, Evanston, IL

975. GAS-BLOAT SYMPTOMS AFTER ANTIREFLUX SURGERY: ASSESSMENT OF THE CLINICAL UTILITY OF SMALL INTESTINAL BACTERIAL OVERGROWTH (SIBO) TESTING RESULTS IN GUIDING POSTOPERATIVE MANAGEMENT.
Inanc Sarici*^1,3, Sven Eriksson^1,3, Kelsi J. Swanson¹, Sarah Scott¹, Ann M. DeWitt¹, Ping Zheng¹, Shahin Ayazi^1,3,2
1Foregut Division, Surgical Institute, Allegheny Health Network, Pittsburgh, PA; ²Department of Surgery, Drexel University, Philadelphia, PA; ³Chevalier Jackson Research Fellowship, Esophageal Institute, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA

976. LONG-TERM OUTCOMES OF FAILED FUNDOPLICATION: A 10-YEAR ANALYSIS OF FACTORS CONTRIBUTING TO REDO FUNDOPLICATION
Andric Perez-Ortiz*¹, Gonzalo Torres-Villalobos², Ana Sandoval Mussi¹, Grece Daniela Salinas García³, Jorge Gerardo Obregón Méndez¹, Martin Vega de Jesús¹, Cesar Decanini^1
1Department of Surgery, Centro Medico ABC, Mexico City, Mexico City, Mexico; ²Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, CDMX, Mexico; ³Hospital Espanol, Mexico City, CDMX, Mexico

977. INDUCTION THERAPY FOR ESOPHAGEAL CANCER SIGNIFICANTLY ALTERS CT-DERIVED BODY COMPOSITION AND SURGICAL RISK
Ernest G. Chan*¹, Darren Bryan¹, Jules Lin², Maria L. Madrariaga¹, Brian A. Derstine², Pablo G. Sanchez¹, Stewart C. Wang², Mark Ferguson^1
1Surgery, University of Chicago, Chicago, IL; ²University of Michigan, Ann Arbor, MI

978. THE IMPACT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE ON PARAOESOPHAGEAL HERNIA REPAIR OUTCOMES
William T. Head*, Divyaam Satija, Stefanie C. Rohde, Theresa Wang, Kyle Perry
Surgery, The Ohio State University Wexner Medical Center, Columbus, OH

979. LAPAROSCOPIC ANTIREFLUX SURGERY OUTCOMES AT 12 MONTHS IN THE FIRST 100 PATIENTS TO UNDERGO REFLUXSTOP PROCEDURE IN A SINGLE INSTITUTION IN SWITZERLAND
Joerg Zehetner*, Ioannis Linas, Ulf Kessler, Yannick Fringeli
Surgery, Clinic Beau-Site Berne, Bern, Switzerland

980. IMPACT OF FOOD INSECURITY ON POSTOPERATIVE OUTCOMES OF ESOPHAGEAL PERORAL ENDOSCOPIC MYOTOMY AT A LARGE TERTIARY INSTITUTION
Adithya J. Menon*¹, Dalton A. Norwood², Ryan T. Griffin¹, Sergio A. Sánchez-Luna³, Kristen Wong^4
1The University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL; ²Division of General Internal Medicine & Population Science, University of Alabama at Birmingham, Birmingham, AL; ³Basil I. Hirschowitz Endoscopic Center of Excellence, Department of Internal Medicine - Division of Gastroenterology & Hepatology, University of Alabama at Birmingham, Birmingham, AL; ⁴Department of Surgery - Division of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL

981. FLIP PLANIMETRY HAS BETTER CORRELATION WITH PREOPERATIVE DYSPHAGIA THAN HIGH-RESOLUTION MANOMETRY IN ANTI-REFLUX SURGERY EVALUATION
Derrius Anderson*, Jean-Christophe Rwigema, Sullivan A. Ayuso, Kristine Kuchta, Jonathan Chao, Natalie Liu, Mason Hedberg, Michael Ujiki
NorthShore University HealthSystem, Evanston, IL

Moderators:

Jin He, Baltimore, MD Ting-Chun Tina Kuo, Taipei City, Taiwan

962. INDUCIBLE GENETIC MOUSE MODEL OF INTRADUCTAL PAPILLARY MUCINOUS NEOPLASM USING IN VIVO ADENO-ASSOCIATED VIRUS WITH CRISPR-CAS9
Hannah N. Rinehardt*¹, Alexander Kolodychak², Alexis Martyn¹, Vinitha Dhamotharan¹, Alexander Kreger³, Madison Thomas¹, Lydia Liszewski¹, Andrew Kolodychak⁴, Ting Zhang¹, George Gittes^1
1Pediatric Surgery, Children's Hospital of Pittsburgh John G Rangos Sr Research Center, Pittsburgh, PA; ²Brown University Warren Alpert Medical School, Providence, RI; ³UH Cleveland Medical Center, Cleveland, OH; ⁴University of Notre Dame, Notre Dame, IN

963. UBE2N AS A PROMISING NEW RESPONSE MARKER TO CHEMOTHERAPY IN PANCREATIC DUCTAL ADENOCARCINOMA - RESULTS FROM MASS SPECTROMETRY ANALYSES OF NEOADJUVANT TREATED PANCREATIC CANCER
Lennart von Fritsch*¹, Jannis Duhn¹, Maren Drenckhan¹, Lorena Llontop¹, Cristina Ferrone², Vikram Deshpande³, Oliver Schilling⁴, Jutta Kirfel⁵, Rüdiger Braun¹, Louisa Bolm¹, Ulrich F. Wellner¹, Tobias Keck¹, Kim C. Honselmann^1
1University Medical Center Schleswig-Holstein Department of Surgery, Luebeck, Germany; ²Cedars-Sinai Medical Center, Los Angeles, CA; ³Beth Israel Deaconess Medical Center Department of Pathology, Boston, MA; ⁴University of Freiburg Department of Pathology, Freiburg, Germany; ⁵University Medical Center Schleswig-Holstein Institute of Pathology, Luebeck, Germany

964. PREHABILITATION FOR PANCREATECTOMY: ASSESSING FEASIBILITY AND IMPACT ON RECOVERY
Evelyn Alexander*, Nicholas Galouzis, Maria K. Fotinos, Hunter Alexander, Lusine Mesropyan, Mohammad Khreiss, Taylor S. Riall, Carrie Luu
Banner - University Medical Center Tucson, Tucson, AZ

965. WHAT IS THE BEST APPROACH FOR ROBOTIC PANCREATICODUODENECTOMY FOR PANCREATIC HEAD CANCER? UTILITY OF LEFT POSTERIOR SMA-FIRST APPROACH
Yosuke Inoue*, Kosuke Kobayashi, Atsushi Oba, Yoshihiro Ono, Hiromichi Ito, Yu Takahashi
Cancer Institute Hospital, Tokyo, Japan

966. SURVEILLANCE OF SUB-CENTIMETER SIDE-BRANCH IPMNS: RISK OF INVASIVE DISEASE AND FOLLOW-UP RECOMMENDATIONS
Chase J. Wehrle*, R Matthew Walsh, Pranav Kumar, Breanna Perlmutter, Jenny H. Chang, Abby Gross, Robert Naples, Kathryn A. Stackhouse, Samer A. Naffouje, Daniel Joyce, Toms Augustin, Robert Simon
Cleveland Clinic, Cleveland, OH

967. INFILTRATION OF MACROPHAGES AND MICROENVIRONMENT INFLAMMATORY PROTEINS IN PANCREATIC DUCTAL ADENOCARCINOMA
Jordan A. McKean*¹, Gerik W. Tushoski-Alemán¹, Grace R. Thompson¹, Kelly M. Herremans¹, Andrea Riner², Patrick Underwood², Song Han¹, Steven J. Hughes^1
1Surgery, University of Florida, Gainesville, FL; ²Ohio State University, Columbus, OH

Moderators:

Joan A. Culpepper-Morgan, New York, NY Eduardo E. Montalvo-Jave, Mexico City, Mexico

BRINGING DIVERSE PERSPECTIVES TO A NATIONAL SOCIETY
Jennifer Christie
Emory University School of Medicine, Atlanta, GA

WHAT DOES THAT MEAN IN A SURGERY DEPARTMENT IN HBCU?
John Stewart
Morehouse School of Medicine, Atlanta, GA

WHAT SUCCESS LOOKS LIKE IN ACADEMIC MEDICINE
Byron Cryer
Baylor Scott & White Health, Temple, TX

WHAT DOES THAT MEAN IN A SURGERY DEPARTMENT IN A NON-HBCU?
Jeffrey Matthews
University of Chicago, Chicago, IL

Q&A

Sponsored by:	AGA, AASLD, ASGE, SSAT
Moderators:	Scott Fraser, Malvern, PA Michael L. Kochman, Philadelphia, PA

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WELCOME AND SHARK TANK INTRODUCTIONS
Scott Fraser¹, Michael L. Kochman^2
1Fraser Healthcare, LLC, Malvern, PA; ²Gastroenterology Division, University of Pennsylvania Health System, Philadelphia, PA

Sp944
AASLD SHARK
Jin Ge
Medicine, University of California, San Francisco, San Francisco, CA

Sp945
AGA SHARK
Lawrence R. Kosinski
SonarMD, Chicago, IL

Sp946
ASGE SHARK
Klaus Mergener
Digestive Health Specialists, Seattle, WA

Sp947
SSAT SHARK
Shahin Ayazi
Esophageal Institute, Department of Surgery, Allegheny Health Network, Pittsburgh, PA

Sp948
AASLD INNOVATOR

Sp949
AGA INNOVATOR

Sp950
ASGE INNOVATOR
Andres Acosta
Mayo Foundation for Medical Education and Research, Rochester, MN

Sp951
SSAT INNOVATOR
Yongwoo D. Seo
Medical College of Wisconsin, Milwaukee, WI