Faculty:

Rohan Jeyarajah, Dallas, TX

Moderators:	Govind Nandakumar, Bangalore, India
Panelists:	Jorge Daes, Barranquilla, Columbia Sanjiv Haribhakti, Ahmedabad, India Vivek Bindal, Dehli, India Nikos Gouvas, Psimolofou, Cyprus Jessica Zaman, Albany, NY Ramesh Ardharnari, Madurai, India Peush Sahni, New Dehli, India

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CASE 1: LOCALLY ADVANCED COLON CANCER INVADING THE ANTERIOR ABDOMINAL WALL

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CASE 2: ENTEROCUTANEOUS FISTULA AFTER ANASTOMOTIC LEAK WITH LOSS OF ABDOMINAL WALL DOMAIN
Saumya Singh
SSM Health St. Clare Hospital-Fenton, Phoenix, AZ

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CASE 3: PARASTOMAL, MIDLINE AND OFF-MIDLINE HERNIAS AFTER GI SURGERY
Karan R. Rawat
Safe Surgery Center, Agra, Agra, India

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CASE 4: PROPHYLACTIC MESH FOR HERNIAS. FRIEND OR FOE?
Louisa Bolm
Department of Surgery, Massachusetts General Hospital, Boston, MA

Moderators:

Jessica Maxwell, Houston TX John Stauffer, Jacksonville, FL Michael Chienhui Wu, Taipei City, Taiwan

376. UPREGULATION OF GLYCOLYSIS IN PANCREATIC CANCER CELLS UNDER HYPOXIA INHIBITS THE ANTITUMOR EFFECT OF ASCORBIC ACID MEDIATED BY REACTIVE OXYGEN SPECIES
Takeru Maekawa*, Toru Miyake, Ken-ichi Mukaisho, Masaji Tani, Shinji Uemoto
Surgery, Shiga Ika Daigaku, Otsu, Shiga, Japan

377. LARGE LANGUAGE MODELS ENABLE ACCURATE DATA EXTRACTION AND CURATION FROM SYNOPTIC RADIOLOGY REPORTS FOR PANCREATIC CYST SURVEILLANCE
Ankur P. Choubey*¹, Emanuel Eguia¹, Alexander Hollingsworth², Subrata Chatterjee², Remo Alessandris¹, Misha Armstrong¹, Emily Manin¹, Lily V. Saadat¹, Jenny Flood¹, Avijit Chatterjee², Vinod Balachandran¹, Jeffrey Drebin¹, T. Peter Kingham¹, Michael D'Angelica¹, William Jarnagin¹, Alice Wei¹, Vineet S. Rolston³, Mark A. Schattner³, Kevin Soares^1
1Hepatopancreatobiliary Surgery, Memorial Sloan Kettering Cancer Center Department of Surgery, New York, NY; ²Memorial Sloan Kettering Cancer Center, New York, NY; ³Memorial Sloan Kettering Cancer Center Department of Medicine, New York, NY⁴

378. THE COST-EFFECTIVENESS OF TREATMENT MODALITIES IN RESECTABLE PANCREATIC CANCER: A VALUE-BASED ANALYSIS
Benjamin Varughese*¹, Isabel Lavine¹, Sophia Shah¹, Harish Lavu², Wilbur Bowne², Charles Yeo², Avinoam Nevler^2
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; ²Department of Surgery, Thomas Jefferson University, Philadelphia, PA

379. TIMING MATTERS: EVALUATING THE IMPACT OF EARLY VERSUS DELAYED CHOLECYSTECTOMY ON INFECTIOUS ADVERSE EVENTS IN BILIARY NECROTIZING PANCREATITIS
Himsikhar Khataniar*¹, Rahul Karna², Hany Habib¹, Stuart K. Amateau^2
1Internal Medicine, Allegheny General Hospital, Pittsburgh, PA; ²University of Minnesota Twin Cities, Minneapolis, MN

380. EARLY RECURRENCE PREDICTORS AND PATTERNS AFTER RESECTION FOR PANCREATIC DUCTAL ADENOCARCINOMA: IS THE SURGEON ONLY A BYSTANDER?
Alex M. Roch*, Alexa J. Hughes, Andrew J. Thyen, Thomas K. Maatman, Ryan J. Ellis, Max Schmidt, Nicholas J. Zyromski, Eugene P. Ceppa, Michael G. House
Surgical Oncology, Indiana University School of Medicine, Indianapolis, IN

381. A POPULATION-LEVEL, LONGITUDINAL ASSESSMENT OF POST-PANCREATECTOMY EXOCRINE INSUFFICIENCY AND ITS FINANCIAL BURDEN FOR PATIENTS WITH PANCREATIC CANCER
Patricia Lu*², Yu-Hui Chang², Chee-Chee Stucky², Patricia Cronin², Alexandra Potter¹, George Linderman¹, Jeffrey Yang¹, Michelle A. Anderson², Norio Fukami², Douglas O. Faigel², Laurence Miller², Rahul Pannala², Richard Bold², Nabil Wasif², Zhi Ven Fong^2
1Mass General Brigham Inc, Boston, MA; ²Mayo Clinic Arizona, Scottsdale, AZ

382. METFORMIN USE WAS CORRELATED WITH A LOWER LONGITUDINAL RISK OF A DIAGNOSIS OF MALIGNANT NEUROENDOCRINE TUMOR (NET) IN PATIENTS WITH A PREVIOUSLY BENIGN NET
Luis F. Lara*, Milton Smith, Moamen Gabr, Muhammad H. Dawwas, Andrew Ofosu, Rosanne Danielson, Wei-Wen Hsu, Inuk Zandvakili, Mubarak Sayyar, Davendra Sohal, Jordan Kharofa, Sameer Patel, Gregory C. Wilson, Syed Ahmad
University of Cincinnati, Cincinnati, OH

383. PRIMARY CARE AND PANCREATIC CANCER. THE MISSING LINK?
Jaspinder S. Sanghera*¹, Ioannis Liapis¹, Michelle Holland¹, Omar Ahmed¹, Rida Ahmad², Krisha Amin², Ahmed Abdalla², Smita Bhatia¹, Martin Heslin¹, Annabelle L. Fonseca^1
1Surgical Oncology, The University of Alabama at Birmingham, Birmingham, AL; ²University of South Alabama Health System, Mobile, AL

384. PREOPERATIVE GLUCOSE-TO-ALBUMIN RATIO AS A PROGNOSTIC MARKER FOR SURVIVAL IN PANCREATIC CANCER PATIENTS UNDERGOING PANCREATECTOMY
Andrea Feci*, Isabel Lavine, Sophia Shah, Matthew Kraft, Benjamin Varughese, Elijah Hoffman, Harish Lavu, Wilbur Bowne, Charles Yeo, Avinoam Nevler
Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, PA

385. THE SIGNIFICANCE OF A STROMAL SECRETED ECM FACTOR IN PDAC LIVER METASTASIS
Lorena Llontop*³, Alina-Sophie Markhoff³, Maren Drenckhan³, Andrew S. Liss¹, Susanne Sebens², Steffen Deichmann³, Rüdiger Braun³, Louisa Bolm³, Timo Gemoll³, Lennart von Fritsch³, Ulrich F. Wellner³, Tobias Keck³, Jannis Duhn³, Kim C. Honselmann^3
1Pancreatic Biology Laboratory, Department of Surgery, MGH/Harvard Medical School, Boston, MA; ²Institute of Experimental Cancer Research, Kiel University, Kiel, Schleswig-Holstein, Germany; ³Department of Surgery, University Medical Center Schleswig-Holstein, Campus Luebeck, Lübeck, Schleswig-Holstein, Germany

386. IMPROVING FISTULA RATES FOR PANCREATODUODENECTOMY BY TARGETING THE MOST CLINICALLY IMPACTFUL RISK SCENARIOS WITH OPTIMAL MITIGATION
Max Judish*, Charles Vollmer
Surgery, University of Pennsylvania, Bryn Mawr, PA

387. CAN NEOADJUVANT CHEMOTHERAPY BE ADMINISTERED AS SAFELY AND EFFECTIVELY AT OUTSIDE INSTITUTIONS VS LOCALLY IN PATIENTS WITH PANCREATIC DUCTAL ADENOCARCINOMA?
Po Hong Tan*, Richard Max Miller, Zhi Ven Fong, Melody Pi Yin Tu, Hoe Yan Hor, Mohamad B. Sonbol, Mitesh Borad, Daniel Ahn, Christina Wu, Tanios Bekaii-Saab, Nabil Wasif, Chee-Chee Stucky
Surgical Oncology, Mayo Clinic Phoenix, Mesa, AZ

388. PEDIATRIC PANCREATIC PSEUDOCYST PRESENTATION AND PROCEDURAL MANAGEMENT
Kristen N. Kaiser*^3,2,1, Rhea Gupta², Ella Boardley², Ryan J. Ellis^3,1, Brian A. McFerron², Thomas K. Maatman¹, Alan Ladd², Brian Gray^2
1General Surgery, Indiana University, Bloomington, IN; ²Riley Hospital for Children at Indiana University Health, Indianapolis, IN; ³Surgical Outcomes and Quality Improvement Center, Indianapolis, IN

389. DISPARITIES IN TIME TO FIRST TREATMENT FOR EARLY-STAGE PANCREATIC ADENOCARCINOMA IN PATIENTS RECEIVING UPFRONT SURGERY VS NEOADJUVANT THERAPY: A NATIONAL CANCER DATABASE ANALYSIS
Madeline M. Silva*, Candice Vieira, Chen-Pin Wang, Xuemei Song, Mio Kitano, Colin M. Court, Caitlin A. McIntyre, Alexander A. Parikh
The University of Texas Health Science Center at San Antonio, San Antonio, TX

390. ADVANCING GENETIC TESTING IN PANCREATIC CANCER: WHOLE EXOME AND WHOLE GENOME SEQUENCING REVEALS MORE RARE PATHOGENIC MUTATIONS IN ASIAN POPULATIONS
Chien-hui M. Wu*, Pei-Lung Chen, Wei-Chih Liao
National Taiwan University Hospital, Taipei, Taiwan

Moderators:

Maria Altieri, Stony Brook, NY Thinzar Lwin, Duarte, CA

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IMPROVING GI CANCER CARE THROUGH AI BY DIGITIZING CARE DELIVERY
Ryan Merkow
University of Chicago Medicine, Chicago, IL

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APPLICATION OF AI AND ML IN MEDICINE: DEFINING TERMINOLOGY
Daniel A. Hashimoto
Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA

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AI IN THE OPERATING ROOM

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HOW CAN AI IMPROVE SURGICAL RESEARCH AND PATIENT CARE QUALITY
Heather Lyu
Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX

Moderators:

Konstantinos Spaniolas, Stony Brook, NY Margaux Mustian, Birmingham, AL Matthew Kroh, Cleveland, OH

438. OUTCOMES OF CONVERSION OF SLEEVE GASTRECTOMY TO ROUX-EN-Y GASTRIC BYPASS FOR THE TREATMENT OF GERD
Michael Cymbal*, Renan Prado, Leandro Sierra, Arjun Chatterjee, Stephen Firkins, Roma Patel, Akash T. Khurana, Bailey Flora, Erika Staneff, Roberto Simons-Linares
Internal Medicine, Cleveland Clinic, Cleveland, OH

439. CONCOMITANT LAPAROSCOPIC VERTICAL SLEEVE GASTRECTOMY AND CHOLECYSTECTOMY INCREASES ODDS OF READMISSION AND REOPERATION
David J. Leishman*¹, Zachary Leslie², Sayeed Ikramuddin¹, Eric Wise^1
1Surgery, University of Minnesota, Minneapolis, MN; ²Carleton College, Northfield, MN

440. 90 DAY OUTCOMES OF BARIATRIC SURGERY IN CIRRHOSIS AND PORTAL HYPERTENSION AS A BRIDGE TO LIVER TRANSPLANTATION
Timothy Trestrail, William Scola*, Talia R. Arcieri, Patrick R. Wang, David Goldberg, Mahmoud Mahfouz, Onur C. Kutlu
General Surgery, University of Miami - Jackson Memorial Hospital, Miami, FL

441. ASSOCIATION BETWEEN BARIATRIC SURGERY AND MAJOR ADVERSE KIDNEY EVENTS IN PATIENTS WITH CHRONIC KIDNEY DISEASE AND OBESITY: A POPULATION-BASED COHORT STUDY OF MULTIPLE LINKED DATABASE
Yung Lee*, Sama Anvari, Amber O. Molnar, Michael Walsh, Dennis Hong
General Surgery, McMaster University, Hamilton, ON, Canada

442. IMPACT OF GLUCAGON-LIKE PEPTIDE-1 (GLP-1) RECEPTOR AGONISTS ON SUBSPECIALTY AND WEIGHT LOSS SURGERY REFERRALS
Thomas J. Mathews*², Richard Maradiaga¹, Thomas R. McCarty³, Raj Shah^1
1The Ohio State University Wexner Medical Center, Columbus, OH; ²The University of Kansas Medical Center, Kansas City, KS; ³Houston Methodist Hospital, Houston, TX

443. PREOPERATIVE RISK FACTORS FOR WORSENED GERD-HRQL FOLLOWING BARIATRIC SURGERY
Colin G. DeLong*, Lily Stalter, Mads Owen, Kristen L. Patterson, Luke M. Funk, David A. Harris, Anne O. Lidor
Department of Surgery, University of Wisconsin, Madison, WI

444. LOWER RISK OF ALCOHOL USE DISORDER AFTER SLEEVE GASTRECTOMY COMPARED TO GASTRIC BYPASS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Abraham Z. Cheloff*¹, Sigrid Young^1,3, Leah Kim¹, Violeta Popov^1,2
1Internal Medicine, NYU Langone Health, New York, NY; ²VA New York Harbor Healthcare System, New York, NY; ³University of California Los Angeles, Los Angeles, CA

445. BARIATRIC SURGERY IS ASSOCIATED WITH REDUCED HAZARD RATIOS OF ADVERSE HEPATIC AND EXTRAHEPATIC OUTCOMES IN PATIENTS WITH METABOLIC DYSFUNCTION-ASSOCIATED STEATOTIC LIVER DISEASE
Weronika Stupalkowska*^2,1, Alexander Henney¹, Daniel Cuthbertson¹, Eric Sheu^2
1University of Liverpool Faculty of Health and Life Sciences, Liverpool, United Kingdom; ²Laboratory for Surgical and Metabolic Research, Brigham and Women's Hospital, Boston, MA

446. SIMULTANEOUS ROUX-EN-Y GASTRIC BYPASS AND CHOLECYSTECTOMY ARE ASSOCIATED WITH WORSE 5-YEAR CLINICAL OUTCOMES COMPARED TO ROUX-EN-Y GASTRIC BYPASS ALONE: RESULTS OF A MULTINATIONAL ANALYSIS
Do Han Kim*², Donghyun Ko³, Wilhelm S. Basegoda⁴, Jose A. Porres⁵, Paul T. Kröner⁶, Christopher C. Thompson^1
1Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, MA; ²Mount Sinai Morningside Hospital, New York, NY; ³Bridgeport Hospital, Bridgeport, CT; ⁴University of South Alabama, Mobile, AL; ⁵Universidad Francisco Marroquin Facultad de Medicina, Guatemala City, Guatemala Department, Guatemala; ⁶Riverside Health System, Newport News, VA

447. EFFICACY AND SAFETY OF BARIATRIC SURGERY IN HIV-POSITIVE PATIENTS ON HIGHLY ACTIVE ANTIRETROVIRAL THERAPY
Varun Aitharaju*¹, Leandro Sierra¹, Ali Syed², Arjun Chatterjee¹, Akash Khurana¹, Roma Patel¹, Stephen A. Firkins¹, Rehan Haidry³, Roberto Simons-Linares^1
1Cleveland Clinic, Cleveland, OH; ²University Hospitals, Cleveland, OH; ³Cleveland Clinic London Ltd, London, England, United Kingdom

448. LONG-TERM EFFECT OF SLEEVE GASTRECTOMY VS ROUX-EN-Y GASTRIC BYPASS IN PEOPLE LIVING WITH SEVERE OBESITY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS
Mohammed Ayyad*¹¹, Islam Mohamad¹, Mohamed Abuelazm², Ahmed Mazen Amin³, Abdallah Saeed⁴, Mohamed Abouzid⁵, Omar Al Ta'ani⁶, AlMothana Manasrah⁷, Mohammad Alqudah⁸, Abdallah Bani-Salameh⁹, Ubaid Khan¹⁰, Hassan Ghoz¹⁰, Mohammad Tanashat^8
1University of Missouri, Kansas, KS; ²Tanta University, Tanta, Egypt; ³Mansoura University, Mansoura, Egypt; ⁴Tanta University, Tanta, Egypt; ⁵Poznan University of Medical Sciences, Poznan, Poland; ⁶Allegheny Health Network, Pittsburgh, PA; ⁷UHS-Wilson Medical Center, Binghamton, NY; ⁸Yarmouk University, Irbid, Jordan; ⁹Jordan University of Science and Technology, Irbid, Jordan; ¹⁰University of Maryland, Baltimore, MD; ¹¹Rutgers Health, Newark, NJ

449. OUTCOMES AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY CONVERSION TO ROUX-EN-Y GASTRIC BYPASS AND SINGLE ANASTOMOSIS DUODENAL SWITCH
Jean-Christophe Rwigema*, Derrius Anderson, Sullivan A. Ayuso, Kristine Kuchta, Natalie Liu, takagi taisuke, Ervin Denham, John Linn, H. Mason Hedberg, Michael Ujiki
NorthShore University HealthSystem, Evanston, IL

450. PATIENTS' PERSPECTIVES OF BARIATRIC SURGICAL CARE IN THE DEEP SOUTH: A QUALITATIVE STUDY
Alfonsus Adrian H. Harsono*¹, Gurudatta Naik¹, Ivan I. iherbey¹, Gina Kim¹, Dinakar S. Velagala¹, Nathan C. English^2,1, Kristen Wong¹, Richard Stahl¹, Jayleen Grams¹, Daniel I. Chu¹, Margaux N. Mustian^1
1Department of Surgery, Div. of Gastrointestinal Surgery, The University of Alabama at Birmingham Department of Surgery, Birmingham, AL; ²University of Cape Town Faculty of Health Sciences, Cape Town, Western Cape, South Africa

Moderators:

Michele Ammendola, Catanzaro, Italy R. Matthew Walsh, Cleveland, OH Vassiliki L. Tsikitis, Portland, OR

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BILIARY
R. Matthew Walsh
Cleveland Clinic, Cleveland, OH

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ESOPHAGEAL
Peter P. Grimminger
Johannes Gutenberg University of Mainz, Mainz, Germany

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GASTRIC
Kaitlyn J. Kelly
University of Wisconsin-Madison, Madison, WI

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LIVER
Zenichi Morise
HUAC, Okazaki, Aichi, Japan

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PANCREAS
Zhi Ven Fong
Surgery, Mayo Clinic Arizona, Scottsdale, AZ

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COLORECTAL
Mark Soliman
AdventHealth, Altamonte Springs, FL

Moderators:

Sarah Smith, Philadelphia, PA Jennifer Merrill, Wauwatosa, WI

Sp542
APPS IN QI INITIATIVES
Allison N. Martin
Duke University School of Medicine, Durham, NC

Sp543
DRIVING SURGICAL QUALITY IMPROVEMENT WITH CLINICAL DATABASES
Erica Amianda
Surgery, Hackensack Meridian Hackensack University Medical Center, Hackensack, NJ

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HOW APPS CAN FACILITATE CHANGE: ITS A PROCESS
Morgan L. Bruno
Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX

Sp545
DATA TO BEDSIDE: HOW TO LEVERAGE ARTIFICIAL INTELLIGENCE AND INFORMATICS IN CLINICAL PRACTICE
Heather Lyu
MD Anderson Cancer Center Madrid, Madrid, Community of Madrid, Spain

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APP RESEARCH GRANT AWARD: OPTIMIZING ROBOTIC SURGERY OUTCOMES - THE EFFECT OF PROFESSIONAL BEDSIDE ASSISTANCE
Tyler Cross
Cleveland Clinic, Cleveland, OH

Moderators:

Sonia Ramamoorthy, La Jolla, CA Govind Nandakumar, Bangalore, India Kim Lu, Seattle, WA

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SURGICAL MANAGEMENT OF ANAL FISSURE
Katherine Kelley
Surgery, Bronson Methodist Hospital, Kalamazoo, MI

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SURGICAL MANAGEMENT OF ANAL FISTULA
Mukta Krane
University of Washington, Seattle, WA

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SURGICAL MANAGEMENT OF HEMORRHOIDS
Jennifer Davids
Boston Medical Center, Boston, MA

Pancreas Moderators:	Sven Eriksson, Monroeville, PA
Esophageal Moderators:	Jon DeLong, Knoxville, TN Zhi Fong, Phoenix, AZ

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

Speakers:

Timothy Pawlik, Columbus, OH Richard Hodin, Boston, MA

Moderators:

Katsuhiko Yanaga, Fukuoka, Japan Ming-Tsan Lin, Taipei City, Taiwan

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MULTIDISCIPLINARY MANAGEMENT AND ROBOTIC SURGERY FOR ADVANCED GASTRIC CANCER IN JAPAN
Masahiro Yura
National Cancer Center Hospital East, Kashiwa, Japan

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ADVANCES IN MINIMALLY INVASIVE ESOPHAGECTOMY AND PERIOPERATIVE MANAGEMENT IN JAPAN
Hirotoshi Kikuchi
Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan

Sp646
DEVELOPMENTS IN LIVING DONOR LIVER TRANSPLANTATION IN TURKEY
Ender Dulundu
Istanbul University-Cerrahpasa, Cerrahpasa Medical School, Istanbul, Turkey

Sp647
PANCREATECTOMY PROGRAM DEVELOPMENT AND MIS ADOPTION IN GERMANY
Steffen Deichman
Universitatsklinikum Schleswig Holstein, Lübeck, Germany

Sp648
PANCREATIC CANCER SURGERY AND TREATMENT ADVANCES IN TAIWAN

Moderators:

Molly Kledzik, Morgantown, WV Oliver S. Eng, Orange, CA Nikos Gouvas, Psimolofou, Cyprus

468. TUMOR DNA ANALYSIS IN PERITONEAL FLUID TO DETECT AND MONITOR PERITONEAL CARCINOMATOSIS.
Muhammad Talha Nawaz*^5,1, Muhammad Talha Waheed⁴, Kirsten Dennison^5,1,2, Bradon Mcdonald^1,5,2, Stephanie McGregor^3,2, Syed Nabeel Zafar^1,2, Mustafa Raoof⁴, Muhammed Murtaza^1,5,2
1University of Wisconsin-Madison Department of Surgery, Madison, WI; ²University of Wisconsin-Madison Carbone Cancer Center, Madison, WI; ³University of Wisconsin-Madison Department of Pathology and Laboratory Medicine, Madison, WI; ⁴City of Hope Department of Surgery, Duarte, CA; ⁵Center for Human Genomics & Precision Medicine, University of Wisconsin-Madison, Madison, WI

469. BIDIRECTIONAL PACLITAXEL PLUS NILOTINIB FOR PERITONEAL CARCINOMATOSIS: PHASE II CLINICAL TRIAL RESULTS
Shruthi R. Perati*, Amber F. Gallanis, Stephanie Canady, Molly Sullivan, Nancy Moore, Yvonne Mallory, Audra Satterwhite, Diane Ahn, Silvia Figueiroa Da Cruz, Stacy Joyce, John Lee, Andre De Souza, Jessica Mukherjee, Sarah Shin, Ning Ma, Lamin Juwara, Jibran Ahmed, Alice Chen, Jeremy L. Davis, Andrew Blakely
National Cancer Institute, National Institutes of Health, Bethesda, MD

470. CHARACTERISTICS AND OUTCOMES OF EXTERNAL REFERRAL PATIENTS UNDERGOING CYTOREDUCTIVE SURGERY AT AN INTERNATIONAL PERITONEAL SURFACE MALIGNANCY PROGRAM
Edward A. Joseph*, Muhammad Muntazir Mehdi Khan, Gordon Hua, catherine lewis, Patrick Wagner, David Bartlett, Casey Allen
Surgical Oncology, Allegheny Health Network, Pittsburgh, PA

471. COMPARISON OF ENDOSCOPIC AND RADIOLOGICAL RESULTS BETWEEN STRICTUREPLASTY AND INTESTINAL RESECTION IN PATIENTS WITH SMALL BOWEL STRICTURING CROHN'S DISEASE
Xi Zhang*¹, Yi Li², Weiming Zhu^3
1Southeast University, Nanjing, Jiangsu, China; ²General Hospital of Eastern Theatre Command Department of General Surgery, Nanjing, Jiangsu, China; ³Jiangsu Province Hospital of Chinese Medicine, Nanjing, China

472. MESENTERY HYPERTROPHY TO IDENTIFY MICROSCOPIC CLEAN ILEAL SECTION AND REDUCE POSTOPERATIVE ENDOSCOPIC RECURRENCE IN ILEOCOLIC CROHN'S DISEASE
Jiaxin Zou*, Xijian Zhang, Chao Wang, Xinzhe Zhao, Zhen He, Xiang Gao, Min Zhi, Xiao-Jian Wu, Jia Ke
Sun Yat-sen University Sixth Affiliated Hospital, Guangzhou, Guangdong, China

473. HOW HAS ROBOTICS CHANGED OUR APPROACH TO INGUINAL HERNIA REPAIR?
William T. Head*, Divyaam Satija, Stefanie C. Rohde, Dylan S. Goto, Sidhant Kalsotra, Savannah Renshaw, Patrick Sweigert, Courtney Collins, Benjamin Poulose
Surgery, The Ohio State University Wexner Medical Center, Columbus, OH

474. RACIAL DISPARITIES IN THE RATE OF SAME-ADMISSION CHOLECYSTECTOMY FOLLOWING BILIARY PANCREATITIS
Brynne A. Ichiuji*, Matthew Ashbrook, Vincent Cheng, Anaar Siletz, Matthew Martin, Kenji Inaba, Kazuhide Matsushima
Surgery, University of Southern California, Los Angeles, CA

475. OPTIMAL TIMING FOR ELECTIVE VENTRAL HERNIA REPAIR TO PREVENT BOWEL OBSTRUCTION UTILIZING A POPULATION-LEVEL MODEL
Sourav Podder*, Subhadra Acharya, Julia Baran, Scott Koeneman, Christopher Keating, Francesco Palazzo, Sami Tannouri
Surgery, Thomas Jefferson University Hospital, Philadelphia, PA

Moderators:

Anne Lidor, Madison, WI Brent Matthews, Charlotte, NC Steven R. Demeester, Grandville, MI

Sp649
INDICATIONS, OUTCOMES AND TIPS FOR REDO ANTIREFLUX SURGERY
Vic Velanovich
USF, Tampa, FL

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WHAT TO DO WHEN HELLER MYOTOMY FAILS: PNEUMATIC DILATION, REDO HELLER OR POEM
Michael Ujiki
Surgery, NorthShore University HealthSystem, Evanston, IL

Sp651
WHAT TO DO WHEN PYLORIC DRAINAGE PROCEDURE FAILS IN PATIENTS WITH GASTROPARESIS
Michael M. Awad
Washington University in St Louis School of Medicine, St Louis, MO

Moderators:

Taylor Riall, Tucson, AZ Louisa Bolm, Boston, MA Saumya Singh, Atlanta, GA

Sp705
WHAT IS A DIFFICULT CHOLECYSTECTOMY
Nathaniel J. Soper*
The University of Arizona College of Medicine Phoenix, Phoenix, AZ

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SAFE CHOLECYSTECTOMY AND CRITICAL VIEW OF STRASBERG
Eduardo E. Jave-Montalvo*
Mexico City, Mexico

Sp707
HOW TO AVOID INJURING THE BILE DUCT: LESSONS LEARNT FROM A 35-YEAR EXPERIENCE FROM CBD REPAIR
Miguel A. Mercardo*
Mexico City, Mexico

Sp708
WHEN IN DOUBT, GET OUT (SOMEHOW)
Robert Grützmann
University Hospital Erlangen, Erlangen, Germany

Sp709
SAVING THE DAY: GASTROENTEROLOGY TO THE RESCUE
Kevin Liu*
Banner Health, Boston, MA

Moderators:

Kristen Crowell, Boston, MA Meghan Good, Tucson, AZ

605. RESETTING THE CLOCK: DOES REDO IPAA RESTORE QUALITY OF LIFE? PATIENT REPORTED OUTCOMES BEFORE AND AFTER REDO ILEOANAL POUCH SURGERY
Stefan D. Holubar*, Olga Lavryk, Jeremy M. Lipman, Arielle E. Kanters, Benjamin L. Cohen, Katherine Falloon, Florian Rieder, Taha Qazi, Emre Gorgun, Scott Steele, David Liska
Colon and Rectal Surgery, Cleveland Clinic, Cleveland, OH

606. HYPERBARIC OXYGEN THERAPY DOWNSTAGES REFRACTORY PERIANAL FISTULIZING CROHN'S DISEASE AND ALLOWS FOR SURGICAL CLOSURE
Lieven Mulders*¹, Kim Beek¹, Marte Becker¹, Pim J. Koelink¹, Marloes Zwart¹, Jarmila D.W. van der Bilt², Malaika Vlug¹, Jeroen Tielbeek³, Svend Rietdijk⁴, Jeroen M. Jansen⁴, Milan Ridderikhof¹, Wouter J. De Jonge¹, Willem A. Bemelman¹, Jaap Stoker¹, Geert D'Haens¹, Rob van Hulst¹, Manon E. Wildenberg¹, Christianne J. Buskens¹, Krisztina Gecse^1
1Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, Netherlands; ²Flevoziekenhuis, Almere, Flevoland, Netherlands; ³Spaarne Gasthuis, Haarlem, Noord-Holland, Netherlands; ⁴OLVG, Amsterdam, Noord-Holland, Netherlands

607. PREDICTORS OF POOR BOWEL FUNCTION FOLLOWING ILEAL-POUCH ANAL ANASTOMOSIS: RESULTS FROM THE UNITED STATES ILEAL POUCH-ANAL ANASTOMOSIS (TULIP) STUDY
Jesse Zuckerman*², Anthony de Buck van Overstraeten¹, Gil Melmed², William Conan Mustain³, Jeffrey S. Scow⁴, Katerina Wells⁵, Mary Otterson⁶, James Ogilvie⁷, Lilianna Bordeianou⁸, Stefan D. Holubar⁹, Steven D. Wexner¹⁰, Phillip Fleshner², Karen Zaghiyan^2
1Surgery, University of Toronto, Toronto, ON, Canada; ²Cedars-Sinai Medical Center, Los Angeles, CA; ³Mercy Clinic Colon and Rectal Surgery, Oklahoma City, OK; ⁴Penn State Health Milton S Hershey Medical Center, Hershey, PA; ⁵Baylor Scott & White Health, Dallas, TX; ⁶Medical College of Wisconsin, Milwaukee, WI; ⁷Corewell Health West Michigan, Grand Rapids, MI; ⁸Massachusetts General Hospital, Boston, MA; ⁹Cleveland Clinic, Cleveland, OH; ¹⁰Cleveland Clinic Florida, Weston, FL

608. FACTORS ASSOCIATED WITH INTERVAL SURVEILLANCE AFTER ENDOSCOPIC RESECTION OF ADENOMA WITH HIGH GRADE DYSPLASIA: A SEER-MEDICARE ANALYSIS
Julia Frebault*^1,2, Alexander Troester¹, Sarah Mott³, Lauren Weaver¹, Imran Hassan⁴, Aasma Shaukat⁵, Schelomo Marmor¹, 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; ⁵NYU Langone Health, New York, NY

609. MAGNETIC RESONANCE IMAGING OVERSTAGES RECTAL POLYPS UNDERGOING ENDOSCOPIC RESECTION: A US ACADEMIC CANCER CENTER EXPERIENCE
Phillip S. Ge*, Victoria G. Terrazas Morales, Emmanuel Coronel, Gene Liaw, Raju S. Gottumukkala, Brian K. Bednarski, George J. Chang, Tsuyoshi Konishi, Craig A. Messick, Y. Nancy You, Montserrat Guraieb Trueba
Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX

610. MACHINE LEARNING PREDICTION OF INCREASED HEALTHCARE RESOURCE UTILIZATION IN COLECTOMY FOR INFLAMMATORY BOWEL DISEASE.
Gustavo Salgado-Garza*, Cynthia Araradian, Maura Walsh, Shahrose Rahman, Elliot Ballato, Sandy Fang, Brett C. Sheppard, Patrick J. Worth, Vassiliki L. Tsikitis
Department of Surgery, Oregon Health & Science University, Portland, OR

611. ENDOSCOPIC THERAPY WITH FULLY COVERED METAL STENTS FOR MANAGEMENT OF POST COLORECTAL SURGERY ANASTOMOTIC COMPLICATIONS: A SINGLE CENTER RETROSPECTIVE COHORT STUDY
Rahul Karna*, Cyrus Jahansouz, Paolo Goffredo, Nabeel Azeem, Stuart K. Amateau
University of Minnesota Medical School, Minneapolis, MN

612. ENDOSCOPIC FINDINGS OF A STATE-SPONSORED COLORECTAL CANCER SCREENING PROGRAM: A CASE-MATCHED CONTROL COMPARISON STUDY
Alfonsus Adrian H. Harsono*¹, Lauren Wood¹, Raj Roy¹, Nathan C. English^2,1, Gregory Kennedy¹, Daniel I. Chu¹, Patricia Ajayi-Fox³, Robert H. Hollis^1
1Department of Surgery, Div. of Gastrointestinal Surgery, The University of Alabama at Birmingham Department of Surgery, Birmingham, AL; ²University of Cape Town Department of Surgery, Cape Town, WC, South Africa; ³The University of Alabama at Birmingham Department of Medicine, Birmingham, AL

613. IMPACT OF DUODENECTOMY ON ILEAL POUCH-ANAL ANASTOMOSIS SURVIVAL AND FUNCTIONAL OUTCOMES
Pavel Lenkov*, Ece Unal, Brian Tang, Joshua Sommovilla, Robert Simon, Daniel Joyce, R Matthew Walsh, Stefan D. Holubar, David Liska
Colorectal Surgery, Cleveland Clinic foundation, Cleveland, OH

614. STATUS OF ROLE OF STEM CELL THERAPY IN PERIANAL CROHN'S FISTULA
Jai Singh*¹, Micheal Luca¹, Gabriela Olivera², maryam aleissa¹, Ernesto Drelichman¹, Vijay Mittal¹, Jasneet S. Bhullar^1
1Colon and Rectal Surgery, Ascension Providence Hospital Southfield Campus, Southfield, MI; ²University of medicine and Health sciences, Detroit, MI

615. PROS AND CONS OF ARTIFICIAL INTELLIGENCE IMPLEMENTATION DURING COLONOSCOPY TO ENHANCE ADENOMA DETECTION RATES.
Maryam Aleissa*^1,2, Micheal Luca¹, Jai Singh¹, Vijay Mittal¹, Ernesto Drelichman¹, Jasneet S. Bhullar^1
1Henry Ford Providence Hospital, Southfield, MI; ²Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

616. RECTAL ESD IN AN EX VIVO BOVINE LARGE BOWEL MODEL VIA INDEPENDENT RETRACTION WITH GRASPER AND OVERTUBE PASSED THROUGH A TRANSANAL PLATFORM NOTABLY SHORTENS CASE TIME, DECREASES DEEP WALL INJURIES AND IMPROVES RESECTION QUALITY.
Neil Mitra¹, Elizabeth Nilsson Sjolander*^1,2, Yi-Ru Chen¹, Jorge Castro-Otero¹, Jeffrey Nussbaum¹, Kavita Jain¹, Hmc Shantha Kumara¹, Richard L. Whelan^1
1Lenox Hill Hospital, New York, NY; ²North Shore University Hospital, Manhasset, NY

617. THE LARGEST SINGLE-CENTER EXPERIENCE IN ENDOSCOPIC SUBMUCOSAL DISSECTION IN EGYPT: CLINICAL OUTCOMES AND SAFETY
Ahmad A. Madkour*⁶, Amr El Fouly⁶, Butros Fakhoury⁵, Ahmed Gammal², Ahmed Tawansy⁶, Amr Abdelazim⁶, Ahmed Shuman¹, Ayman Aboushmeila⁶, Hazem Abosheaishaa^4,3
1Damanhour Oncology Center, Damanhour, Egypt; ²Dar El Shefa Hospital, Cairo, Cairo, Egypt; ³GI Research Club, American Society for Inclusion, Diversity and Equity in Health care, Lewes, DE; ⁴Icahn School of Medicine at Mount Sinai, New York, NY; ⁵Virginia Commonwealth University, Richmond, VA; ⁶Helwan University Faculty of Medicine, Cairo, Egypt

618. DETECTING ANAL INTEREPITHELIAL NEOPLASM DURING ROUTINE COLONOSCOPY - CAN IT BE TRANSLATED TO ROUTINE PRACTICE. SINGLE INSTITUTION EXPERIENCE
Maryam Aleissa*, Molly F. Synowicz, Ernesto Drelichman, Jasneet S. Bhullar
Department of Surgery, Ascension Providence Hospital Southfield Campus, Southfield, MI

619. TRENDS IN SURGICAL AND ENDOSCOPIC RESECTION INTERVENTION FOR NON-MALIGNANT COLORECTAL POLYPS OVER THE LAST DECADE: A NATIONWIDE ANALYSIS
Yassine Kilani*¹, Mahmoud Y. Madi¹, Ahmad Najdat Bazarbashi⁴, Thomas R. McCarty³, Raj Shah^2
1Gastroenterology & Hepatology, Saint Louis University, Saint Louis, MO; ²The Ohio State University Wexner Medical Center, Columbus, OH; ³Houston Methodist, Houston, TX; ⁴Washington University in St Louis, St. Louis, MO

Moderators:

Kaitlyn Kelly, Madison, WI Jorge Zehetner, Bern, Switzerland Ulysses Ribeiro, São Paulo, Brazil

599. OUTCOMES IN PATIENTS WITH TYPE 2 DIABETES WITH MASH AND MASLD: A COMPARISON BETWEEN BARIATRIC SURGERY AND GLP-1 AGONISTS
Zehra Naseem*¹, Varun Aitharaju¹, Aun Muhammad², Arjun Chatterjee¹, Stephen A. Firkins¹, Roma Patel¹, Akash Khurana¹, Roberto Simons-Linares¹, Bailey Flora¹, Erika Staneff¹, Rehan Haidry^3
1Internal Medicine, Cleveland Clinic, Cleveland, OH; ²The University of Mississippi Medical Center, Jackson, MS; ³Cleveland Clinic London Ltd, London, England, United Kingdom

600. POST OPERATIVE OUTCOMES AND COMPLICATIONS OF CDH1 CARRIERS UNDERGOING PROPHYLACTIC GASTRECTOMY- RESULTS FROM THE GASTRIC CONSORTIUM
Ophir Gilad*¹, Melissa Heller², Taylor Apostolico², Michelle Jacobs³, Maegan Roberts⁴, Kebire Gofar⁴, Beth Dudley⁵, Eve Karloski⁵, Souvik Saha⁶, Keenan Nguyen⁶, Yana Chertock⁷, Christine Drogan¹, Emma Keel¹, Benjamin A. Lerner⁸, George Hanna⁸, Afshin Khan⁹, Sarah Ertan⁹, Kimberly Hillfrank¹⁰, Sheila D. Rustgi¹⁰, Aparajita Singh⁹, Xavier Llor⁸, Michael Hall⁷, Randall Brand⁵, Peter P. Stanich⁴, Elena M. Stoffel³, Sonia S. Kupfer¹, Ajay Bansal⁶, Bryson W. Katona^2
1The University of Chicago, Chicago, IL; ²University of Pennsylvania, Philadelphia, PA; ³University of Michigan, Ann Arbor, MI; ⁴The Ohio State University Wexner Medical Center, Columbus, OH; ⁵University of Pittsburgh, Pittsburgh, PA; ⁶The University of Kansas Medical Center, Kansas City, KS; ⁷Fox Chase Cancer Center, Philadelphia, PA; ⁸Yale University, New Haven, CT; ⁹University of California San Francisco, San Francisco, CA; ¹⁰Columbia University, New York, NY

601. THE DIABETES REMISSION INDEX (DRI): AN INNOVATIVE PREDICTIVE MODEL FOR DIABETES REMISSION AFTER METABOLIC PROCEDURES
Wissam Ghusn*^1,3, Pearl Ma², Robert A. Vierkant³, Manpreet Mundi³, Matyas Fehervari⁴, Kayla Ikemiya², Karl Hage⁵, Andres Acosta³, Michael Camilleri³, Barham Abu Dayyeh³, Kelvin Higa², Omar M. Ghanem^3
1Internal Medicine, Boston University, Boston, MA; ²University of California San Francisco Department of Medicine Fresno, Fresno, CA; ³Mayo Foundation for Medical Education and Research, Rochester, MN; ⁴Imperial College London, London, United Kingdom; ⁵Cleveland Clinic, Cleveland, OH

602. TRENDS IN GLP-1 RECEPTOR AGONIST UTILIZATION AND BARIATRIC SURGERY RATES: A REAL-WORLD ANALYSIS FROM 2021-2024
Ahmed Telbany*, Evelyn Inga, Pooja Viswanath, Abhishek Patel, Gulshan Parasher
Gastroenterology & Hepatology, University of New Mexico Health Sciences Center, Albuquerque, NM

603. ROUX-EN-Y GASTRIC BYPASS IS ASSOCIATED WITH INCREASED RISK OF OSTEOPOROTIC FRACTURES AT 10-YEARS POST-SURGERY: RESULTS OF A MULTINATIONAL MULTICENTER ANALYSIS
Donghyun Ko*³, Do Han Kim², Wilhelm S. Basegoda⁴, Jose A. Porres⁵, Paul T. Kröner⁶, Christopher C. Thompson^1
1Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, MA; ²Mount Sinai Morningside Hospital, New York, NY; ³Bridgeport Hospital, Bridgeport, CT; ⁴University of South Alabama, Mobile, AL; ⁵Universidad Francisco Marroquin Facultad de Medicina, Guatemala City, Guatemala Department, Guatemala; ⁶Riverside Health System, Newport News, VA

604. COMPARATIVE OUTCOMES OF GASTRIC RESECTION VS GASTROJEJUNOSTOMY IN THE SURGICAL TREATMENT OF ACID-INDUCED GASTRIC OUTLET OBSTRUCTION: A PILOT STUDY
Utpal Anand*, Bijit Saha
All India Institute of Medical Sciences, Patna, Patna, Bihar, India

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