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52nd Annual Meeting
SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT
May 6 - 10, 2011
McCormick Place - Chicago, Illinois
during Digestive Disease Week®

Program and Abstracts  |  Posters

The Plenary presentations, Presidential Address, and Doris and John L. Cameron Guest Oration from the Monday morning scientific sessions are all available online. Watch the synchronized PowerPoint and audio of each speaker by clicking on the "" link following each presentation’s title and author block.
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.

MONDAY, MAY 9, 2011
7:30 AM - 9:15 AM
S504
VIDEO SESSION II: BREAKFAST AT THE MOVIES
Moderators: Patrick M. Forgione, Burlington, VT
Paresh C. Shah, New York, NY

10-minute presentation, 5-minute discussion

V12. Complete Traumatic Rupture of the Pancreas - Pancreas Preserving Reconstruction: A Non-Resectional Procedure Using Pancreatogastrostomy and a Modified "Blumgart" Anastomosis
Hannes P. Neeff, Frank Makowiec, Tobias Keck, Ulrich T. Hopt
Department of Surgery, University of Freiburg, Freiburg, Germany

V13. Minimally Invasive Esophageal Stripping for Early Esophageal Cancer
Daniel K. Tong, Simon Law, Fion S. Chan, Kam H. Wong
Surgery, The University of Hong Kong, Hong Kong, Hong Kong

V14. Laparoscopic Frey Procedure for Chronic Calcific Pancreatitis
Jessica M. Gutierrez, Michael L. Kendrick
Mayo Clinic, Rochester, MN

V15. Adrenocortical Carcinoma with Intracaval Extension to the Right Atrium: Resection on Cardiopulmonary Bypass
Ryan Z. Swan, Kwan N. Lau, David Sindram, David A. Iannitti, John B. Martinie
Surgery, Carolinas Medical Center, Charlotte, NC, United States

V16. Laparoscopic Two-Staged Hepatic Resection
Farah A. Husain, Kalyana Nandipati, Edward Lin, Juan M. Sarmiento
General Surgery, Emory University Hospital, Atlanta, GA

V17. Right Trisectionectomy with "en-bloc" Resection of Portal Vein for Peri-Hilar Cholangiocarcinoma
Alfredo Guglielmi, Andrea Ruzzenente, Alessandro Valdegamberi, Tommaso Campagnaro, Calogero Iacono
Department of Surgery , University of Verona Medical School, Verona, Italy

V18. Ligation of Intersphincteric Fistula Tract: A Simple and Safe Technique to Treat Anal Fistulas
Pierpaolo Sileri, Luana Franceschilli, Giulio P. Angelucci, Sara Lazzaro, Emanuele Picone, Achille Gaspari
Surgery, University of Rome Tor Vergata, Rome, Italy
8:30 AM - 9:30 AM
S501bcd
CLINICAL WARD ROUNDS: LAPAROSCOPIC LIVER RESECTION: WHICH PATIENT AND HOW?
Moderator: Christina R. Ferrone, Boston, MA
Panelists: Joseph N. Espat, Providence, RI
David A. Geller, Pittsburgh, PA
Allan Tsung, Pittsburgh, PA
8:30 AM - 10:00 AM
S501a
SSAT PUBLIC POLICY COMMITTEE PANEL
STAYING ALIVE: STRATEGIES FOR ACCOUNTABLE HEALTH CARE IN 2011
Moderators: Stuart G. Marcus, Bridgeport, CT
Kaye M. Reid Lombardo, Rochester, MN

Introduction
Kaye M. Reid Lombardo, Rochester, MN

Do No Harm: Keeping Patients Safe
Amy L. Halverson, Chicago, IL

Becoming a Patient: A Surgeon's Perspective
Vijay K. Maker, Chicago, IL

Keeping Hospitals Afloat
Achilles A. Demetriou, Cleveland, OH

Surgeons Adjusting to the Changing Landscape
Josef E. Fischer, Boston, MA

Panel and Audience Discussion

9:30 AM - 11:00 AM
S504
SSAT/AHPBA JOINT SYMPOSIUM
PANCREATIC NEUROENDOCRINE TUMORS
Moderator: Reid B. Adams, Charlottesville, VA

Introduction
Reid B. Adams, Charlottesville, VA

Presentation, Syndromes, and Pathology: Implications for Treatment
David C. Metz, Philadelphia, PA

The Pancreatic Primary: When to Enucleate, When to Resect?
Douglas B. Evans, Milwaukee, WI

PNET Liver Metastases: Surgical Approaches
David M. Nagorney, Rochester, MN

PNET Liver Metastases: Radiological Approaches
Margo Shoup, Maywood, IL

The Evolving Landscape of Molecular Targeted Therapy
Irvin M. Modlin, New Haven, CT

Panel and Audience Discussion

10:00 AM - 11:15 AM
S501a
PLENARY SESSION IV
Moderators: Richard A. Hodin, Boston, MA
Emina H. Huang, Gainesville, FL

10-minute presentation, 5-minute discussion

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. 19. RT-PCR Increases Detection of Submicroscopic Peritoneal Metastases in Gastric Cancer and Has Prognostic Significance
Joyce Wong, Kaitlyn J. Kelly, Arjun Mittra, Mithat Gonen, Peter J. Allen, Yuman Fong, Daniel G. Coit
Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. 18. Is There a Role for Surgery Alone with Adequate Nodal Evaluation in Gastric Adenocarcinoma?
Vikas Dudeja1, Elizabeth Habermann1, Anasooya Abraham1, Wei Zhong1, Helen M. Parsons1, Jennifer F. Tseng2, Waddah B. Al-Refaie1
1. University of Minnesota and Minneapolis VAMC, Minneapolis, MN; 2. University of Massachusetts Medical School, Surgical Outcomes Analysis & Research (SOAR)., Worcester, MA

V19. Laparoscopic and Robotic Distal Gastrectomy with Lymphadenectomy for Gastric Adenocarcinoma in an Obese Patient
Joshua Ellenhorn
City of Hope National Med Ctr, Duarte, CA

O20. YKL-40: A Predictive Biomarker for Stage II Colon Cancer
Richard B. Arenas1, 3, Hannah Swayze-Quinn1, Christopher N. Chapman2, Frida Rosenblum2, Jane Garb1, Rong Shao3, Q. Jackie Cao2
1. Surgery, Baystate Medical Center, Springfield, MA; 2. Pathology, Baystate Medical Center, Springfield, MA; 3. Pioneer Valley Life Sciences Institute, Springfield, MA

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. O21. Acute Enterocyte Adaptation to Luminal Glucose: A Posttranslational Mechanism for Rapid Apical Recruitment of the Transporter GLUT2
Rizwan M. Chaudhry, Jeffrey S. Scow, Srivats Madhavan, Judith A. Duenes, Michael G. Sarr
Gastrointestinal and General Surgery, Mayo Clinic, Rochester, MN
10:00 AM - 11:15 AM
S505
QUICK SHOTS SESSION I
Moderators: Clifford S. Cho, Madison, WI
William G. Hawkins, St Louis, MO

3-minute presentation, 3-minute discussion

QS1. Plasma Levels of Prostaglandin E2 (PGE2), a Protein with Proangiogenic Effects, Are Elevated in Colorectal Cancer Patients
M. C. Shantha Kumara H, Joon H. Jang, Sajith A. Herath, Daniel D. Kirchoff , Xiaohong Yan , Vesna Cekic, Richard L. Whelan
Surgery, St Luke Roosevelt Hospital, New York, NY

QS4. Efficacy of Self Expanding Metal Biliary Stents in Patients Receiving Preoperative Chemoradiation for Resectable Pancreatic Cancer
A. Aziz Aadam1, Abdul H. Khan1, Young Oh1, Doug B. Evans2, Kulwinder S. Dua1
1. Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI; 2. Department of Surgery, Medical College of Wisconsin, Milwaukee, WI

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. QS5. Investigation for Biomarkers of Barrett's Esophagus
Jawad Ahmad1, 2, Ken Arthur3, Perry Maxwell2, Helen G. Mulholland1, J. A. Kennedy2, Liam Murray2, Brian T. Johnston2, Damian T. McManus2
1. School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, United Kingdom; 2. Belfast Health and Social Care Trust, Belfast, United Kingdom; 3. Tissue CTU, Belfast, United Kingdom

QS6. How Do Adults and Adolescents Compare in Improvement of Biochemical Cardiac Risk Factors S/P Roux-en-Y Gastric Bypass?
Dylan Gwaltney, Shushmita Ahmed, John M. Morton
Surgery, Stanford University, Stanford, CA

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. QS7. MiR-675-Induced Mesenchymal to Epithelial Transition in HCC is Associated with a Reduction in Twist1
Whalen Clark1, Abul Elahi1, Jonathan M. Hernandez1, Jian Wang 1, Leigh Ann Humphries 1, Bryan C. Fuchs2, Kenneth Tanabe2, David Shibata1
1. Gastrointestinal Oncology, Moffitt Cancer Center, Tampa , FL; 2. Surgical Oncology , Massachusetts General Hospital, Boston, MA

QS8. Impact of Therapeutic Intervention on Survival in Patients with Cholangiocarcinoma
Rebecca Wiatrek, Rebecca Nelson, Brian Mailey, Wendy Lee, Julio Garcia-Aguilar, Gagandeep Singh, Joseph Kim
City of Hope National Medical Center, Duarte, CA

QS10. p53 Gene Mutation Predicts Lymph Node Disease Following Neoadjuvant Chemoradiation Therapy in Rectal Cancer Patients
Marjun Philip N. Duldulao, Zhenbin Chen, Wenyan Li, Wendy Lee, Joseph Kim, Julio Garcia-Aguilar
General Oncologic Surgery, City of Hope, Duarte, CA

QS11. Hepatocyte Nuclear Factor (HNF) 4α Expression Distinguishes Ampullary Cancer Subtypes and Prognosis After Resection
Robert Grützmann1, Florian Ehehalt1, Petra Ruemmele2, Stephan Kersting1, Christian Pilarsky1
1. Surgery, University Hospital Dresden, Dresden, Germany; 2. Department of Pathology, University Hospital Regensburg, Regensburg, Germany

QS12. A Novel Measure of Recovery After Abdominal Surgery
Tung T. Tran3, 1, Pepa Kaneva1, Gerald M. Fried3,1, Nancy E. Mayo2, Liane S. Feldman3, 1
1. Steinberg Bernstein Centre for Minimally Invasive Surgery, McGill University, Montreal, QC, Canada; 2. Division of Clinical Epidemiology, McGill University, Montreal, QC, Canada; 3. Surgery, McGill University, Montreal, QC, Canada

QS9. Oncolytic Viruses Effectively Target and Kill Pancreatic Cancer Stem Cells
Joyce Wong, Allison Schulman, Arjun Mittra, Yuman Fong
Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY
10:00 AM - 11:15 AM
S501bcd
VIDEO SESSION III: EMERGING TECHNOLOGIES
Moderators: Brian J. Dunkin, Houston, TX
Robert E. Glasgow, Salt Lake City, UT

10-minute presentation, 5-minute discussion

V20. Minimizing MIS Using Magnetically Anchored and Percutaneous Needlescopic Instruments for Basic and Complex Procedures
Nabeel Arain1, Sara Best2, Jeffrey A. Cadeddu2, Deborah C. Hogg1, Richard Bergs3, Raul Fernandez3, Lauren B. Mashaud1, Daniel J. Scott1
1. Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX; 2. Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX; 3. Texas Manufacturing Assistance Center/Automation and Robotics Research Institute, University of Texas Arlington, Arlington, TX

V21. Endoscopic Treatment of Weight Regain in the Post-Bypass Patient
Rabindra R. Watson1, David B. Lautz2, Christopher C. Thompson1
1. Division of Gastroenterology, Brigham & Women's Hospital, Boston, MA; 2. Surgery, Brigham and Women's Hospital, Boston, MA

V22. Use of a Magnetically Coupled Camera and Novel Mini Laparoscopic Instruments to Perform Minimally Invasive Sigmoid Colon Resection
Calvin D. Lyons, Rohan A. Joseph, Nilson Salas, Patrick R. Reardon, Barbara L. Bass, Brian J. Dunkin
Department of Surgery, The Methodist Hospital, Houston, TX

V23. Laparoscopic Rectosigmoid Resection with Transvaginal Rectopexy and Extraction for Rectal Prolapse
Patricia Sylla1, Samantha J. Pulliam2, May Wakamatsu2
1. Surgery, Massachusetts General Hospital, Cambridge, MA; 2. Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA

V24. NOTES Transoral Remnant Extraction (TORE) for Sleeve Gastrectomy
Sheetal Nijhawan, Saniea F. Majid, Toshio Katagiri, Takayuki Dotai, Michael Sedrak, Bryan J. Sandler, Garth R. Jacobsen, Mark A. Talamini, Alan Wittgrove, Santiago Horgan
University of California at San Diego, San Diego, CA
10:30 AM - 12:00 PM
S406a
DDW COMBINED CLINICAL SYMPOSIUM
ENDOSCOPIC MUCOSAL RESECTION OF GE JUNCTION DYSPLASIA
Sponsored by: SSAT, ASGE
Moderators: Blair A. Jobe, Pittsburgh, PA
Irving Waxman, Chicago, IL

Endoscopic Detection and Assessment of HGD, ICA, and Carcinoma of the EGJ: The Cutting Edge in Imaging Techniques
Vani J.A. Konda, Chicago, IL

Endoscopic Staging of Risk: Where Are We Now and Where Are We Headed?
Rhonda F. Souza, Dallas, TX

Endoscopic Mucosal Resection Management and the High-Risk Lesion
Stefan Seewald, Zurich Switzerland

Technical Aspects of ESD for Early Carcinoma of the EGJ: Advantages and Outcomes
Naohisa Yahagi, Tokyo Japan

The Role of Surgical Resection: Esophagectomy vs. Endoscopic Resection for the HGD
Jeffrey H Peters, Rochester, NY

11:15 AM - 12:00 PM
S504
MAJA AND FRANK G. MOODY STATE-OF-THE-ART LECTURE
The Transformation of America's Hospitals
Kenneth Kaufman, Skokie, IL
12:00 PM - 2:00 PM
Hall A
POSTER SESSION II (non-CME)
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
This is a ticketed session requiring a separate registration and fee MEET-THE-PROFESSOR LUNCHEONS

S405
How to Enhance Your Career in Academic GI Medicine: Perspectives of Surgery and Gastroenterology
Charles M. Vollmer, Jr., & Douglas Adler, Boston, MA, & Salt Lake City, UT

S503
Re-Do Anti Reflux Surgery: When and How
C. Daniel Smith, Jacksonville, FL
2:15 PM - 3:15 PM
S504
HOW TO SUCCEED IN ACADEMIC SURGERY
Moderator: David W. Rattner, Boston, MA

Life, Work Balance in Academic Surgery
Barbara L. Bass, Houston, TX

The Early Years: Finding Your Strengths and Leveraging Your Institutional Assets
Jean Nicolas Vauthey, Houston, TX

NIH Funding and a Busy Clinical Practice
Richard A. Hodin, Boston, MA

Do You Really Want To Be a Chair?
Layton F. Rikkers, Madison, WI

Panel and Audience Discussion

2:15 PM - 3:45 PM
S501bcd
CONTROVERSIES IN GI SURGERY B
DEBATE 3: WHIPPLE AND ILEOANAL POUCH OPERATIONS SHOULD BE PERFORMED BY FELLOWS IN GASTROINTESTINAL SURGERY, NOT RESIDENTS IN GENERAL SURGERY TRAINING PROGRAMS
Moderator: Paresh C. Shah, New York, NY

Frame the Issue
Paresh C. Shah, New York, NY

The General Surgery Residents Need This Experience
Thomas J. Howard, Indianapolis, IN

No They Don't: Would You Let That 5-Year Grad Do Your Whipple? Let My Fellow Do 50 Whipples, and He Will Provide Better Outcomes
D. Rohan Jeyarajah, Dallas, TX

Panel and Audience Discussion

DEBATE 4: REGIONALIZATION OF HIGH VOLUME, MODERATE COMPLEXITY SURGERY: LET'S REFER YOUR LAPAROSCOPIC COLON RESECTION TO A BETTER HOSPITAL
Moderator: Thomas Howard, Indianapolis, IN

Frame the Issue
Thomas Howard, Indianapolis, IN

Patient Outcomes Are Better at High Volume Referral Hospitals
Taylor Riall, Galveston, TX

Low and Moderate Volume Facilities Do Just Fine, Thank You
David Bentrem, Chicago, IL

Panel and Audience Discussion

2:15 PM - 3:45 PM
S406a
DDW COMBINED CLINICAL SYMPOSIUM (AGA-accredited)
MULTIDISCIPLINARY APPROACH TO GI NEUROENDOCRINE TUMORS (NETS)
Sponsored by: AGA, ASGE, SSAT
Moderators: Bertram Hans Wiedenmann, Berlin Germany
Michael J. Levy, Rochester, MN

The Ultimate Approach for the Diagnosis and Staging of NETs
Robert Jensen, Bethesda, MD

Endoscopic Ultrasound Evaluation
Michelle Anderson, Ann Arbor, MI

Nuclear Medicine
Dik Kwekkeboom, Rotterdam Netherlands

Medical Therapy
Phillipe Ruszniewski, Paris France

Surgical Perspectives
Clive Grant, Rochester, MN

Case Presentations and Panel Discussion

2:15 PM - 4:00 PM
S501a
PLENARY SESSION V
Moderators: Alessandro Fichera, Chicago, IL
Amy L. Halverson, Chicago, IL

10-minute presentation, 5-minute discussion

O22. A Standard "Oncologic" Segmental Colorectal Resection Is Indicated for Dysplastic Adenomas That Come to Surgery: ESD and EMR Are Best Avoided in These Patients
Joon H. Jang1, Emre Balik3, Michael J. Grieco1, Tromp Wouter1, Daniel D. Kirchoff 1, Anjali S. Kumar2, Daniel L. Feingold2, Richard L. Whelan1
1. Surgery, St Luke Roosevelt Hospital, New York, NY; 2. Surgery, Washington Hospital center, Washington DC, DC; 3. Surgery, Columbia University, New York, NY

V25. Single Port Transanal Surgery of a Giant Rectal Adenoma
Renée M. Barendse1, Pascal G. Doornebosch2, Willem A. Bemelman3, Evelien Dekker1, Paul Fockens1, Thomas M. Van Gulik3, Eelco J. de Graaf2
1. Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, Netherlands; 2. Surgery, IJsselland Hospital, Capelle aan den IJssel, Netherlands; 3. Surgery, Academic Medical Center, Amsterdam, Netherlands

O23. Transesophageal Endoscopic Myotomy (TEEM) for the Treatment of Achalasia: The United States Human Experience
Ozanan R. Meireles1, 2, Garth R. Jacobsen1, Toshio Katagiri1, Kari Thompson1, Abraham Mathew4, 1, Noam Belkind1, Michael Sedrak1, Bryan J. Sandler1, Takayuki Dotai1, Thomas J. Savides3, Saniea F. Majid1, Sheetal Nijhawan1, Mark A. Talamini1, Santiago Horgan1
1. Department of Surgery, University of California San Diego, San Diego, CA; 2. Department of Surgery, Massachusetts General Hospital - Harvard Medical School, Boston, MA; 3. Department of Gastroenterology, University of California San Diego, San Diego, CA; 4. Department of Gastroenterology, Penn State Milton S. Hershey Medical Center, Hershey, PA

V26. Single Incision Laparoscopic Heller Myotomy and Dor Fundoplication
John Afthinos, Koji Park, James McGinty, Ninan Koshy, Julio Teixeira
General Surgery, St. Luke's Roosevelt Hospital Center, New York, NY

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. O24. Bariatric Surgery Outcomes in the Elderly Population: An ACS NSQIP Study
Robert B. Dorman, Anasooya Abraham, Waddah B. Al-Refaie, Helen M. Parsons, Sayeed Ikramuddin, Elizabeth Habermann
Surgery, University of Minnesota, Minneapolis, MN

O25. Counter-Clockwise Rotation of Roux-en-Y Limb Significantly Reduces Internal Herniation in Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)
Kalyana Nandipati, Edward Lin, Farah A. Husain, Jahnavi Srinivasan, John F. Sweeney, S. S. Davis
General Surgery, Emory University, Decatur, GA

O26. Factors Predictive of Recurrence and Mortality After Definitive Surgical Repair of Enterocutaneous Fistula
Jose L. Martinez, Enrique Luque-de-León
Gastrocirugía, UMAE Hospital Especialidades Centro Médico Nacional SXXI, Mexico DF, Mexico
3:15 PM - 4:45 AM
S504
SSAT/ASCRS JOINT SYMPOSIUM
SURGERY FOR INFLAMMATORY BOWEL DISEASE
Moderator: David A. Margolin, New Orleans, LA

Introduction
David A. Margolin, New Orleans, LA

Emergency Surgery for Inflammatory Bowel Disease
Harry L. Reynolds, Jr., Cleveland, OH

Surgical Treatment of Peri-Anal Crohn's Disease
Craig A. Reickert, Detroit, MI

Surgery for Crohn's Disease
Kirk A. Ludwig, Milwaukee, WI

Surgery for Ulcerative Colitis
Michael J. Stamos, Orange, CA

Panel and Audience Discussion

4:00 PM - 5:00 PM
S501bcd
CLINICAL WARD ROUNDS: INITIAL NON-SURGICAL THERAPIES FOR HEPATOCELLULAR CARCINOMA: GI SURGEON AND HEPATOLOGY CASE PRESENTATIONS
Moderator: Robert C.G. Martin, Louisville, KY
Panelists: Robert C.G. Martin, Louisville, KY
Fred Poordad, Los Angeles, CA
William S. Rilling, Milwaukee, WI
4:00 PM - 5:00 PM
S501a
QUICK SHOTS SESSION II
Moderators: John D. Christein, Birmingham, AL
Bridget N. Fahy, Houston, TX

3-minute presentation, 3-minute discussion

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. QS13. Assessment of In Vivo Functionality of a Novel Cancer-Targeting Adenovirus Expressing Interferon Alpha in an Immunocompetent Model
Leonard Armstrong, Julia Davydova, Eric J. Brown, Selwyn M. Vickers, Masato Yamamoto
University of Minnesota, Minneapolis, MN

QS14. Difference in Clinical Characteristics and Survival Outcomes in Asian and American Patients with Hepatocellular Carcinoma
Taejin Song1, 2, Yuman Fong1, Sung-Ock Suh2, Sang-Yong Choi2, William R. Jarnagin1, Mithat Gonen1, David S. Klimstra1
1. Surgery, MSKCC, New York, NY; 2. Surgery, Korea University College of Medicine, Seoul, Seoul, Korea, Republic of

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. QS15. Intestinal Resection-Induced Enterocyte Apoptosis Is Mediated by p38α MAPK-Directed Activation of Bax
Derek Wakeman1, Jun Guo1, Jethrina A. Santos2, John Schneider3, Jennifer A. Leinicke1, Kathryn J. Rowland1, Christopher R. Erwin1, Brad W. Warner1
1. Surgery, Washington University School of Medicine, Saint Louis, MO; 2. Texas A&M University, College Station, TX; 3. Washington University, Saint Louis, MO

QS16. Depression Is Associated with Prolonged and Complicated Recovery Following Colorectal Surgery
Courtney J. Balentine1, 2, Aanand D. Naik1, 2, Celia N. Robinson3, 2, Jesus H. Hermosillo-Rodriguez4, David H. Berger1, 2
1. Houston VA HSR&D Center of Excellence, Houston, TX; 2. Michael E DeBakey VA Hospital, Houston, TX; 3. Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; 4. Internal Medicine, Baylor College of Medicine, Houston, TX

QS17. Laparoscopic Versus Open Abdominoperineal Resection for Rectal Cancer: Is There a Short-Term Advantage in Complication Rates with a Minimally Invasive Approach?
David B. Stewart, Christopher S. Hollenbeak, Melissa M. Boltz
Surgery/Division of Colon and Rectal Surgery, Penn State Hershey Medical Center, Hershey, PA

QS18. Ex-Vivo Intra-Arterial Methylene Blue Dye Injection Augments Pathology Lymph-Nodes Harvest Following Colorectal Cancer Surgery
Pierpaolo Sileri1, Luana Franceschilli1, Marco D'Eletto1, Giulio P. Angelucci1, Sara Lazzaro1, Mara Capperucci1, Giampiero Palmieri2, Nicola Di Lorenzo1, Vincenzo Formica3, Achille Gaspari1
1. Surgery, University of Rome Tor Vergata, Rome, Italy; 2. Pathology, University of Rome Tor Vergata, rome, Italy; 3. Oncology, University of Rome Tor Vergata, rome, Italy

QS19. Prolonged Pre-Operative Hospitalization Correlates with Worse Outcomes After Colectomy for Acute Fulminant Ulcerative Colitis
Brian A. Coakley, Dana A. Telem, Scott Q. Nguyen, Celia M. Divino
Department of Surgery, The Mount Sinai Medical Center, New York, NY

QS20. The Laparoscopic Nissen - Hill Hybrid Anti-Reflux Repair Is Effective for Managing Paraesophageal Hernias and Barrett's Esophagus
Ralph W. Aye, Alia Qureshi, Alexander S. Farivar, Oliver J. Wagner, Ariel W. Knight, Brian E. Louie
Esophageal and Thoracic Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA

QS21. Routine Contrast Radiology After Oesophagectomy and Total Gastrectomy
Paul Finn, S. Dresner, H. Wescott, Peter A. Davis
Upper Gastrointestinal Surgery, James Cook University Hospital, Middlesbrough, United Kingdom

This is a paper that is also being presented at the Residents & Fellows Research Conference; Participation in and attendance at this conference is by invitation only. QS22. Changes in Re-Operative Intervention for Failed Anti-Reflux Surgeries Over the Past 19 Years in Our Practice
Arpad Juhasz, Masato Hoshino, Abhishek Sundaram, Tommy H. Lee, Charles J. Filipi, Sumeet K. Mittal
Department of Surgery, Creighton University Medical Center, Omaha, NE
4:00 PM - 5:30 PM
S406a
DDW COMBINED CLINICAL SYMPOSIUM (ASGE-accredited)
SHOW ME THE WAY: FINDING THE DUCT IN THE SURGICALLY ALTERED ANATOMY
Sponsored by: ASGE, SSAT
Moderators: Raj J. Shah, Aurora, CO
Charles M. Vollmer, Jr., Boston, MA

Surgically Altered Upper GI Anatomy: Plumbing and Predicaments
Charles M. Vollmer, Jr., Boston, MA

Simplifying the Long and Winding Road: Enteroscopy-Assisted ERCP
Raj J. Shah, Aurora, CO

Taking the Short Cut: Reaching the Ducts by EUS
Kenneth F. Binmoeller, San Francisco, CA

When Endoscopy Fails: The Surgeon's Perspective
David B. Adams, Charleston, SC

Questions & Discussion

5:00 PM - 6:00 PM
S504
ANNUAL BUSINESS MEETING
7:00 PM - 9:00 PM
Cathedral Hall, University Club of Chicago
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