OPENING SESSION
Moderator: David W. Rattner, Boston, MA

Welcome and introduction of new members, announcements of SSAT scholarship awards, reports from the SSAT Foundation, recognition of the Foundation donors, and conferment of the Founders Medal.

PRESIDENTIAL PLENARY A (PLENARY SESSION I)
Moderator: Jeffrey L. Ponsky, Cleveland, OH
10-minute presentation, 5-minute discussion 1. Disparities in the Use of Minimally Invasive Surgery for Colorectal Disease
Celia N. Robinson¹, ², Shubhada Sansgiry³, Courtney J. Balentine³, ², David H. Berger³, ^2
1. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; ². Operative Care Line , Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX; ³. Houston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX
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2. Laparoscopic Pancreaticoduodenectomy for Cancer: Margin Status, Adequacy of Resection and 90 Day Outcomes
Craig P. Fischer¹, ³, Bridget N. Fahy¹, ², Brian J. Dunkin¹, ², Patrick R. Reardon¹, ⁴, Barbara L. Bass¹, ^2
1. Surgery, The Methodist Hospital, Houston, TX; ². Surgery, Weill Medical College of Cornell University, New York, NY; ³. Division of Surgical Oncology, The Methodist Hospital, Houston, TX; ⁴. Division of Minimally Invasive and Forgut Surgery, The Methodist Hospital, Houston, TX
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3. Gastro-Intestinal Metabolic Surgery for the Treatment of Diabetic Patients: A Multi-Instituional International Study
Wei J. Lee¹, Kyung Yul Hur², Muffazal Lakdawala³, Kazunori Kasama⁴, Simon K. Wong^5
1. Surgery, Min Sheng General Hospital, Taoyuan, Taiwan; ². Surgery, Soonchunhyang University Hospital, seoul, Korea, Democratic People's Republic of; ³. Surgery, Saifee Hospital, Mumbai, India; ⁴. Surgery, Yotsuya Medical Cube, Tokyo, Japan; ⁵. Surgery, Prince of Wales Hospital, Hong Kong, Hong Kong
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4. Female Sexual Function After Pure Transvaginal Appendectomy: A Cohort Study
Daniel Solomon¹, ², Rachel Lentz², Andrew Duffy¹, ², Robert Bell¹, ², Kurt E. Roberts¹, ^2
1. Department of Surgery, Yale-New Haven Hospital, New Haven , CT; ². Surgery, Yale University School of Medicine, New Haven, CT
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PRESIDENTIAL ADDRESS
Introduction
Jeffrey L. Ponsky, Cleveland, OH
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Happy Mother's Day
David W. Rattner, Boston, MA
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PRESIDENTIAL PLENARY B (PLENARY SESSION II)
Moderator: David W. Rattner, Boston, MA
10-minute presentation, 5-minute discussion

5. How Much Pharyngeal Acid Is "Normal?": Normative Data for Laryngopharyngeal Reflux Events Using Hypopharyngeal Multichannel Intraluminal Impedance (HMII)
Toshitaka Hoppo¹, Alejandro F. Sanz¹, Katie S. Nason¹, Thomas Carroll², Clark Rosen³, Daniel P. Normolle⁴, Nicholas J. Shaheen⁵, James D. Luketich¹, Blair A. Jobe^1
1. Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA; ². Otolaryngology, Tufts Medical Center, Boston, MA; ³. Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA; ⁴. Biostatistics, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA; ⁵. Medicine, University of North Carolina , Chapel Hill, NC
View Presentation 6. Laparoscopic Paraesophageal Hernia Repair: Defining Long-Term Clinical and Anatomic Outcomes
Brant K. Oelschlager¹, Rebecca P. Petersen¹, L.Michael Brunt², Nathaniel J. Soper³, Brett C. Sheppard⁴, Lee Mitsumori⁵, Charles Rohrmann⁵, Lee L. Swanstrom⁶, Carlos A. Pellegrini^1
1. Surgery, University of Washington, Seattle, WA; ². Surgery, Washington University , St. Louis, MO; ³. Surgery, Northwestern University, Chicago, IL; ⁴. Surgery, Oregon Health & Science University, Portland, OR; ⁵. Radiology, University of Washington, Seattle, WA; ⁶. Surgery, The Oregon Clinic, Portland, OR
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V1. Hiatal Hernia Recurrence Following Mesh and Non-Mesh Repair
Hubert Kim, Kevin M. Reavis, Ninh T. Nguyen
UCI Medical Center, Orange, CA
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DORIS AND JOHN L. CAMERON GUEST ORATION

Bioengineering and Clinical Applications of Circulating Tumor Cell Microchip
Mehmet Toner, Charlestown, MA
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POSTER SESSION I (non-CME)
Authors available at their posters to answer questions 12 PM - 2 PM; posters on display 8 AM - 5 PM.

MEET-THE-PROFESSOR LUNCHEONS

Avoiding and Repairing Cholecystectomy Injuries
Steven M. Strasberg, St Louis, MO

Modern Treatment of Barrett's Esophagus: From Metaplasia to Cancer
Brian J. Dunkin & Herbert C. Wolfsen, Houston, TX, & Jacksonville, FL

Single Port Surgery: Beyond Cholecystectomy
Aurora D. Pryor & Sharona B. Ross, Durham, NC, & Tampa, FL

CONTROVERSIES IN GI SURGERY A

DEBATE 1: NISSEN FUNDOPLICATION IS UNDERUTILIZED IN THE TREATMENT OF GERD
Moderator: Craig P. Fischer, Houston, TX

Frame the Issue
Craig P. Fischer, Houston, TX

Surgical Fundoplication Saves Money, Prevents Cancer, and Is Underutilized
Mehran Anvari, Hamitlon, ON

We Have It Just Right. A Small Minority of Patients Will Benefit from Surgical Approaches to GERD; Medication and Close Observation is Appropriate for the Vast Majority
Chin Hur, Boston, MA

Panel and Audience Discussion

DEBATE 2: ROBOTICS APPLICATIONS IN GASTROINTESTINAL SURGERY: INDUSTRY SPONSORED HEALTH CARE INFLATION OR REAL ADVANCE THAT WILL BENEFIT PATIENTS?
Moderator: Brian Dunkin, Houston, TX

Frame the Issue
Brian Dunkin, Houston, TX

The Robot Is Not a Glorified Sewing Machine; It's a Real Advance for Patients and Surgeons
Sayeed Ikramuddin, Minneapolis, MN

What You Can Do with Your Robot, I Can Do with My Laparoscope Faster and Cheaper
Lee Swanstrom, Portland, OR

Panel and Audience Discussion

DDW COMBINED CLINICAL SYMPOSIUM
DEFINITION AND MANAGEMENT OF PPI FAILURE IN GERD
Sponsored by: SSAT, AGA

Moderators:

Jeffrey H. Peters, Rochester, NY Peter J. Kahrilas, Chicago, IL

"GERD Symptoms" Are Not All Equal and Not All from GERD
Peter J. Kahrilas, Chicago, IL

What Is PPI Failure from a Surgical Perspective and What Subsets of Patients Are More Likely to Respond to Surgical Management?
John G. Hunter, Portland, OR

The Role of Symptom Profiling and Physiological Testing in Subtyping Refractory Patients
Michael Vaezi, Nashville, TN

PPIs in Relation to Barrett's: Preventative? Post-Ablation? Reduced Cancer Risk?
Prateek Sharma, Kansas City, MO

Panel Discussion

VIDEO SESSION I: SPECIALTY VIDEOS

Moderators:

Michael Rosen, Cleveland, OH C. Daniel Smith, Jacksonville, FL

10-minute presentation, 5-minute discussion

V2. Minimally Invasive Esophagectomy for Carcinoma of Esophagus After Neoadjuvant Chemoradiation
Daniel K. Tong, Simon Law, Fion S. Chan, Kam H. Wong
Surgery, The University of Hong Kong, Hong Kong, Hong Kong

V3. Minimally Invasive Esophagectomy After Nissen Fundoplication
Hubert Kim, Ninh T. Nguyen, Kevin M. Reavis
Surgery, University of California, Irvine, Orange, CA

V4. Laparoscopic Transgastric Resection of a Large Intussuscepted Gastric Polyp
Etienne Auger-Dufour1, Liane S. Feldman1, Gerald M. Fried1, Lorenzo E. Ferri1
Surgery , McGill University Health Centre, Montreal, QC, Canada

V5. Laparoscopic Re-Do Myotomy for Recurrent Achalasia After Heller-Dor Procedure
Mario Costantini, Renato Salvador, Lisa Zanatta, Cristina Longo, Elena Finotti, Tiziana Morbin, Giovanni Zaninotto, Ermanno Ancona
Clinica Chirurgica 1, University of Padua, Padova, Italy

V6. Laparoscopic Truncal Vagotomy and Antrectomy
Mariah Alexander, Aaron M. Hurd, Gregory J. Mancini
University of Tennessee Medical Center Knoxville, Knoxville, TN

V7. Laparoscopic-Assisted Frey Procedure: A New Option for Treatment of Pain in Chronic Pancreatitis
Sujit Kulkarni, Dilip Parekh, Rick Selby, Kaylene Barrera
Surgery, University of Southern California, Los Angeles, CA

V8. Laparoscopic Pancreatic Head Resection with Hybrid Reconstruction via Pancreatogastrostomy
Tobias Keck, Simon Küsters, Ulrich F. Wellner, Frank Makowiec, Ulrich T. Hopt, Wojciech K. Karcz
Department for General and Visceral Surgery, University of Freiburg, Freiburg, Germany

V9. Laparo-Endoscopic Single Site (LESS) Morgagni Hernia Repair and Toupet Fundoplication
Sharona B. Ross¹, ², Harold Paul¹, ², Kenneth Luberice¹, ², Farhaad C. Golkar¹, ², Alexander S. Rosemurgy¹, ^2
1. Surgery, University of South Florida, Tampa, FL; ². Tampa General Hospital, Tampa, FL

V10. Robot-Assisted Laparoscopic Biliopancreatic Diversion with Duodenal Switch
Sapan S. Desai, Ranjan Sudan
General Surgery, Duke University Medical Center, Durham, NC

STATE-OF-THE-ART CONFERENCE
PPERSONALIZED MEDICINE IN GASTROINTESTINAL CANCER: POTENTIAL APPLICATIONS IN CLINICAL PRACTICE
Moderator: Taylor S. Riall, Galveston, TX

Introduction
Taylor S. Riall, Galveston, TX

Overview of Personalized Medicine in GI Cancers: Different Things to Different People
Celia Chao, Galveston, TX

Proteomics, Genomics, and Molecular Biology in the Personalized Treatment of Colon Cancer
John M. Carethers, Ann Arbor, MI

Personalized Medicine in Pancreatic Cancer: Potential Implications for Therapy
Christine A. Iacobuzio-Donahue, Baltimore, MD

Personalized Therapy: Prognostic Factors for GIST
Ronald P. DeMatteo, New York, NY

Panel and Audience Discussion

PLENARY SESSION III

Moderators:

Elijah Dixon, Calgary, AB Jean Nicolas Vauthey, Houston, TX

10-minute presentation, 5-minute discussion 7. Prospective Study for Selective Management of Patients with Acute Biliary Pancreatitis: Interim Results
Dana A. Telem, Modesto Colon, Nalin Ranasinghe, Michelle K. Kim
Surgery, The Mount Sinai Hospital, New York, NY

8. Biliary Dyskinesia: Are We Treating It Right?
Vikas Singhal, Patrick Szeto, Heather Norman, Nan Walsh, Thomas J. VanderMeer
Surgery, Guthrie- Robert Packer Hospital, Sayre, PA

9. Validation of the Updated 7th Edition AJCC TNM Staging Criteria for Gastric Adenocarcinoma
Lee J. McGhan¹, Barbara A. Pockaj¹, Richard J. Gray¹, Sanjay P. Bagaria², Nabil Wasif^1
1. General Surgery, Mayo Clinic Arizona, Scottsdale, AZ; ². General Surgery, Mayo Clinic Florida, Jacksonville, FL

10. Acquisition of Metastatic Potential in Colonic Adenocarcinomas Is Associated with Downregulation of Complementary Strand MicroRNAs
Jonathan M. Hernandez¹, ², Dung-Tsa Chen³, Susan McCarthy², Leigh Ann Humphries ², Domenico Coppola², Timothy J. Yeatman², David Shibata^2
1. Surgery, University of South Florida, Tampa, FL; ². Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL; ³. Bioinformatics, Moffitt Cancer Center, Tampa, FL

11. National Trends in Survival for Pancreatic Adenocarcinoma Based on Location of the Primary Lesion
Gautam K. Malhotra¹, Lynette M. Smith², Quan P. Ly³, Aaron R. Sasson³, Chandrakanth Are^3
1. College of Medicine, University of Nebraska Medical Center, Omaha, NE; ². Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE; ³. Division of Surgical Oncology, Department of Surgery, University of Nebraska Medical Center, Omaha, NE

12. Pain Control and Quality of Life After Pancreatectomy with Islet Cell Autotransplantation for Chronic Pancreatitis
Katherine A. Morgan1, Stefanie M. Owczarski1, Jeffrey J. Borckardt2, Alok Madan2, David B. Adams1
1. Surgery, MUSC, Charleston, SC; 2. Psychiatry and Behavioral Services, MUSC, Charleston, SC

13. Superior Prognostic Importance of Perineural Invasion vs. Lymph Node Involvement After Curative Resection of Duodenal Adenocarcinoma
Stefano Cecchini¹, ³, Camilo Correa-Gallego¹, Vikram Deshpande², ⁴, Abdulmetin Dursun¹, Jennifer A. Wargo¹, ⁴, Carlos Fernandez del-Castillo¹, ⁴, Andrew L. Warshaw¹, ⁴, Cristina R. Ferrone¹, ^4
1. General Surgery, Massachusetts General Hospital, Boston, MA; ². Pathology, Massachusetts General Hospital, Boston, MA; ³. General Surgery, Parma University, Parma, Italy, Italy; ⁴. Surgery, Harvard Medical School, Boston, MA

14. The Fate of Barrett's Epithelium Under Acid Suppression Obtained by Medical or Surgical Therapy
Renato Salvador¹, Paola Parente³, Nicola Passuello¹, Mario Costantini¹, Lisa Zanatta¹, Tieppo Chiara¹, Loredana Nicoletti¹, Francesco Cavallin⁴, Fabio Farinati¹, Ermanno Ancona¹, Massimo Rugge², Giovanni Zaninotto^2
1. Department of Surgical and Gastroenterological Sciences, Clinica Chirurgica I, University of Padova, Padua, Italy; ². Department of General Surgery, SS Giovanni e Paolo Hospital, ULSS ¹², Venice, Italy; ³. Department of Medical Diagnostic Sciences & Special Therapies, Pathology Unit, University of Padova, Padova, Italy; ⁴. Surgical Oncology, Istituto Oncologico Veneto, IOV-IRCCS, Padova, Italy

15. Budd-Chiari Syndrome Revisited: Thirty-Eight Years' Experience with Surgical Portal Decompression
Marshall J. Orloff, Jon I. Isenberg, Henry O. Wheeler, Pat O. Daily, Barbara Girard
Surgery, University of California, San Diego, San Diego, CA

16. Surgical Resection Versus Local Ablation for HCC on Cirrhosis: Results from a Propensity Case-Matched Study
Andrea Ruzzenente, Tommaso Campagnaro, Alessandro Valdegamberi, Simone Conci, Fabio Bagante, Gianni Turcato, Calogero Iacono, Alfredo Guglielmi
Department of Surgery , University of Verona Medical School, Verona, Italy

V11. Pure Laparoscopic Hepatectomy for HCC Patients with Severe Liver Cirrhosis
Zenichi Morise
Department of Surgery, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Aichi, Japan

17. Prevalence of Defaecatory Disorders in Morbid Obese Patients Before and After Bariatric Surgery.
Pierpaolo Sileri, Paolo Gentileschi, Ida Camperchioli, Elisabetta De Luca, Domenico Benavoli, Luana Franceschilli, Giulio P. Angelucci, Sara Lazzaro, Achille Gaspari
Surgery, University of Rome Tor Vergata, Rome, Italy

CLINICAL WARD ROUNDS: DELAYED PRESENTATION OF APPENDICITIS: IS SURGERY STILL NECESSARY?
Moderator: Mark A. Malangoni, Philadelphia, PA

Panelists:

Stanley W. Ashley, Boston, MA W. Scott Melvin, Columbus, OH Steven C. Stain, Albany, NY