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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.

TUESDAY, MAY 10, 2011
7:30 AM - 9:30 AM
S504
SSAT/ISDS JOINT BREAKFAST SYMPOSIUM
WHAT DO YOU DO WHEN THE FIRST OPERATION DOESN'T WORK OR GOES WRONG?
Moderators: Gerald M. Fried, Montreal, PQ
Tonia M. Young-Fadok, Phoenix, AZ

Introduction
Tonia M. Young-Fadok, Phoenix, AZ

"I still have that heartburn, Doc.": Recurrent Reflux After Nissen Fundoplication.
Marco G. Patti, Chicago, IL

"But I eat less than a sparrow!": Weight Gain After a Bariatric Operation
Philip R. Schauer, Cleveland, OH

"Lab calling: That fluid you sent has an amylase of 12,000.": Pancreatic Fistula After Whipple Procedure
Chung-Mau Lo, Hong Kong China

"Oops, was that the CBD?": Management of BDI During Lap Cholecystectomy
Nathaniel J. Soper, Chicago, IL

"Radiology calling: Do you want a drain in this collection?": Contained Leak After Low Anterior Resection
Susan Galandiuk, Louisville, KY

"It still feels like it did before surgery": Recurrent Perianal/Rectovaginal Fistula
Tracy L. Hull, Cleveland, OH

"Is that bile staining in the wound?": Management of Enterocutaneous Fistula
Wai-Lun Law, Hong Kong China

"Shouldn't the enzymes be improving by now?": Liver Failure After Extended Hepatic Resection
Go Wakabayashi, Morioka Japan

8:00 AM - 9:30 AM
S501a
TRANSLATIONAL SCIENCE PLENARY (PLENARY SESSION VI)
Moderators: Kimberly Brown, Pittsburgh, PA
Jonathan F. Critchlow, Boston, MA

10-minute presentation, 5-minute discussion

27. Innate Immune Environment in Ileal Pouch Mucosa: α-5 Defensin Up-Regulation as Predictor of Chronic/Relapsing Pouchitis
Marco Scarpa1, Alessia R. Grillo2, Melania Scarpa2, Paola Brun2, Carlo Castoro1, Anna Pozza3, Diego Faggian4, Cesare Ruffolo5, Renata D'Incà3, Romeo Bardini3, Ignazio Castagliuolo2, Imerio Angriman3
1. Department of Oncological Surgery, Venetian Oncology Institute (IOV-IRCCS), Padova, Italy; 2. Dept. of Histology, Microbiology and Medical Biotechnologies, University of Padova, Padova, Italy; 3. Dept. of Surgical and Gastroenterological Sciences, University of Padova, Padova, Italy; 4. Dept. of Diagnostic Sciences and Special Therapy, University of Padova, Padova, Italy; 5. Dept. of Surgery (Chirurgia IV), Ospedale "Ca' Foncello", Treviso, Italy

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. 28. Allergic Predisposition, Histamine and Histamine Receptor Expression (H1R, H2R) Are Associated with Complicated Courses of Sigmoid Diverticulitis
Burkhard H. von Rahden1, Martin Grimm1, Stefan Kircher2, Maria Lazariotou1, Matthias Jung1, Christoph-Thomas Germer1
1. Department of Surgery, University Hospital Wuerzburg, Wuerzburg, Germany; 2. Department of Pathology, University Hospital Wuerzburg, Wuerzburg, Germany

29. Neoadjuvant Radiochemotherapy in Adenocarcinoma of the Esophagus: ERCC1 Gene Polymorphisms for Prediction of Response and Prognosis
Ralf Metzger, Ute Warnecke-Eberz, Hakan Alakus, Jan Brabender, Daniel Vallbohmer, Peter P. Grimminger, Arnulf H. Hölscher, Elfriede Bollschweiler
Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany

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. 30. Rage Gene Deletion Inhibits the Development and Progression of Ductal Neoplasia and Prolongs Survival in a Mouse Model of Pancreatic Cancer
Joseph DiNorcia1, Minna K. Lee1, Dorota N. Moroziewicz1, Megan D. Winner1, Paritosh Suman1, Fei Bao3, Helen Remotti3, Yu Shan Zou2, Shi Fang Yan2, Wanglong Qiu1, Gloria H. Su1, Ann Marie Schmidt2, John D. Allendorf1
1. Surgery, Columbia University College of Physicians and Surgeons, New York, NY; 2. Medicine, New York University Langone Medical Center, New York, NY; 3. Pathology, Columbia University Medical 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. 31. Accumulation of Pro-Cancer Cytokines in the Plasma Fraction of Stored Packed Red Cells
Douglas Benson1, 2, Adam W. Beck3, Marie Schluterman3, Rolf A. Brekken3, Christopher Silliman1, 4, Carlton C. Barnett1, 2
1. Surgery, University of Colorado at Denver HSC, Aurora , CO; 2. Surgery, Denver Health Medical Center, Denver, CO; 3. Surgery, University of Texas at Southwestern Medical Center, Dallas, TX; 4. Bonfils Blood Center, Denver, CO

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. 32. Regulation of Retinoblastoma Protein (Rb) by p21 Is Critical for Adaptation to Massive Small Bowel Resection
Jennifer A. Leinicke, Jun Guo, Derek Wakeman, Brad W. Warner
Department of Surgery, Washington University in St. Louis, St. Louis, MO
8:30 AM - 10:00 AM
S406a
DDW COMBINED CLINICAL SYMPOSIUM (AGA-accredited)
MULTI-DISCIPLINARY APPROACH TO BARRETT'S ESOPHAGUS
Sponsored by: AGA, ASGE, SSAT
Moderators: Prateek Sharma, Kansas City, MO
Kenneth K. Wang, Rochester, MN

Early Recognition of Barrett's Neoplasia
Prateek Sharma, Kansas City, MO

Endoscopic Resection and Ablation
Christian Ell, Wiesbaden Germany

Pre and Post Ablation Histological Evaluation
John Goldblum, Cleveland, OH

Minimally Invasive Approaches to Barrett's Neoplasia and Cancer
Lee L. Swanstrom, Portland, OR

Summary: Current Status
Kenneth K. Wang, Rochester, MN

9:30 AM - 12:00 PM
S501a
PLENARY SESSION VII
Moderators: Ellen J. Hagopian, New York, NY
John T. Mullen, Boston, MA

10-minute presentation, 5-minute discussion

33. Risk Factors for Developing of Esophageal Adenocarcinoma After Antireflux Surgery
Hedvig E. Löfdahl, Yunxia Lu, Pernilla Lagergren, Jesper Lagergren
Department of molecular medicine and surgery, Karolinska Institutet, Stockholm, Sweden

34. A Novel Approach for Quantification of Hepatitis C Virus in Liver Cirrhosis Using In-Situ Real Time Reverse Transcriptase PCR
Kewal K. Maudar
Surgery, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India

35. A Root-Cause Analysis of Mortality Following Major Pancreatectomy
Charles M. Vollmer1, Norberto J. Sanchez1, Tara S. Kent1, Mark P. Callery1, Pancreatic Mortality Study Group
1Beth Israel Deaconess Med Ctr, Boston, MA

36. A Transplant Perspective on 'Non-Resectable' Soft Tissue Tumors at the Root of the Mesentery: Procedures, Promise and Pitfalls!
Kishore R. Iyer1, Hiroshi Sogawa1, Gonzalo Rodriguez-Laiz1, Samuel Singer2, Daniel G. Coit2, Murray F. Brennan2
1. Transplant Surgery, Mount Sinai Medical Center, New York, NY; 2. 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. 37. Long Term Outcome of Patients Undergoing Pancreaticoduodenectomy for Non-Malignant Disease
Nicholas T. Orfanidis1, David E. Loren1, Carmi Santos2, Eugene P. Kennedy3, Ali A. Siddiqui1, Harish Lavu3, Charles J. Yeo3, Thomas E. Kowalski1
1. Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, PA; 2. Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA; 3. Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA

38. Incidence and Impact of a Close Superior Mesenteric Artery Margin Following Pancreaticoduodenectomy for Adenocarcinoma
Matthew Katz1, Huamin Wang2, Aparna Balachandran3, Priya Bhosale3, Xuemei Wang4, Peter W. T. Pisters1, Jeffrey E. Lee1, Doug B. Evans5, Chusilp Charnsangavej3, Jason B. Fleming1
1. Surgical Oncology, UT MD Anderson Cancer Center, Houston, TX; 2. Pathology, UT MD Anderson Cancer Center, Houston, TX; 3. Diagnostic Radiology, UT MD Anderson Cancer Center, Houston, TX; 4. Biostatistics, UT MD Anderson Cancer Center, Houston, TX; 5. Surgery, The Medical College of Wisconsin, Milwaukee, TX

39. Outcomes of Primary Surveillance for Intraductal Papillary Mucinous Neoplasm
Christy E. Cauley1, Joshua A. Waters1, Ryan P. Dumas1, Juliana E. Meyer1, Mohammad A. Al-Haddad2, John M. DeWitt2, Keith D. Lillemoe1, C. Max Schmidt1
1. Surgery, Indiana University School of Medicine, Indianapolis, IN; 2. Gastroenterology, Indiana University School of Medicine, Indianapolis, IN

40. Updated Results for Dual Modality Versus Percutaneous Drainage for the Treatment of Symptomatic Walled Off Pancreatic Necrosis
Michael Gluck, Andrew S. Ross, Shayan Irani, S. Ian Gan, Mehran Fotoohi, Robert Crane, Justin Siegal, Ellen Hauptmann, Richard A. Kozarek
Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA

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. 41. Is It Worth Looking? Abdominal Imaging After Pancreatic Cancer Resection: A National Study
Elan R. Witkowski, Jillian K. Smith, Elizaveta Ragulin-Coyne, Sing Chau Ng, Shimul A. Shah, Jennifer F. Tseng
Surgical Outcomes Analysis & Research, Dept of Surgery, University of Massachusetts Medical School, Worcester, MA

42. Activation of the BMP4 Pathway and Early Expression of CDX2 Characterize the Development of Nonspecialized Columnar Metaplasia in a Human Model of Barrett Esophagus
Manuel R. Pera Roman1, Daniel Castillo1, Sonia Puig1, Carme de Bolós5, Mar Iglesias2, Agustin Seoane3, Laura Comerma2, Vicente Munitiz4, Pascual Parrilla4, Richard Poulsom6, Luis Grande1
1. Section of Gastrointestinal Surgery, Hospital Universitario del Mar, Barcelona, Spain; 2. Department of Pathology, Hospital Universitario del Mar, Barcelona, Spain; 3. Service of Gastroenterology, Hospital Universitario del Mar, Barcelona, Spain; 4. Service of General and Digestive Surgery, Hospital Virgen de la Arrixaca, Murcia, Spain; 5. Programa de Recerca en Cancer, Institut de Recerca Hospital del Mar (IMIM), Barcelona, Spain; 6. Histopathology Unit, London Research Institute, Cancer Research UK, London, United Kingdom
10:30 AM - 11:45 AM
S501bcd
QUICK SHOTS SESSION III
Moderators: Imran Hassan, Springfield, IL
Thomas H. Magnuson, Baltimore, MD

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. QS23. Cholinesterases Predict Outcome in Patients Undergoing Hepatic Resection for Hepatocellular Carcinoma: Results from a Retrospective Analysis
Matteo Donadon1, Matteo M. Cimino1, Fabio Procopio1, Emanuela Morenghi2, Angela Palmisano1, Daniele Del Fabbro1, Marco Montorsi1, Guido Torzilli1
1. Liver Surgery Unit, Third Dept. Of Surgery, University of Milan, IRCCSIstituto Clinico Humanitas, Rozzano, Milan, Italy; 2. Biostatistics Unit, University Of Milan IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy

QS24. Comprehensive Perioperative Geriatric Assessments May Predict Surgical Outcomes in a Prospective Study of Older Patients Undergoing Pancreaticoduodenectomy
Kevin K. Roggin1, Joshua A. Hemmerich2, Jeffrey B. Matthews1, Mitchell C. Posner1, William Dale2
1. Surgery, University of Chicago, Chicago, IL; 2. Internal Medicine, Section of Geriatrics and Palliative Care, University of Chicago, Chicago, IL

QS25. Trends in the Palliative Surgical Management of Patients with Unresectable Pancreatic Adenocarcinoma: Lessons Learned from a Large, Single Institution Experience
Peter J. Kneuertz, Steven Cunningham, Sergio Lopez, John L. Cameron, Joseph M. Herman, Martin A. Makary, Frederic E. Eckhauser, Kenzo Hirose, Barish H. Edil, Michael A. Choti, Richard D. Schulick, Christopher L. Wolfgang, Timothy M. Pawlik
Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD

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. QS26. Management and Perioperative Morbidity Among Patients with Surgically Managed Pancreatic Adenocarcinoma: A Population-Based Analysis Using SEER-Medicare Data
Skye C. Mayo1, Marta M. Gilson1, John L. Cameron1, Hari Nathan1, Joseph M. Herman2, Martin A. Makary1, Frederic E. Eckhauser1, Kenzo Hirose1, Barish H. Edil1, Michael A. Choti1, Richard D. Schulick1, Christopher L. Wolfgang1, Timothy M. Pawlik1
1. Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD; 2. Radiation Oncology, The Johns Hopkins Hospital, Baltimore, MD

QS27. Postresection Diabetes After Distal Pancreatectomy: Incidence and Risk Factors
Michael J. Ferrara, Christine Lohse, Suresh T. Chari, Santhi Swaroop Vege, Florencia G. Que, Kaye M. Reid Lombardo, John H. Donohue, David M. Nagorney, Michael B. Farnell, Michael L. Kendrick
Mayo Clinic, Rochester, MN

QS28. Assessment of Quality of Life Following Total Pancreatectomy and Islet Cells Autotransplant for Chronic Pancreatitis
Juan R Aguilar-Saavedra, Greg Lentz, Judith Scheman, Tyler Stevens, Matthew Walsh
Surgery, Cleveland Clinic, Cleveland, OH

QS29. Acute Portomesenteric Venous Thrombosis Following Abdominal Surgery: Observe, Anticoagulate or Operate?
Michael J. Leonardi, Lindsay L. Hollander, Henry A. Pitt, Michael G. House, Nicholas J. Zyromski, C. Max Schmidt, Attila Nakeeb, Thomas J. Howard, Keith D. Lillemoe
Surgery, Indiana University School of Medicine, Indianapolis, IN

QS30. Preoperative Assessment of Pancreatic Fibrosis and Risk of Pancreatic Anastomotic Failure Following Pancreatoduodenectomy by Dual-Phase Computed Tomography
Yasushi Hashimoto1, Guido M. Sclabas1, Naoki Takahashi2, Yujiro Kirihara1, Thomas C. Smyrk3, Marianne Huebner4, Michael B. Farnell1
1. Surgery, Mayo Clinic, Rochester, MN; 2. Radiology, Mayo Clinic, Rochester, MN; 3. Pathology, Mayo Clinic, Rochester, MN; 4. Health Sciences Research, Mayo Clinic, Rochester, MN

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. QS31. Fifteen-Year Single Institution Experience with Surgical Treatment of Duodenal Carcinoma: A Comparison of Periampullary and Extra-Ampullary Duodenal Adenocarcinomas
Edwin O. Onkendi, Sarah Y. Boostrom, Michael G. Sarr, Michael B. Farnell, David M. Nagorney, John H. Donohue, Michael L. Kendrick, Kaye M. Reid Lombardo, William S. Harmsen, Florencia G. Que
Surgery, Mayo Clinic, Rochester, MN

QS32. Adult Intussusception in the Last 25 Years of Modern Imaging: Is Surgery Still Indicated
John H. Donohue1, Travis Grotz1, Edwin O. Onkendi1, Joseph A. Murray2
1. Surgery, Mayo Clinic, Rochester, MN; 2. Gastroenterology, Mayo Clinic, Rochester, MN

QS33. Under-Utilization of Surgical Resection for Gastric Cancer in the Era of Multi-Modality Therapy
Lee J. McGhan1, Barbara A. Pockaj1, Richard J. Gray1, Sanjay P. Bagaria2, Nabil Wasif1
1. General Surgery, Mayo Clinic Arizona, Scottsdale, AZ; 2. General Surgery, Mayo Clinic Florida, Jacksonville, FL

QS34. Proficiency-Based Training for Robotic Surgery: Feasibility and Inital Results
Genevieve Dulan, Robert V. Rege, Deborah C. Hogg, Kristine M. Gilberg-Fisher, Seifu T. Tesfay, Daniel J. Scott
Surgery, UT Southwestern, Dallas, TX
10:30 AM - 12:00 PM
S406a
DDW COMBINED CLINICAL SYMPOSIUM
FAMILIAL COLORECTAL CANCER: SCREENING AND SURGICAL MANAGEMENT
Sponsored by: SSAT, ASGE, AGA
Moderators: James M. Church, Cleveland, OH
James Anthony DiSario, Monterey, CA

Familial Colorectal Cancer Risk and Syndromes: Taking Family History and Genetic Testing
Randall W. Burt, Salt Lake City, UT

Endoscopic Surveillance and Therapy, and Chemoprevention
James Anthony DiSario, Monterey, CA

Prophylactic Surgery in Hereditary Colorectal Cancer
Matthew F. Kalady, Cleveland, OH

Case Discussion Session
James M. Church, Cleveland, OH

Audience Questions

12:00 PM - 2:00 PM
Hall A
POSTER SESSION III (non-CME)
Authors available at their posters to answer questions 12 PM - 2 PM; posters on display 8 AM - 5 PM.
12:00 PM - 3:00 PM
S504
KELLY AND CARLOS PELLEGRINI SSAT/SAGES JOINT LUNCHEON SYMPOSIUM
THE EPIDEMIC OF OBESITY: SURGICAL IMPLICATIONS
Moderators: Jeffrey H. Peters, Rochester, NY
Steven D. Schwaitzberg, Cambridge, MA

THE PROBLEM
Epidemiology of an Epidemic: Obesity in the U.S.
Raul J. Rosenthal, Weston, FL

Obesity Is Driving an Epidemic of GI Cancer
Jeffrey H. Peters, Rochester, NY

Unique Physiologic Considerations in Morbidly Obese Patients
Bruce D. Schirmer, Charlottesville, VA

Panel and Audience Discussion

CONTROVERSIES IN BARIATRIC SURGERY

The Lap Band Should Be Abandoned
Marina S. Kurian, New York, NY

Lab Band Is an Alternative
Ninh T Nguyen, Orange, CA

Metabolic Surgery: Are We There Yet?
Philip R. Schauer, Cleveland, OH

Panel and Audience Discussion

COMPLICATIONS

Surgical Complications in the Obese: Paradox or Problem?
Matthew M. Hutter, Boston, MA

Bariatric Centers of Excellence: The Right Thing for Patients
Daniel B. Jones, Boston, MA

Centers of Excellence Are Unnecessary and Restrict Access
Edward L. Felix, Fresno, CA

Early and Late Complication of Bariatric Surgery That General Surgeons Must Know
Michael G. Sarr, Rochester, MN

12:30 PM - 1:45 PM
This is a ticketed session requiring a separate registration and fee MEET-THE-PROFESSOR LUNCHEONS

S402
Motility Diseases of the Esophagus: When To Operate?
Marco G. Patti, Chicago, IL

S501bcd
Pancreatic Cystic Neoplasms: Observe or Resect?
Peter J. Allen & John M. DeWitt, New York, NY, & Indianapolis, IN
2:00 PM - 5:00 PM
S406b
BEST OF DDW 2011 (non-CME)

Interval Colorectal Cancers Frequently Have Subtle Macroscopic Appearance: A 10 Year-Experience in an Academic Center
Chantal le Clercq, Maastricht Netherlands

The Presence of Anesthesiology Professional Services During Colonoscopy Is Associated with Increased Adenoma Detection Rates and Decreased Incidence of Colorectal Cancer: A Medical Outcomes Registry Analysis
Brooks D. Cash, Gaithersburg, MD

The Water Method Is Associated With Higher Adenoma Detection Rate (ADR): A Head-to-Head Comparative Study
Francisco C. Ramirez, Scottsdale, AZ

39. Outcomes of Primary Surveillance for Intraductal Papillary Mucinous Neoplasm
Christy E. Cauley, Avon, IN

Novel Susceptibility Loci for Primary Sclerosing Cholangitis Identified by Genome-Wide Association and Replication Analysi
Espen Melum, Oslo Norway

23. Transesophageal Endoscopic Myotomy (TEEM) for the Treatment of Achalasia: The United States Human Experience
Ozanan R. Meireles, Boston, MA

Per Oral Endoscopic Myotomy (P.O.E.M.) for Treatment of Esophageal Motility Disorders: From Bench to Bedside
Philip W.Y. Chiu, Hong Kong China

Should Screen-Detected and Asymptomatic Celiac Disease Patients Be Treated? A Prospective and Randomized Trial
Kalle Kurppa, Tampere Finland

Cyclosporin Versus Infliximab in Severe Acute Ulcerative Colitis Refractory to Intravenous Steroids: A Randomized Trial
David Laharie, Pessac France

Telaprevir-Based Regimen in Genotype 1 Hepatitis C Virus-Infected Patients with Prior Null Response, Partial Response or Relapse to Peginterferon/Ribavirin: REALIZE Trial Final Results
Paul Pockros, La Jolla, CA
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