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46th Annual Meeting Program and Abstracts

46th Annual Meeting
MAY 14-18, 2005
Chicago, Illinois

Program Book
All rooms at McCormick Place unless otherwise indicated.

SATURDAY, May 14, 2005
7:30 AM - 3:15 PM
Residents And Fellows Research Conference
Seville West Intercontinental Hotel Chicago

SUNDAY, May 15, 2005
8:00 AM-5:00 PM
SSAT Postgraduate Course:
Pancreaticobiliary Disease: A Multidisciplinary Approach for Better Outcomes

MONDAY, May 16, 2005
8:00 AM-8:15 AM
Opening Session
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.
President, Keith D. Lillemoe, Indianapolis, IN
8:15 AM-9:15 AM
Presidential Plenary
Moderator: Henry A. Pitt, Indianapolis, IN

1. Quality of Life after Total Pancreatectomy: Is It Really That Bad on Long-Term Follow-Up?
Brian J. Billings, John D. Christein, William S. Harmsen, Florencia G. Que, Michael B. Farnell, David M. Nagorney, Michael Sarr
Mayo Clinic College of Medicine, Rochester, MN

2. Virally-Directed Fluorescent Imaging (VFI) Improves Diagnostic Sensitivity in the Detection of Minimal Residual Disease Following Potentially Curative Cytoreductive Surgery
Prasad S. Adusumilli, David P. Eisenberg, Yun Shin Chun, Keun-Won Ryu, Christopher Riedl, Karen Hendershott, Mei-Ki Chan, Leah Ben-Porat, Yuman Fong
Memorial Sloan-Kettering Cancer Center, New York, NY

3. Cost-Saving Effect of Treatment Algorithm for Chronic Anal Fissure: A Prospective Analysis
Rahila Essani, Grant Sarkisyan, Robert W. Beart, Jr., Glenn Ault, Petar Vukasin, Andreas M. Kaiser
University of Southern California, Los Angeles, CA

4. Imaging of Acute Mesenteric Ischemia Using 16-Multi-Detector Row CT and CT Angiography in a Porcine Model: Description of Disease Evolution with Surgical Correlation
David E. Rosow, Dushaynt V. Sahani, Oliver Strobel, Guido Alsfasser, Mari Mino-Kenudson, Saneeva Kalva, Sanjay Saini, Susanna I. Lee, Jack Wittenberg, Peter R. Mueller, Carlos Fernández-Del Castillo, Andrew L. Warshaw, Sarah P. Thayer
Massachusetts General Hospital, Boston, MA
9:15 AM-10:00 AM
Presidential Address
Heroes, Mentors, and Teammates

Keith D. Lillemoe
Indiana University School of Medicine, Indianapolis, IN
10:30 AM-11:15 AM
Plenary Session
Moderator: Keith D. Lillemoe
Indianapolis, IN

5. Current Techniques and Complication Rates in Pancreatic Surgery: Results of a Multiinstitutional Survey of 6 German Centers with 1083 Pancreatic Head Resections (GAST Study Group)
Frank Makowiec, Ulrich T. Hopt
University of Freiburg and GAST Study Group, Freiburg, Germany

6. Insulin Resistance Causes Human Gallbladder Dysmotility
Atilla Nakeeb, Indiana University School of Medicine, Indianapolis, IN; Anthony G. Comouzzie, Southwest Center for Biomedical Research, San Antonio, TX; Hayder Al-Azzawi, Indiana University School of Medicine, Indianapolis, IN; Gabriele E. Sonnenberg, Novo Nordisk Pharmaceuticals Incorporator, Princeton, NJ; Ahmed H. Kissebah, Medical College of Wisconsin, Milwaukee, WI; Henry A. Pitt, Indiana University School of Medicine, Indianapolis, IN

7. MELD Score Predicts Mortality in Cirrhotic Patients Undergoing Hepatic Resection for Hepatocellular Carcinoma
Swee H. Teh, Stephen S. Cha, John D. Christein, John H. Donohue, Michael L. Kendrick, Florencia G. Que, Michael B. Farnell, W. Ray Kim, Patrick S. Kamath, David M. Nagorney
Mayo Clinic, Rochester, MN
11:15 AM-12 PM
Guest Oration
Touching People's Lives

Morgan Wootten
DeMatha High School, Hyattsville, MD
12:00 PM-2:00 PM
SSAT Poster Session
Authors available at their posters to answer questions 12:00 PM-2:00 PM; posters on display 8:00 AM-5:00 PM.
Hall E
12:30 PM-1:45 PM
Meet The Professor Luncheons

Ablation vs. Resection for Malignant Liver Disease

Steven A. Curley
Houston, TX

Early Diagnosis and Treatment of Pancreatic Cancer
Charles J. Yeo
Baltimore, MD

Robotic Gastrointestinal Surgery
W. Scott Melvin
Columbus, OH
2:15 PM-3:45 PM
DDW Combined Clinical Symposium IPMN (ASGE, SSAT & AGA)

Co-Chairs: Pankaj Pasricha, Galveston, TX
Michael G. Sarr, Rochester, MN


From Pathogenesis to Pathology
N. Volkan Adsay
Ankara, Turkey

How the Gastroenterologist Sees It
Richard A. Kozarek
Seattle, WA

Surgical Treatment: Is Total Pancreatectomy Necessary or Is Surveillance Adequate?
Michael B. Farnell
Rochester, MN

2:15 PM-5:00 PM
Plenary Session

Co-Moderators: Steven J. Stryker, Chicago, IL
Steven A. Curley, Houston, TX


8. Colonoscopic Perforations: A Retrospective Review
Corey William Iqbal, Mayo Clinic, Rochester, MN; Yun Shin Chun, Memorial Sloan Kettering, New York, NY; David Farley, Mayo Clinic, Rochester, MN

9. Development of an Innovative Colorectal Database for Structured Audit in Colorectal Cancer Surgery
Giampaolo Ugolini, Giancarlo Rosati, Isacco Montroni, Simone Zanotti, Antonio Caira, Marco Del Governatore, Luca Giampaolo, Mario Taffurelli, Policlinico S.Orsola-Malpighi, University of Bologna, Bologna, Italy; Victor Pricolo, Brown University and Rhode Island Hospital, Providence, RI

10. The B-Catenin Binding Domain of the APC Gene Is Sufficient to Inhibit Polyp Formation
Michael V. Tirabassi, Gregory T. Banever, George M. Wadie, Maggie Lee, Richard B. Arenas
Baystate Medical Center, Springfield, MA

11. Molecular Absorbent Recirculating System for the Treatment of Acute Liver Failure after Major Liver Resections and before and after Orthotopic Liver Transplantation
Daniel Inderbitzin, Beat Muggli, Annette Ringger, Beat Gloor, Jürg Reichen, Daniel Candinas
University Hospital, Bern, Switzerland

12. Idiopathic Pulmonary Fibrosis: How Often Is It Really Idiopathic?
Pietro Tedesco, Jeffrey Golden, Steven Hays, Charles Hoopes, Adam T. Meneghetti, Tanuja Damani, Marco G. Patti
UCSF Medical Center, San Francisco, CA

13. Barrett's Mucosa Regresses after Anti-Reflux Surgery: Phenotypic and Genotypic Evidence
Mauro Cassaro, Giovanni Zaninotto, Massimo Rugge, Alberto Ruol, Fabio Farinati, David Baroni, Mario Costantini, Martina Ceolin, Emanuela Guirroli, Giuseppe Portale, Ermanno Ancona
Clinica Chirurgica III, Padova, Italy

14. Does the Intraoperative Peritoneal Lavage Cytology Add Prognostic Information in Patients with Potentially Curative Gastric Resection?
Ulysses Ribeiro, Jr., Adriana Vaz Safatle-Ribeiro, Donato Mucerino, Osmar Yagi, Katia Adriana Tessima Franco, Uana Maria Miguel Jorge, Gladis Wilner, Kiyoshi Iriya, Carlos Eduardo Jacob, Claudio Bresciani, Bruno Zilberstein, Joaquim Jose Gama-Rodrigues
University of Sao Paulo, School of Medicine, Sao Paulo, Brazil

15. Chronic Ethanol Exposure Promotes MEK-ERK Dependent Growth in Human Hepatocellular Carcinoma (HCC)
Matthew Hennig, Patrick J. Klein, Alex Menze, Jesus Matos, Indiana University, Indianapolis, IN; Jean Campbell, Nelson Fausto, University of Washington, Seattle, WA; Iain McKillop, University of North Carolina, Charlotte, NC; Jim Sitzmann, C. Max Schmidt, Indiana University, Indianapolis, IN

16. Contrast-Enhanced Intraoperative Ultrasound (CE-IOUS) During Surgery for Liver Tumours: Results of a Prospective Study
Marco Montorsi, Guido Torzilli
University of Milano, Milano, Italy

17. Regulation of Amino Acid Arginine Transport by Lipopolysaccharide and Nitric Oxide Synthesis in Intestinal Epithelial IEC-6 Cells
Qinghe Meng, Haroon M. Choudry, Anne M. Karinch, Chengmao Lin, Ming Pan
The Pennsylvania State University College of Medicine, Hershey, PA

18. The Best Laparoscopic Bariatric Operation for Older Patients: Comparison of Outcome after the Band, Vertical Gastrectomy (VG), Roux-en-Y Gastric Bypass (RGB), and Duodenal Switch (DS) Operations
Crystine M. Lee, Janos Taller, John J. Feng, Paul T. Cirangle, Gregg H. Jossart
California Pacific Medical Center, San Francisco, CA

2:15 PM-5:30 PM
SSAT/AGA/ASGE State-Of-The-Art Conference
Room N426ab

Current Management of Pancreatic Islet Cell Tumors
Moderator: Herbert Chen
Madison, WI

Current Surgical Management of Pancreatic Islet Cell Tumors (PICT): Overview of Recent Advances and Diagnoses
Robert T. Jensen
Bethesda, MD

Surgery for Primary Neuroendocrine Tumors
Jeffrey A. Norton
Stanford, CA

Treatment of Isolated Liver Metastases
Bryan M. Clary
Durham, NC

Therapy with Radiolabeled Somatostatin Analogs
David Bushnell
Iowa City, IA

Therapeutic and Palliative Options for Diffuse Metastatic Disease
Kyle Holen
Madison, WI
4:00 PM-5:30 PM
DDW Combined Clinical Symposia

Reflux: Surgical Vs. Medical Vs. Endoscopic Management (SSAT, ASGE, AGA)

Co-Chairs: Carlos A. Pellegrini
Seattle, WA

Richard I. Rothstein
Lebanon, NH


Medical Treatment of GERD
M. Brian Fennerty
Portland, OR

Endoscopic Treatment of GERD
George Triadafilopoulos
Palo Alto, CA

Surgical Treatment of GERD
Jeffrey H. Peters
Rochester, NY

Treatment Of Chronic Pancreatic Pain (ASGE, AGA, SSAT)
Co-Chairs: Todd H. Baron
Gainesville, FL

Phillip P. Toskes
Gainesville, FL


Medical Management of Chronic Pancreatitis
James H. Grendell
New York, NY

Surgcal Management of Chronic Pancreatitis
Andrew M. Lowy
Cincinnati, OH

Endoscopic Management of Chronic Panreatitis
Mark D. Topazian
Rochester, MN

TUESDAY, May 17, 2005
7:00 AM-8:15 AM
Video Breakfast Session
Moderator: David M. Mahvi
Madison, WI

Endoscopic Resection Techniques
Jeffrey L. Ponsky
Cleveland, OH

Laparoscopic Distal Pancreatectomy for Cystic Tumors
Attila Nakeeb, Indianapolis, IN

Laparoscopic Distal Pancreatectomy with Splenic Preservation
Aurora D. Pryor
Durham, NC

Laparoscopic-Assisted Abdominoperineal Resection with Posterior Vaginectomy for Anal Epidermoid Cancer Unresponsive to Chemoradiotherapy
Jeffrey Wood Milsom
New York, NY
8:30 AM-10:00 AM
Public Policy Committee Panel
Technology in Gastrointestinal Disease
Moderator: Richard A. Prinz, Chicago, IL

Current and Future Technology
Richard M. Satava
Seattle, WA

Gastrointestinal Applications of Robotics and Virtual Reality
Jacques Marescaux
Strasbourg, France

Cost Effectiveness
Mark A. Talamini
Baltimore, MD
8:30 AM-10:00 AM
SSAT/AHPBA Joint Symposium

Advances in Liver Resection for Metastasis

Moderator: C. Wright Pinson
Nashville, TN

Selection of Patients (Non-Colorectal Mets, Neuroendocrine, etc.)

N. Joseph Espat
Chicago, IL

Novel Image Analysis Techniques Unraveling Liver Anatomy and Volumes Prior to Liver Resection
Christoph Wald
Burlington, MA

Surgical Techniques (Comparing Hydrojet, CUSA, TissueLink, and Kelly Clamp +/- Pringle)
Pierre-Alain Clavien
Zurich, Switzerland

Anesthesia Management for Liver Resection
Ann Walia
Nashville, TN
10:30 AM-11:15 AM
Plenary Session
Co-Chairs: Barbara L. Bass
Baltimore, MD

Susan Galandiuk
Louisville, KY


19. Pancreaticoduodenectomy Following Placement of Expandable Metal Stents
John T. Mullen, Henry F. Gomez, Jeffrey H. Lee, William A. Ross, Eddie K. Abdalla, Jean-Nicolas Vauthey, Jeffrey E. Lee, Peter W.T. Pisters, Douglas B. Evans
University of Texas M.D. Anderson Cancer Center, Houston, TX

20. Laparoscopic Versus Standard Appendectomy: Outcomes and Cost Comparisons in the Private Sector of a Developing Country—Better Operation for the Patients, Surgeons, Payers or Endosurgery Industries?
Claudio Jose Caldas Bresciani, Rodrigo Oliva Perez, Alberto Ozaki, Carlos Eduardo Jacob, Renato Iwashita, Angelita Habr-Gama, Joaquim Gama-Rodrigues
University of Sao Paulo Surgery of the Alimentary Tract Division, Sao Paulo, Brazil

21. Effects of Gastric Bypass Procedures on Bone Mineral Density, Parathyroid Hormone and Vitamin D
Jason Michael Johnson, James W. Maher, Virginia Commonwealth University, Richmond, VA; Isaac Samuel, Debi Heitshusen, Cornelius Doherty, Robert W. Downs
University of Iowa, Iowa City, IA; Virginia Commonwealth University, Richmond, VA
11:15 AM-12:00 PM
State-Of-The-Art Lecturer
AgeLess: Taking Control of Your Aging

Edward L. Schneider, MD
University of Southern California, Los Angeles, CA
12:30 PM-1:45 PM
Meet The Professor Luncheons

Laparoscopic Hernia Repair
Jon C. Gould
Madison, WI

Management of Biliary/GB Carcinoma
Yuman Fong
New York, NY
Management of IBD
Fabrizio Michelassi
New York, NY
Hyatt Regency McCormick CC24A
2:15 PM-3:45 PM
DDW Combined Clinical Symposia

Management of Ampullary Adenoma/Carcinoma
Co-Chairs: Theodore N. Pappas
Durham, NC

Douglas A. Howell
Portland, ME


Incidence and Natural History of Ampullary Adenomas: Surveillance Strategies and Possible Medical Rx
Thierry Ponchon
Lyon, France

Pre-Removal Evaluation-Which Lesions, When and By Whom?
Nicholas J. Nick
Lexington, KY

Endoscopic Removal Techniques and Experience: What Do Experts Say?
Christopher J. Gostout
Rochester, MN

Surgical Removal When Endoscopy Fails: Can We Do Less Than Whipple?
Theodore N. Pappas
Durham, NC

The Cutting Edge: Endoscopic Treatment of Very Large Polyps, Introductal Tumors or Early Cancers
Douglas A. Howell
Portland, ME

Management of Barrett's Associated Dysplasia (AGA, ASGE, SSAT)
Co-Chairs: Prateek Sharma
Kansas City, MO

Kenneth K. Wang
Rochester, MN


Considerations for Therapeutic Options and Potential of Medical Therapy
Stuart Spechler
Dallas, TX

Endoscopic Therapy for Dysplasia: When and How?
Kenneth K. Wang
Rochester, MN

Surgical Therapy
Jeffrey H. Peters
Rochester, NY

Challenging Cases
Prateek Sharma
Kansas City, MO
2:15 PM-3:30 PM
Plenary Session
Co-Moderators: Sharon M. Weber
Madison, WI

Michel M. Murr
Tampa, FL


22. Impact of Reflux Composition on Mucosal Injury and Esophageal Function
Daniel S. Oh, Martin Fein, Jeffrey A. Hagen, Steven R. Demeester, Cedric Bremner, Tom R. Demeester
University of Southern California, Los Angeles, CA

23. 48-Hour pH Monitoring Increases Sensitivity in Detecting Gastroesophageal Reflux Disease
Daniel Tseng
Oregon Health and Sciences University, Portland, OR

24. Changes in Visceral Adipose Tissue Volume and Inflammatory Mediators Affect Insulin Sensitivity
Nana Gletsu, Edward Lin, Leena Khaitan, Bruce Ramshaw, Thomas R. Ziegler, Dimitris Papanicolaou, C. Daniel Smith
Emory University, Atlanta, GA

25. Epithelial NFkB Activation Is Critical in TNF Mediated Increases in Intestinal Tight Junction Permeability
Christopher J. Chow, Zheng Zhang, Yueming Tang, David Ivancic, Terrence Barrett, Jonathan P. Fryer
Northwestern University, Chicago, IL

26. Is Roux-en-Y Gastric Bypass Surgery the Most Effective Treatment for Type 2 Diabetes Mellitus in Morbidly Obese Patients?
Alfonso Torquati, Rami Lutfi, Naji Abumrad, William O. Richards
Vanderbilt University Medical Center, Nashville, TN
3:30 PM-5:00 PM
SSAT/ASCRS Joint Symposium

What's New in the Management of Anal Disease?

Moderator: Robin S. McLeod
Toronto, Canada

Stapled Hemorrhoidectomy
Michael J. Stamos
Orange, CA

Chemical Sphincterotomy in the Management of Anal Disease
Anthony R. MacLean
Calgary, Canada

Role of Fibrin Glue in the Management of Simple and Complex Fistula in Ano
David W. Dietz
St Louis, MO

How Should Complex Crohn's Disease Be Treated in the Remicade Era?
Lisa S. Poritz
Hershey, PA
4:00 PM-5:30 PM
DDW Combined Clinical Symposium

Bariatric Surgery and Non-Alcoholic Fatty Liver Disease (AASLD, SSAT)
Co-Chairs: Arthur J. McCullough
Cleveland, OH

Bruce D. Schirmer
Charlottesville, VA


Fatty Liver in Obesity-What We Know and Don't Know
Zobair M. Younossi
Falls Church, VA

Techniques and Controversies on Bariatric Operations
Daniel B. Jones
Boston, MA

The Effect of Bariatric Surgery on Fatty Liver Disease and the Metabolic Syndrome
Michel M. Murr
Tampa, FL

Bariatric Surgery as a Clinical Research Tool for Fatty Liver Disease
Nathan M. Bass
San Francisco, CA
5:00 PM-6:00 PM
SSAT Business Meeting
7:00 PM-9:00 PM
SSAT Members Reception
The Rookery Building

WEDNESDAY, May 18, 2005
8:30 AM-10:00 AM
Plenary Session
Co-Moderators: Mark P. Callery
Boston, MA

William H. Nealon
Galveston, TX


27. Pancreaticoduodenectomy With or Without Distal Gastrectomy and Extended Retroperitoneal Lymphadenectomy for Periampullary Adenocarcinoma, Part 3: Update on 5-Year Survival
Taylor Sohn Riall, John L. Cameron, Johns Hopkins, Baltimore, MD; Keith D. Lillemoe, Indiana University, Indianapolis, IN; Kurtis A. Campbell, Patricia K. Sauter, Joann Coleman, Johns Hopkins, Baltimore, MD; Ross A. Abrams, Rush University Medical Center, Chicago, IL; Ralph H. Hruban, Charles J. Yeo, Johns Hopkins, Baltimore, MD

28. A Prospective Comparison of Endorectal Ultrasound and Pelvic Magnetic Resonance in the Preoperative Staging of Rectal Cancer
Paolo Pietro Bianchi, Chiara Ceriani, Matteo Rottoli, Marco Montorsi
Istiutuo Clinico Humanitas, Rozzano, Italy

29. Esophagogastrectomy: The Influence of Stapled vs. Hand-Sewn Anastomosis on Outcome
Abdollah Behzadi, Francis Charles Nichols, Stephen D. Cassivi, Claude Deschamps, Mark S. Allen, Peter C. Pairolero
Mayo Clinic College of Medicine, Rochester, MN

30. Incidence, Predictive Factors and Management of Biliary Leakage after Hepaticojejunostomy
S.M.M. De Castro, K.F.D. Kuhlmann, O.M. Van Delden, O.R.C. Busch, J.S. Laméris, T.M. Van Gulik, H. Obertop, D.J. Gouma
Academic Medical Center, Amsterdam, Netherlands

31. Pancreas-Sparing Duodenectomy: Effective Management for Familial Adenomatous Polyposis
Richard Mackey, Richard Matthew Walsh, Raphael Chung, Andrew Smith, Nancy Brown, James Church, Carol Burke
Cleveland Clinic Foundation, Cleveland, OH

32. Cellular Stress Response Induced by 5-Fluorouracil Potentiates the Efficacy of Oncolytic Herpes Viral Gene Therapy in the Treatment of Pancreas Cancer
David P. Eisenberg, Prasad S. Adusumilli, Zhenkun Yu, Mei-Ki Chan, Karen Hendershott, Ting-Chao Chou, Yuman Fong
Memorial Sloan-Kettering Cancer Center, New York, NY
8:30 AM-10:00 AM
Education Committee Panel

Acquiring and Maintaining New Skills in an Era of External Standards

Moderator: Gordon L. Telford
Milwaukee, WI

The Viewpoint of the American College of Surgeons
Ajit K. Sachdeva
Chicago, IL

The Viewpoint of the American Board of Medical Specialties
Stephen Miller
Evanston, IL

Do Skills Labs Do What They're Supposed to Do?
Helen M. MacRae
Toronto, Canada
10:30 AM-12:00 PM
DDW Combined Clinical Symposium
Minimally Invasive Approaches to Colorectal Cancer
Co-Chairs: Heidi Nelson
Rochester, MN

Michael B. Wallace
Jacksonville, FL


Laparoscopic Colectomy and Beyond
Peter W. Marcello
Burlington, MA

Local Excision for Rectal Cancer: Does It Have a Future?
Nancy N. Baxter
Minneapolis, MN

Endoscopic Resection of Early Colorectal Cancer
Paul Hurlstone
Sheffield, England

Endoscopic Stenting of Advanced Colorectal Cancer
Todd H. Baron
Rochester, MN
10:30 AM-12:00 PM
Plenary Session
Co-Moderators: Nathaniel J. Soper
Chicago, IL

Natalie E. Joseph
Philadelphia, PA


33. Advantages of Laparoscopic Appendectomy in the Elderly of North Carolina
Andrew Harrell, Yuri Novitsky, Amy Lincourt, Michael Rosen, Kent Kercher, B. Todd Heniford
Carolinas Medical Center, Charlotte, NC

34. Abdominal Insufflation with CO2 Causes Peritoneal Acidosis Independent of Systemic pH
Eric J. Hanly, Joseph M. Fuentes, Alexander R. Aurora, Samuel P. Shih, Michael R. Marohn, Antonio De Maio, Mark A. Talamini
Johns Hopkins University, Baltimore, MD

35. A New Access Device for Transgastric Surgery
Lee Swanstrom, Oregon Health Science University, Portland, OR; Richard Kosarek, Virginia Mason Medical Center, Seattle, WA; Pankaj J. Pasricha, University of Texas, Galveston, TX; Stephen Gross, Oregon Health Science University, Portland, OR; Per-Ola Park, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden; Vahid Sadaat, Chris Rothe, USGI Medical, San Clemente, CA; Paul Swain, Imperial College, London, United Kingdom

36. Increased Risk of Lymph Node Metastasis in T3 Colon Cancers with Decreased Thymidylate Synthase Expression
Avo Artinyan, Jeffrey P. Lake, Joseph W. Nunoo-Mensah, Rahila Essani, Andreas M. Kaiser, Robert W. Beart, Jr.
University of Southern California, Los Angeles, CA

37. Robotic-Assisted Heller Myotomy vs. Laparoscopic Heller Myotomy for Treatment of Esophageal Achalasia: Multicenter Study
Santiago Horgan, Carlos Galvani, Maria V Gorodner, UIC, Chicago, IL; Pablo Omelanczuck, Hospital Italiano, Mendoza, Argentina; Fernando Ellis, Hospital de Clinicas Jose de San Martin, Capital Federal, Argentina; Federico Moser, UIC, Chicago, IL; Luis Durand, Miguel Caracoche, Pedro Ferraina, Hospital de Clinicas Jose de San Martin, Capital Federal, Argentina

38. The Split-Stomach Fundoplication after Esophagogastrectomy
Vic Velanovich
Henry Ford Hospital, Detroit, MI
12:00 PM-3:00 PM
SSAT/SAGES Joint Symposium

Re-Operative Surgery: Is There Still a Role for Minimally Invasive Approaches?
Co-Moderators: David W. Rattner
Boston, MA

Stephen Eubanks
Columbia, MO


Reoperative Antireflux Surgery
Carlos A. Pellegrini
Seattle, WA

Reoperative Ventral Hernia Surgery
Bruce J. Ramshaw
Columbia, MO

Reoperative Biliary Surgery
Jeffrey L. Ponsky
Cleveland, OH

Reoperative Surgery for Crohn's Disease
Anthony J. Senagore
Cleveland, OH

Case Presentation #1
A patient presents with Sigmoid Colon Cancer without evidence of metastatic disease. The tumor is located within the mid sigmoid colon and the patient has no other significant co-morbidities.
Moderator: David W. Rattner
Boston, MA

Why This Operation Should Be Performed Laparoscopically
Kirk A. Ludwig
Durham, NC

Why This Operation Should Not Be Performed Laparoscopically
James W. Fleshman
St. Louis, MO

Case Presentation #2
The same patient presents with a recurrence at the anastomosis 2 years later

Moderator: David W. Rattner
Boston, MA

Why Laparoscopy Is a Reasonable Approach
Peter W. Marcello
Burlington, MA

Why the Operation Should Be Performed Open
John H. Marks
Wynnewood, PA

Case Presentation #3
One year later the patient presents with a 4 cm metastatic lesion in segment 3 of the liver.
Moderator: Stephen Eubanks
Columbia, MO

Why the Liver Should Be Resected Laparoscopically
Yuman Fong
New York, NY

Why the Liver Should Be Approached via an Open Procedure
Ravi S. Chari
Nashville, TN

Case Presentation #4
One year after liver resection, the patient presents with 5 metastatic lesions with disease in both lobes of the liver. The largest metastatic lesion measures 3 cm in diameter.
Moderator: Stephen Eubanks
Columbia, MO

Laparoscopic or Percutaneous Ablation Is the Optimal Approach
Paul S. Dale
Columbia, MO There Is No Role for Laparoscopy in the Management of This Patient
W. Scott Helton
Chicago, IL
12:30 PM-1:45 PM
Meet The Professor Luncheons

Bariatric Surgery Band vs. Laparoscopic Bypass

Bruce D. Schirmer
Charlottesville, VA

Colorectal Cancer Staging
Theodore J. Saclarides
Chicago, IL
Hyatt Regency McCormick CC24A

Laparoscopic Colon Resection
Steve Eubanks
Columbia, MO
2:15 PM-3:45 PM
DDW Combined Clinical Symposium Fistulizing Crohn's Disease (AGA, SSAT)
Co-Chairs: Bruce E. Sands
Boston, MA

Fabrizio Michelassi
New York, NY


Radiologic Evaluations of Fistulizing Crohn's Disease
J.G. Fletcher
Rochester, MN

Surgical Approaches to Fistulizing Crohn's Disease
John H. Pemberton
Rochester, MN

Society for Surgery of the Alimentary Tract

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