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Article
Surgeon variability in repair of hiatal hernia at the time of bariatric surgery
Hiatal hernia (HH) is estimated to affect between 20 and 50% of patients undergoing bariatric surgery. However, there is no consensus regarding the preoperative assessment and intraoperative repair of HH. The ...
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Article
Increased bleeding risk with enoxaparin venothromboembolism prophylaxis compared with heparin in patients undergoing bariatric surgery
Perioperative venothromboembolism (VTE) chemoprophylaxis is an established tenant of bariatric surgery; however, there is little comparative data to guide medication choice. The objective of this study was to ...
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Chapter
Peroral Endoscopic Myotomy (POEM)
A novel procedure, combining the efficiency of endoscopic access with the reliability of surgical myotomy, per-oral endoscopic myotomy (POEM) represents a paradigm shift in the management of idiopathic achalas...
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Chapter
Peroral Endoscopic Myotomy (POEM)
This chapter describes preoperative work-up, operative planning, and the technique of peroral endoscopic myotomy for achalasia, as well as utilizing EndoFLIPTM and troubleshooting difficult situations.
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Article
Addressing the gap in laparoscopic common bile duct exploration training for rural surgeons: imparting procedural ability is not enough
Laparoscopic common bile duct exploration (LCBDE) is an underutilized therapy for choledocholithiasis. The driving factors of this practice gap are poorly defined. We sought to evaluate the attitudes and pract...
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Article
Complications and Readmissions Associated with First Assistant Training Level Following Elective Bariatric Surgery
Little is known regarding the variation in training level and potential clinical impact of the first assistant in bariatric surgery. We describe the postoperative 30-day complications and readmissions followin...
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Article
Intraoperative use of FLIP is associated with clinical success following POEM for achalasia
Esophagogastric junction distensibility index (DI), measured using the functional luminal imaging probe (FLIP), correlates with symptomatic outcomes after interventions for achalasia. The objective of this stu...
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Article
Intraoperative FLIP distensibility during POEM varies according to achalasia subtype
The functional luminal imaging probe (FLIP) can be used to measure the esophagogastric junction distensibility index (DI) during myotomy for achalasia and increased DI has been shown to predict superior clinic...
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Article
Intraoperative assessment of esophageal motility using FLIP during myotomy for achalasia
The functional luminal imaging probe (FLIP) can evaluate esophagogastric junction (EGJ) distensibility and esophageal peristalsis in real time. FLIP measurements performed during diagnostic endoscopy can accur...
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Article
Post-Operative Complications and Readmissions Associated with Smoking Following Bariatric Surgery
The link between smoking and poor postoperative outcomes is well established. Despite this, current smokers are still offered bariatric surgery. We describe the risk of postoperative 30-day complications and r...
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Chapter
Per-oral Endoscopic Myotomy
Per-oral endoscopic myotomy is an accepted procedure for the treatment of achalasia. Pre-procedure workup should include upper endoscopy, esophagram, and high-resolution manometry. The procedure is performed i...
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Chapter
Achalasia Management: Botox, Dilation, Peroral Esophageal Myotomy (POEM), Peroral Pyloromyotomy (POP)
Achalasia is an esophageal motility disorder characterized by a non-relaxing lower esophageal sphincter and absent or significantly altered peristalsis. The underlying cause of most cases is unknown, with a sm...
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Chapter
Mastery Learning of Surgical Skills
Simulation-based mastery learning (SBML) is a powerful tool for teaching both technical and cognitive skills. In medical education, SBML has been used effectively to teach a number of procedural skills. Simula...
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Article
Open AccessAn institution-wide approach to submission, review, and funding of simulation-based curricula
This article describes the development, implementation, and modification of an institutional process to evaluate and fund graduate medical education simulation curricula. The goals of this activity were to (a)...
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Chapter
Surgical Technique and Difficult Situations from Nathaniel J. Soper
The upside-down stomach (UDS) is a rare presentation of a Type III paraesophageal hernia with organo-axial rotation. Symptoms typically manifest as postprandial chest pain or dysphagia. Laparoscopic paraesopha...
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Article
Evaluation of the need for routine esophagram after peroral endoscopic myotomy (POEM)
Peroral endoscopic myotomy (POEM) is a novel surgical option for the treatment of achalasia. Most centers perform a routine esophagram on postoperative day (POD) #1 to rule esophageal perforation and leaks. In...
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Article
Esophagogastric junction distensibility measured by a functional lumen imaging probe with incremental gastric myotomy lengths in achalasia
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Article
The effect of incremental distal gastric myotomy lengths on EGJ distensibility during POEM for achalasia
During peroral esophageal myotomy (POEM) for the treatment of achalasia, the optimal distal gastric myotomy length is unknown. In this study, we used a functional lumen imaging probe (FLIP) to intraoperatively...
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Chapter
Management of Suspected Choledocholithiasis on Intraoperative Cholangiography
Choledocholithiasis is a frequently encountered problem on intraoperative cholangiography at the time of laparoscopic cholecystectomy. While numerous strategies have been described for dealing with this intrao...
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Article
Symptom Relief After Laparoscopic Paraesophageal Hernia Repair Without Mesh
Laparoscopic repair of paraesophageal hernia (LPEHR) is considered today the standard of care for this condition. While attention has been mostly focused on the incidence of postoperative radiologic recurrence...
