49th Annual Meeting
SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT
May 17 – 21, 2008
San Diego Convention Center – San Diego, California
during Digestive Disease Week^®

Final Program

All rooms at the San Diego Convention Center unless otherwise indicated.

	indicates a ticketed session requiring a separate registration and fee.
	indicates the 21 papers also being presented at the Residents & Fellows Research Conference. Participation in and attendance at this conference is by invitation only.

Program and Abstracts | Posters

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WEDNESDAY, 5/21/2008
7:00 AM – 8:30 AM		SSAT/ISDS JOINT BREAKFAST SYMPOSIUM HOW I DO IT: AROUND THE WORLD IN 90 MINUTES (25ABC) Moderators: Mark P. Callery, Boston, MA Fabrizio Michelassi, New York, NY SP69 Laparoscopic Proctocolectomy with J-Pouch Ileo-Anal Anastomosis Tonia M. Young-Fadok, Scottsdale, AZ SP70 Advanced Liver Resections Chung-Mau Lo, Hong Kong, China SP71 Laparoscopic Sleeve Gastrectomy Herbert Freund, Jerusalem, Israel SP72 Debridment for Infected Pancreatic Necrosis Claudio Bassi, Verona, Italy SP73 Laparoscopic Paraesophageal Hernia Repair: Facts and Myths Marco G. Patti, San Francisco, CA Audience Discussion
8:30 AM – 10:00 AM		EDUCATION COMMITTEE PANEL TEACHING SAFETY IN THE OR (24ABC) Moderator: Daniel B. Jones, Boston, MA SP74 Learning from Errors and Near Misses Caprice Christian Greenberg, Boston, MA SP75 Aviation Richard C. Karl, Tampa, FL SP76 Who Belongs in the OR? (Who’s In and Who’s Out?) Debra L. Sudan, Omaha, NE SP77 Building More Effective Teams in Surgery Donald W. Moorman, Boston, MA Q&A
8:30 AM – 10:00 AM		TRANSLATIONAL SCIENCE PLENARY (PLENARY SESSION VI) (25ABC) Moderators: Frank Makowiec, Freiburg, Germany Edward E Whang, Boston, MA O29 The Role of ERCC1 RNA Expression in Blood as a Non-Invasive Predictor of Response to Neadjuvant Radio-Chemotherapy in Patients with Locally Advanced Cancer of the Esophagus Jan Brabender*1, Daniel Vallböhmer1, Frederike C. Ling1, Andreas C. Hoffmann1, Georg Lurje1, Elfriede Bollschweiler1, Arnulf H. Hölscher1, Paul M. Schneider2, Ralf Metzger1 1Department of Surgery, University of Cologne, Cologne, Germany; 2Department of Surgery, University of zuerich, Zuerich, Switzerland O30 Strong Prognostic Value of Nodal Microinvolvement in Patients with Carcinoma of the Papilla of Vater Receiving No Adjuvant Chemotherapy Dean Bogoevski*, Paulus G. Schurr, Jussuf T. Kaifi, Guell Cataldegirmen, Oliver Mann, Yogesh K. Vashist, Emre F. Yekebas, Jakob R. Izbicki General, Visceral and Thoracic Surgery, University Clinic Hamburg-Eppendorf, Hamburg, Germany O31 The Prognostic Superiority of Log Odds of Lymph Nodes in Stage III Colon Cancer Jiping Wang*1,2, James M. Hassett1, Merril T. Dayton1, Mahmoud N. Kulaylat1 1Department of Surgery, State University of New York at Buffalo, Buffalo, NY; 2Department of Biostatistics, State University of New York at Buffalo, Buffalo, NY O32 High Expression of Heparanase Is Significantly Associated with Dedifferentiation and Lymph Node Metastasis in Patients with Pancreatic Ductal Adenocarcinomas and Correlated to PDGFA and via HIF1a to HB-EGF and bFGF Andreas C. Hoffmann*1,2, Ryutaro Mori1, Daniel Vallbohmer2, Jan Brabender2, Uta Drebber3, Stephan E. Baldus5, Mizutomo Azuma1, Ralf Metzger2, Christina Hoffmann4, Arnulf H. Hölscher2, Kathleen D. Danenberg6, Klaus L. Prenzel2, Peter V. Danenberg1 1Department of Biochemistry and Molecular Biology and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA; 2Department of Visceral and Vascular Surgery, University of Cologne, Cologne, Germany; 3Department of Pathology, University of Cologne, Cologne, Germany; 4Department of Cardiology, Nuclear Medicine and Molecular Imaging, Heart Center North Rhine-Westphalia,, Bad Oeynhausen, Germany; 5Department of Pathology, University of Düsseldorf, Düsseldorf, Germany; 6Response Genetics Inc, Los Angeles, CA O33 VEGF Gene Therapy Improves Anastomotic Healing in the Gastrointestinal Tract: Applications in Esophageal Surgery Kristian Enestvedt*1, Shelley R. Winn1, Brian S. Diggs1, Luke Hosack1, Barry Uchida2, Robert W. O'Rourke1, Blair A. Jobe1 1Department of Surgery, Oregon Health and Science University, Portland, OR; 2Dotter Institue, Department of Interventional Radiology, Oregon Health and Science University, Portland, OR O34 Loss of Heterozygosity Portends Poor Survival of Patients with Resected Periampullary Cancer Jan Franko*1, Alyssa M. Krasinskas2, Marina N. Nikiforova2, Yuri E. Nikiforov2, Steven J. Hughes1, Kenneth K. Lee1, David L. Bartlett1, Herbert Zeh1, Arthur J. Moser1 1Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA; 2Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA
10:30 AM – 12:00 PM		DDW COMBINED CLINCIAL SYMPOSIUM THE BIG POLYP: WHO OWNS IT? (Ballroom 20A) Sponsored by: ASGE, SSAT, AGA Moderators: Marcia R. Cruz-Correa, San Juan, PR Peter W. Marcello, Burlington, MA SP78 Endoscopic Mucosal Resection for Colorectal Polyps Michael B. Wallace, Rochester, MN SP79 Transendoscopic Mucosal Resection for Rectal Polyps Theodore J. Saclarides, Chicago, IL SP80 Endoscopic Submucosal Dissection for Colorectal Polyps: How I Do It Mainor R. Antillon, Columbia, MO
10:30 AM – 12:00 PM		PLENARY SESSION VII (25ABC) Moderators: O. Joe Hines, Los Angeles, CA Blair A. Jobe, Portland, OR O35 Long-Term Results After Minimally Invasive Repair of Giant Paraesophageal Hernia in 105 Patients Katie S. Nason*, James D. Luketich, Rodney J. Landreneau, Irfan Qureshi, Samuel B. Keeley, Shannon E. Trainor, Manisha Shende, Arjun Pennathur Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, PA O36 Perioperative Treatment with Infliximab (IFX) in Patients with Crohn’s (CD) and Ulcerative Colitis (UC) Is Not Associated with Increased Rate of Postoperative Complications Hiroko Kunitake*1, Richard Hodin1, Paul C. Shellito1, Bruce E. Sands2, Joshua R. Korzenik2, Liliana Bordeianou1 1Surgery, Massachusetts General Hospital, Boston, MA; 2Gastroenterology, Massachusetts General Hospital, Boston, MA O37 Use of Infliximab Within Three Months Prior to Ileocolonic Resection Is Associated with Significant Adverse Postoperative Outcomes in Crohn’s Patients Kweku A. Appau*, Victor W. Fazio, James M. Church, Bo Shen, Feza H. Remzi, Scott A. Strong, Bret Lashner, Takayuki Yamamoto, Paris P. Tekkis, Jeffery Hammel, Ravi P. Kiran Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, OH O38 Selective Management of Iatrogenic Colonoscopic Perforations Dimitrios V. Avgerinos*, Omar H. Llaguna, Andrew Y. Lo, I. Michael Leitman Surgery, Beth Israel Medical Center, New York, NY O39 Pancreatic Fistula Rates After 442 Distal Pancreatectomies: Staplers Do Not Decrease Fistula Rates Cristina R. Ferrone*, Andrew L. Warshaw, J. Ruben Rodriguez, Sarah P. Thayer, Carlos Fernandez-Del Castillo Surgery, Massachusetts General Hospital, Boston, MA O40 Reoperation for Recurrent Pain Following Failed Primary Operation in Chronic Pancreatitis Jeffrey S. Browne1, Nicholas J. Zyromski1, Harish Lavu1, Marshall S. Baker2, James A. Madura1, Thomas J. Howard*1 1Surgery, Indiana University, Indianapolis, IN; 2Surgery, Northwestern University, Chicago, IL
10:30 AM – 12:00 PM		VIDEO SESSION III: NOTES: WHERE ARE WE TODAY? (27B) Moderators: Brian J. Dunkin, Houston, TX Nathaniel J. Soper, Chicago, IL V15 NOTES: Dissection of the Critical View of Safety During Transcolonic Cholecystectomy Edward Auyang*1, Khashayar Vaziri1, Eric S. Hungness1, John A. Martin2, Nathaniel J. Soper1 1Dept of Surgery, Northwestern University, Chicago, IL; 2Gastroenterology, Northwestern University, Chicago, IL V16 Single Port Access (SPA) Cholecystectomy Paul G. Curcillo, Erica R. Podolsky*, Steven J. Rottman Surgery, Drexel University College of Medicine, Philadelphia, PA V17 Single Incision Laparoscopic Cholecystectomy Using Flexible Endosocopy Glenn Forrester*, John N. Afthinos, Eugenius J. Harvey, Steven Binenbaum, Grace J. Kim, Julio Teixeira Minimally Invasive Surgery, St. Luke's-Roosevelt Hospital Center, New York, NY V18 NOTES-Assisted Roux-en-Y Gastric Bypass Monika E. Hagen*1, Francois Pugin1, Oliver J. Wagner2, Paul Swain3, Nicolas C. Buchs1, Priya a. Jamidar5, Margherita Cadeddu4, Jean Fasel6, Philippe Morel1 1Digestive Surgery, University Hospital Geneva, Geneva, Switzerland; 2Department of Visceral and Transplantation Surgery, University Bern, Bern, Switzerland; 3Imperial College, London, United Kingdom; 4Department of Surgery, McMaster University, Hamilton, ON, Canada; 5Section of Digestive Diseases, Yale University, New Haven, CT; 6Division of Anatomy, University Geneva, Geneva, Switzerland V19 Reverse NOTES: Transgastric ERCP Yoav Mintz, Santiago Horgan, Thomas J. Savides, John Cullen*, Bryan J. Sandler, Garth R. Jacobsen, Mark A. Talamini Dept of Surgery, University of California, San Diego, San Diego, CA
12:00 PM – 2:00 PM		POSTER SESSION III (Sails Pavilion) 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		SSAT/SAGES JOINT LUNCHEON SYMPOSIUM: THE GASTROINTESTINAL ANASTOMOSIS: EVIDENCE VS. TRADITION (25ABC) Moderators: David W. McFadden, Burlington, VT Mark A. Talamini, San Diego, CA THE ESOPHAGEAL ANASTOMOSIS SP81 Traditional Methods to Prevent Leak Daniel Raymond, Rochester, NY SP82 How Improving Blood Supply Affects Leak Rate Kevin M. Reavis, Orange, CA Q&A   THE PANCREATIC ANASTOMOSIS: THE DANGER OF A LEAK SP83 Which Anastomotic Technique Is Better? David B. Adams, Charleston, SC SP84 Stents, Glue, Etc.: Is Anything Proven to Help Prevent Leaks/Fistulae? Richard D. Schulick, Baltimore, MD SP85 Defining, Controlling, and Treating a Fistula David M. Mahvi, Madison, WI Q&A   THE COLON ANASTOMOSIS: DIVERSION OR PRIMARY ANASTOMOSIS SP86 Diverting Ostomy with Pouch Procedure: Should Be Done to Prevent Severe Morbidity Charles M. Friel, Charlottesville, VA SP87 Diverting Ostomy with Pouch Procedure: Causes More Morbidity Than It Prevents Mark J. Koruda, Chapel Hill, NC SP88 Colonic Trauma: Indications for Diversion vs. Repair Joseph DuBose, Los Angeles, CA Q&A   THE BARIATRIC GASTROJEJUNOSTOMY: WHEN THINGS GO WRONG SP89 Dilating the Stenotic Gastrojejunostomy After Gastric Bypass Raul J. Rosenthal, Weston, FL SP90 Leak: Reoperate, Drain, and Feed Distally Eric J. DeMaria, Durham, NC SP91 Leak: Treat with Endoscopic Stent Klaus Thaler, Columbia, MO Q&A
12:30 PM – 1:30 PM		QUICK SHOTS III (24ABC) Timothy M. Pawlik, Baltimore, MD Magesh Sundaram, Morgantown, WV QS23 Outcome of Esophagectomy Based on Surgical Subspecialty Training Brian R. Smith*, Marcelo W. Hinojosa, Kevin M. Reavis, Ninh T. Nguyen Department of Surgery, UC Irvine Medical Center, Orange, CA QS24 Optimizing Outcome Measurement in Pancreatic Surgery: Can NSQIP Measure Up? Craig P. Fischer*1,2, Thomas A. Aloia1,2, Bridget N. Fahy1,2, Stephen L. Jones1,2, Barbara L. Bass1,2 1Surgery, The Methodist Hospital, Houston, TX; 2Weill Medical College of Cornell University, New York, NY QS25 The Learning Curve of Laparoscopic Rectal Resection for Cancer: A Single-Center Experience Marco Montorsi*, Matteo Rottoli, Stefano Bona, Paolo P. Bianchi, Riccardo Rosati General Surgery, University of Milan, Istituto Clinico Humanitas IRCCS, Milan, Italy QS26 Short-Term Outcomes After Laparoscopic-Assisted Compared to Open Colectomy for Cancer Karl Y. Bilimoria*1, David J. Bentrem1, Heidi Nelson2, Steven J. Stryker1, Clifford Y. Ko3, Nathaniel J. Soper1 1Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL; 2Department of Surgery, Mayo Clinic, Rochester, MN; 3Department of Surgery, UCLA and Greater Los Angeles VA, Los Angeles, CA QS27 Patient Demographics and Surgeon Volume in Pancreatic Resection Mortality Robert W. Eppsteiner*, Nicholas Csikesz, Jennifer F. Tseng, Shimul A. Shah Surgery, University of Massachusetts, Worcester, MA QS28 Are Seasoned Surgeons Still Safe in a Laparoscopic Surgical Crisis? Kinga A. Powers*1,2, Scott Rehrig1, Noel Irias1, Mark P. Callery1, Steven D. Schwaitzberg2, Daniel B. Jones1 1Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; 2Surgery, Cambridge Health Alliance, Harvard Medical School, Boston, MA QS29 Meta-Analysis of Mechanical Bowel Preparation for Elective Colon and Rectal Resection Carlos E. Pineda*, Andrew A. Shelton, Tina Hernandez-Boussard, John M. Morton, Mark L. Welton Department of Surgery, Stanford University, Stanford, CA QS30 Sequential Resections of Liver- and Pulmonary Metastases of Colorectal Cancers: Results of 45 Patients Hannes Neeff*1, Frank Makowiec1, Eva Fischer1, Ulrich T. Hopt1, Bernward Passlick2 1Dept. of Surgery, University of Freiburg, Freiburg, Germany; 2Dept. of Thoracic Surgery, University of Freiburg, Freiburg, Germany QS31 Prognostic Factors Associated with Survival Following Hepatic Resection of Early-Stage Hepatocellular Carcinoma Hari Nathan*, Michael Choti, Richard D. Schulick, Timothy M. Pawlik Surgery, Johns Hopkins Hospital, Baltimore, MD QS32 Staging Error Does Not Explain the Relationship Between the Number of Nodes in a Colon Cancer Specimen and Survival Jesse Moore*1, Neil H. Hyman1, Peter Callas2, Benjamin Littenberg3 1Surgery, University of Vermont College of Medicine, Burlington, VT; 2Mathematics & Biostatistics, University of Vermont College of Medicine, Burlington, VT; 3Med-Gen Internal Medicine, University of Vermont College of Medicine, Burlington, VT
12:30 PM – 1:45 PM		MEET-THE-PROFESSOR LUNCHEONS SP93 The Difficult Cholecystectomy Lygia Stewart, San Francisco, CA (26B)
2:15 PM – 3:45 PM		DDW COMBINED CLINCIAL SYMPOSIUM (Ballroom 20A) BALANCING THE USE OF BIOLOGICS AND SURGERY IN MANAGEMENT OF ULCERATIVE COLITIS Sponsored by: AGA, SSAT Moderators: Stephen B. Hanauer, Chicago, IL Scott A. Strong, Cleveland, OH SP94 Benefits of Biological Therapy in Severe Ulcerative Colitis Russell D. Cohen, Chicago, IL SP95 Benefits of Surgery in Severe Ulcerative Colitis David W. Larson, Rochester, MN SP96 Risks of Biological Therapy in Severe Ulcerative Colitis Walter Koltun, Hershey, PA SP97 Risks of Surgery in Severe Ulcerative Colitis Asher Kornbluth, New York, NY