Three posters are to be presented at SAGES 2012 this week in San Diego which present different applications of the EndoFLIP technology.
The first poster, Endoflip hiatal calibration during anterior partial fundoplication-early-outcomes, by Dr Les Nathanson of Wesley Hospital, Brisbane, Australia is the first publication of the use of EndoFLIP in targeting a specific hiatal cross sectional area (CSA) during the crural repair stage of a fundoplication procedure. CSA, distensibility, DeMeester Score, and pH measurement pre-op and 6 months post-surgery are presented. Of particular interest is the data on the degree of relaxation of the hiatus in the period from surgery to 6 months post-surgery.
The second poster, Intraoperative Assessment Of Esophagogastric Junction Distensibility During Per Oral Endoscopic Myotomy, by Erwin Rieder, MD, Silvana Perretta, MD, Christy M Dunst, MD, Lee L Swanstrom, MD of The Orgeon Clinic, Portland, Oregon and the Institute de Recherche contra les Cancers de l’Appareil Digestif (IRCAD), Strasbourg Cedex, France, presents initial results of the use of EndoFLIP to evaluate the extent and completeness of myotomy during, and six months after, per-oral endoscopic myotomy (POEM) procedures.
The third poster, Adjusting The Gastric Band During Surgery – Is Tighter Better ? by John O’Dea, PhD, Robert G Snow, DO FACOS, of NUI Galway, Ireland and the Specialty Surgery Center of Fort Worth, TX, builds on prior work on assessing the appropriate gastric band stoma size to be set during surgery. The results suggest that a 5.5mm stoma size may in fact be setting the patient within the Red zone, versus prior published data which suggests that 6.5-7mm is a more appropriate stoma size to which to initially adjust the band during surgery to start the patient out post-operatively within the Green zone.