Laparoscopic Anti-reflux Surgery As a Definitive Treatment in Refractory Upper and Lower Respiratory Tract Diseases.
BackgroundLaparoscopic anti-reflux surgery (LARS) is now well established as an effective treatment in the management of gastro-oesophageal reflux disease (GORD). Some of the reflux can be severe enough to cause upper respiratory symptoms such as laryngitis, hoarseness, chronic cough. Reflux resulting in aspiration can result in lower respiratory tract illnesses such as asthma and pulmonary […]
Laparoscopic Revisional Fundoplication with Primary Sutured Closure and Prosthetic Reinforcement: A Retrospective Study
Background: Despite the good results reported after laparoscopic fundoplication, failure is still a major problem. Hiatal disruption is one of the common patterns of anatomicalfailure, after primary open or laparoscopic antireflux surgery. To prevent hiatal hernia recurrence some authors recommend the use of prosthetic meshes for reinforcement of the hiatal crura. The aim of the […]
Minimally Invasive Oesophagectomy in England: Trends of Utilisation
Aims: The aim of this study was to describe the trends in uptake of minimally invasive oesophagectomy in England over last 12 years (1996-2008). Methods: The Hospital Episodes Statistics (HES) database is a record based system that since 1986 has collected patient-level data from all English NHS trusts. We examined HES data between April 1996 […]
Barrett’s Esophagus Treatment Dilemma: Pills Versus Operation: Statistical Analysis and Cost/effectiveness
INTRODUCTION:Controversy over the management of barrett’s esophagus has been difficult to resolve due to the low incidence of progression to adenocarcinoma. A prospective study comparing thousands of patients with barretts esophagus randomized either into PPI or antireflux surgery group is costly and no likely to be perfomed. This study examined possible clinical outcomes of the […]
Minimally Invasive Esophago- Gastrectomy (ivor-lewis) a Series of 13 Patients
Introduction: Commonest type of Gastro esophageal junction growth in our region is type III with involvement of the cardia. After resection with adequate margin, the length of the stomach tube might not reach the neck. In such situations Ivor-Lewis Esophago- Gastrectomy with intra thoracic anastamosis is a good alternative. Methods: A retrospective analysis of 13 […]
Clinical Significance of Endoscopic Surgery for Thoracic Esophageal Cancer After Neoadjuvant Chemotherapy
Introduction: The growing evidence has verified the survival benefit of combined treatment of the chemotherapy followed by the surgery for advanced thoracic esophageal cancer. The endoscopic surgery for thoracic esophageal cancer has been shown to facilitate the early resumption of daily activity of the patients in the postoperative course, but is considered technically difficult especially […]
Transoral Incisionless Fundoplication Improves Reflux Symptoms in Long-time Ppi Users: A Retrospective Study in Livingston County, Kentucky
BACKGROUND: Gastroesophageal reflux disease (GERD) is a common condition in communities in the United States, but treatment options are limited for patients with inadequately controlled symptoms despite high doses of proton-pump inhibitors (PPIs) and who are afraid of surgery. AIM: To determine the outcomes of transoral incisionless fundoplication (TIF) using the EsophyX device in a […]
Improvement After Laparoscopic and Endoscopic Pyloroplasty for Gastroparesis
Objective: We hypothesize that minimally invasive pyloroplasty provides subjective and objective improvement in gastroparesis in patients without secondary GERD. Gastroparesis is a chronic digestive disorder leading to severe and life altering nausea, vomiting, bloating and abdominal pain. Improvements in gastric emptying scintigraphy (GES) times have previously been correlated with symptom improvement. Surgeons are increasingly asked […]
Gastric Duplication Treated By Laparoscopic Gastric Partial Resection
Introduction: Duplication of the alimentary tract is an uncommon occurrence (1 of 4500 births) in pediatric patients and can affect any portion of the gastrointestinal track. The esophagus and ileum are most common site, and gastric duplication cysts represent 4-8% of all alimentary track. Symptoms often occur by 2 years and can include nausea, vomiting, […]
Transcervical Videoscopic Esophageal Dissection in Minimally Invasive Esophagectomy
Introduction: Currently, minimally invasive esophagectomy (MIE) is being performed using Video-Assisted Thoracoscopic Surgery (VATS) for mediastinal esophageal dissection. The VATS approach is still associated with pulmonary and cardiovascular morbidity, as well as incisional pain. This study investigates the feasibility of MIE using a single-incision transcervical videoscopic esophageal dissection (TVED). A simultaneous laparoscopic and transcervical videoscopic […]
