Objective: Proton pump inhibitor (PPI) response is often considered a diagnostic strategy for gastroesophageal reflux disease (GERD). Patients who do not respond to PPI are often left with an uncertain diagnosis and untreated symptoms. The aim of this study was to evaluate these patients with GERD symptoms refractory to PPI to determine diagnosis, GERD or otherwise, and to determine treatment efficacy.
Methods: A prospective database was queried for all patients referred for GERD from 2005-20
Abstract: Background: Percutaneous endoscopic gastrostomy (PEG) tube has been in use for over 30 years with increased in rate of utilization. However, placement of PEG tube is associated with variety of complications. Several studies have reported complications ranging from 4 to 23.8% of the cases. Erosion of the PEG tube site is a rare complication and currently there are no literatures on non-operative management of this complication.
Method: Here we present a case of severe erosion of ant
INTRODUCTION: Achalasia is an esophageal motor disorder characterized by progressive dysphagia. The laparoscopic Heller myotomy with partial fundoplication is the standard of management in these patients. In those with large esophageal dilatation it is insufficient, because although cure dysphagia, regurgitation secondary to ineffective motility and accumulation of food makes the patient’s quality of life deteriorates
AIM: Show the effectiveness and minimal morbidity of laparoscopic esophagecto
Background: Despite improved surgical technique and instrumentation, anastomotic leak rate following hybrid minimally-invasive esophagectomy can be as high as 10%, leading to increased hospital stay and mortality. We sought to determine if leak rates decreased with the use of an omental-flap to buttress the anastomosis.
Method: A retrospective review was performed of all patients who underwent hybrid (via laparoscopy and mini-thoracotomy) minimally-invasive Ivor-Lewis esophagectomy at our terti
INTRODUCTION:
Aim of this study is to establish responsiveness of quality of life SF-36 score and disease specific scores in GERD following Laparoscopic Nissen’s Fundoplication (LNF) with relation to oesophageal manometry and upper gastrointestinal endoscopy.
GERD is an emerging disease amongst the Asians with prevalence in India ranging from 8-20%.In India there is no such study showing effect of LNF on SF -36 score preoperatively and post operatively.
METHODS AND PROCEDURE:
An interven