Introduction: Achalasia is defined by esophageal dysmotility and obstruction. Over time, obstruction may result in esophageal elongation and angulation of the distal esophagus. The aim of this study was to determine if preoperative distal esophageal angulation correlates with symptom relief after laparoscopic Heller myotomy and anterior fundoplication. Methods: 63 patients undergoing laparoscopic Heller myotomy with […]
Laparoscopic incisional hernia repair in orthotopic liver transplant patientsJanine N. Pettiford, MD, John Sweeney, MD, Behnoud Berakhim, and Vadim Sherman, MD. Background: The incidence of incisional hernias in orthotopic liver transplant (OLT) patients is approximately 5-17%. Treatment options are often complicated by the patients’ co-morbidities and immunosuppression. The purpose of this study was to assess […]
OBJECTIVE: To determine if esophageal manometry added information important for preoperative fundoplication planning compared to upper GI contrast studies (UGIS) METHODS: We retrospectively reviewed the records of 323 patients at a single institution who underwent a fundoplication (Nissen or Toupet) for GERD and/or paraesophageal hernia from 2003 to 2007. Of these, we excluded patients younger […]
Introduction: Significant weight regain after gastric bypass can occur over time due to dilatation of the gastric pouch and stoma. Endoluminal approaches for gastric pouch reduction are currently under investigation. EndoFLIP® (Crospon Ltd., Dangan, Galway, Ireland) is an endoscopic functional imaging probe designed to accurately measure intraluminal volume and wall compliance. Our objective was to […]
Introduction: Single Incision Laparoscopic Cholecystectomy (SILC) has been found to be feasible and safe. We have pioneered and mastered a two trocar SILC technique at UT Southwestern. Here we present our initial data using this technique on fifty patients. Methods: Following an institutional review board, patients with symptomatic gallbladder disease were recruited from January until […]