Introduction:Patients undergoing paraesophageal hernia repair are known to have recurrence rates as high as 40 %. Preoperative findings on anatomic studies fail to determine intraoperative strategies to decrease this recurrence rate. Current operative techniques to reduce this rate include extensive mediastinal dissection to increase intra-abdominal esophageal length, closure of the hiatus with mesh, sac excision […]
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 […]
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 […]
Background: Ischemia of the gastric conduit is a rare but devastating complication of esophagectomy. Fear of iatrogenic injury to the anastomosis by early endoscopy has resulted in use of CT scan for diagnosis of this complication which may lead to delay in diagnosis. The aim of this study was to assess the role of CT […]
“Y” Fundoplication for Gastroesophageal Reflux Disease: EVALUATION OF 80 CONSECUTIVE CASESJorge Fernandez – Alvarez, M.D., Iker León, M.D., Gonzalo Vargas, M.D., Iker León, Alonso R. López, M.D. Abstract OBJECTIVE: Description of an hybrid laparoscopic fundoplication technique (Nissen plus Guarner) performed in patients with gastroesophageal reflux disease (GERD) in nine years of experience and the results […]