Introduction: EsophyX is an endoluminal approach to the treatment of gastroesophageal reflux disease (GERD). We report one of the earliest and largest North American experiences with this device.Methods: Prospective data were gathered on consecutive patients undergoing EsophyX fundoplication for a one-year period between September 2007 and 2008, during which time the procedure evolved to the […]
IntroductionMost studies validate treatment of gastro-oesophageal reflux disease (GORD) using improvement in symptoms alone. Symptoms are difficult to interpret due to the placebo effect of any intervention. We present data comparing pre and post operative physiology in our series of laparoscopic Nissen’s Fundoplication and compare this to a review of the current literature using meta-analytical […]
Introduction: Laparoscopic excision of GIST tumors is safe and oncologically effective. GIST tumors at the gastroesophageal junction (GEJ) introduce special difficulties due to the complex accessibility of the proximal stomach by laparoscopy and concerns of narrowing the GEJ, while ensuring an oncologic resection. Herein, we examine the feasibility of laparoscopic transluminal excision (LTE) of GEJ […]
Introduction:Surgical treatment is the best mean for curative therapy of gastric submocosal tumor (SMT) including GIST, however, the preferred operative approaches are still not well established. We would like to present our successful results of laparoscopic procedures according to the location and malignant potential of gastric SMT.Operative Techniques:Operative approach should be decided by the tumor […]
Objectives: Ivor Lewis esophagogastrectomy is a well established oncologic procedure for cancers at or near the gastro-esophageal junction. However, this procedure is associated with significant morbidity related to the thoracotomy, especially following induction chemo/radiation therapy. A thoracoscopic approach may obviate this problem. Currently, thoracoscopic approaches are limited by 2-D visualization and lack of instrument maneuverability. […]