Introduction:The purpose of this study is to determine if the subjective sensation of dysphagia can be objectively characterized using esophageal function testing.Dysphagia is one of the most difficult symptoms to diagnose and to treat unless a patient has achalasia. Esophageal function testing (EFT) now combines standard manometry, which measures pressures in the esophagus, with multichannel […]
Background: Laparoscopic repair of paraesophageal hernias (PEH) has been extensively studied, as has primary and redo fundoplications. However, very little data are published regarding laparoscopic management of recurrent PEH. We sought to evaluate our institution’s experience with laparoscopic repair of recurrent PEH. Methods: We performed a retrospective review of the Johns Hopkins Medical Institutions’ administrative […]
We would like to present this innovative technique that the author has developed at our centre. In Totally Supine Laparoscopic/Thoracoscopic oesophagectomy we position the patient in Lloyed Davies position and the right arm is elevated in flexion/abduction position. The abdominal phase is performed with standard five port laparoscopic technique followed by the right thoracoscopic mobilisation. […]
Introduction: Although Heller´s myotomy has proven to be the best treatment for patients with Achalasia, the addition of an antireflux procedure is still debatable. The aim of the study is to analyze the impact of the Heller myotomy without an antireflux procedure on postoperative gastroesophageal reflux and LES pressure in patients with Achalasia.Methods: From a […]
Laparoscopy assisted distal gastrectomy (LADG) is widely accepted as a new standard surgical treatment for early gastric cancer. However, LADG is a difficult operation with long learning curve. A training program for LADG was still premature. A beginner surgeon made a great effort for starting this surgery at inexperienced institute. Lecture video or text book […]