Introduction: Although multiple esophageal motility disorders have been defined manometrically, the underlying esophageal pathology is not always clear. Esophageal function testing(EFT), which combines manometry and multichannel intraluminal impedance (MII), has been increasingly useful in assessment of the Esophageal Motility disorders. MII allows the assessment of bolus transit. Impairments in bolus transit remain poorly understood. This […]
Background: The laparoscopic repair of an intrathoracic stomach has been associated with a high recurrence rate of up to 50%. Studies describing the use of biological and non-absorbable mesh report a more durable repair. The aim of our study was to assess a simplified technique for intrathoracic stomach repair using absorbable vicryl mesh and bioglue […]
Introduction: Laparoscopic Nissen fundoplication became the standard of care for the surgical treatment of gastroesophageal reflux disease. Its longevity has been under scrutiny lately as the wrap gets looser by time. The hypothesis of adding highly selective vagotomy (HSV), which will reduce gastric acid secretion by 60% and improve the transient lower esophageal relaxations, could […]
Introduction: Laparoscopic Nissens fundoplication is the most common surgical procedure performed for gastroesophageal reflux disease (GERD). It is however associated with a number of mechanical complications with as many as one in three patients experiencing troublesome dysphagia or gas bloat . Partial fundoplication, either posterior or anterior, has been advocated in an attempt to reduce […]
Objectives: Belsey Mark IV fundoplasty is associated with less gas bloat and dysphagia compared to the Nissen wrap. Conventionally, a Belsey Mark IV fundoplasty requires a thoracotomy. Laparoscopic approaches to the Belsey procedure have not been satisfactory. By virtue of 3-D visualization and greater maneuverability, robot assistance can overcome the technical shortcomings of the laparoscopic […]