Presented by Robert Bruce Yates at the Your Session: Challenges in the Diagnosis and Management of GERD and Achalasia held during the 2017 SAGES Annual Meeting in Houston, TX on Friday, March 24, 2017
Keyword(s): abdominal cavity, abdominal pain, abdominal surgery, acid, acute, anatomic, angle of His, angulation, anterior abominal wall gastropexy, antrum, assessment, asymptomatic, biologic mesh, Bougie, Camerons erosion, caudate lobe, chest, clinic, complication, complication rate, contralateral, crus, diaphragm, diaphragmatic defect, diaphragmatic relaxing incisions, early satiety, EEA stapler, elderly, endoscopic, esophagus, fibrin glue, follow-up, frail, full-thickness, fundoplication, gastrectomy, gastric decompression, gastric outlet obstruction, gastric volvulus, gastroesophageal junction, gastroesophageal surgery, GEJ, GIA stapler, greater curvature, heart, hiatal closure, hiatoplasty, hiatus, high risk, inferior vena cava, intra-abdominal esophageal length, intraoperative, ischemia, ischemic, IVC, laparoscopic, laparoscopic paraesophageal hernia repair, laparoscopic wedge gastroplasty, laxity, liver retractor, management, mediastinal dissection, mediastinal mobilization, mediastinum, mesh augmentation, mesh erosion, midline, motility, neoesophagus, Nissen fundoplication, open Collis gastroplasty, open paraesophageal hernia repair, PEG tube, PEHR, permanent synthetic mesh, phrenic nerve, pleura, pneumothorax, pyloric, radial tension, recurrence rate, recurrent, redo surgery, reinforcement, reoperation, rib, short esophagus, splenectomy, staple line, stomach, symptomatic, tertiary care center, trocars
5 principles of PEHR–48 sec
Unique problems encountered during PEHR–1:05
Common symptoms of giant PEH–2:11
Laparoscopic anterior abdominal wall sutured gastropexy–2:34
Operative set-up for lap gastropexy–3:13
Video clip of gastropexy–3:40
Types of tension during PEHR–7:51 Surg Endosc 2015
Radial (crural) tension–8:20
Citations–9:00 Ann Surg 2006
Permanent synthetic mesh complications at the hiatus–10:47
Diaphragmatic relaxing incisions–11:22
Citation–13:39 Surg Endosc 2016
Short esophagus–14:25
Open Collis gastroplasty–14:47 Ann Surg 2000
Lap wedge gastroplasty–15:03 Am J Surg 2004
Conclusion–15:37