Presented by Anna R Ibele 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): achalasia, antireflux surgery, ARS, attending, atypical symptoms, bariatric surgery, clinic, Collis gastroplasty, contraindications, CT scan, diagnostic, diaphragm, dysphagia, electronic medical records, EMR, endoscopy, epigastric pain, esophagectomy, evaluation, failed fundoplication, fixation, fundoplication, fundus, G-tube, gastric bypass, gastroesophageal junction, gastrojejunostomy, gastroparesis, gastropexy, gastroplasty, gastrostomy tube, GEJ, GJ, greater curvature, greater curve, heartburn, hemorrhagic, hernia sac excision, herniation, hiatal closure, hiatal hernia, hiatus, intra-abdominal esophageal, ischemia, management, manometry, mediastinal dissection, medical management, mesh, morbidly obese, Nissen fundoplication, nutrition, nutritional supplementation, operative note, paraesophageal hernia, perforation, perioperative, pH study, postoperative leak, PPI, preoperative work-up, prosthetic mesh, proton pump inhibitor, radiographic evaluation, recurrence, reduction, regurgitation, reherniation, reoperative, reoperative surgery, residency, resident, revision, risk appraisal, Roux-en-Y gastric bypass, RYGB, scar tissue, short esophagus, slippage, smoking, stomach, symptom resolution, technical, thoracic surgery, thoracoabdominal approach, Toupet fundoplication, transhiatal, ulceration, ulcers, vagotomy, weight loss surgery, wrap, wretching, Z-line
Success & failure rates associated with fundoplication for reflux–49 sec Ann Surg 1999
Etiology of failure–1:45
Periop factors: Early postop recurrence–2:20 Ann Surg 1999
Technical failures–3:08
Avoiding failure–4:51
Perioperative risks–6:21 Ann Surg 2005
When to redo–6:50
Surgical management–7:30
Short esophagus–8:58 Surg Endosc 2001
Conversion to RYGB–9:59
Summary–12:33