INDICATIONS/CONTRAINDICATIONS Reoperative antireflux surgery is a complex operation, and the success of the operation is strongly correlated with the surgeon’s experience, the patient’s symptom complex, and the findings of detailed…
Figure 29.1 Computed tomography of the chest demonstrating a mass in the esophageal wall demonstrated by the arrow. The leiomyoma was located just above the azygos vein. Clinical Presentation and…
INDICATIONS/CONTRAINDICATIONS Open cricopharyngeal myotomy is indicated in any patient in whom significant oropharyngeal dysphagia is documented. Aspiration, regurgitation, and weight loss are also common presenting symptoms. As the difficulty in…
INDICATIONS/CONTRAINDICATIONS Paraesophageal hiatal hernias (PEH) are a rare surgical problem that afflicts older adults, more commonly women. The relatively occult location of the hernia, a historic impression of minimal or…
INDICATIONS/CONTRAINDICATIONS Dysphagia, food regurgitation, and chest pain are the presentation symptoms recorded in patients with epiphrenic diverticula. The main reason for suggesting a surgical approach is the regular and progressing…
INDICATIONS/CONTRAINDICATIONS Chronic or recurrent GERD with breakthrough symptoms on medical therapy is the most common indication for LNF. LNF should only be considered in patients with documented evidence of pathologic…
INDICATIONS There are three schools of thought regarding the indications for a partial fundoplication: (1) That they are unneeded, since the 360-degree Nissen fundoplication has been shown to work with…
INDICATIONS The Merendino procedure can be employed when a limited resection of the distal esophagus and the GEJ is required. These include the following. Caustic nondilatable strictures of the distal…
INDICATIONS/CONTRAINDICATIONS Indications Patients for whom postoperative adjuvant therapy is indicated due to a locally advanced tumor or because a complete (R0) resection in the native esophageal bed is questionable.2 Delayed…
INDICATIONS A short esophagus may be suspected by a preoperative barium esophagram or endoscopic measurement of the distance from the upper esophageal sphincter to the lower esophageal sphincter, but is…
