Belsey Mark IV Partial Fundoplication

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Belsey Mark IV Partial Fundoplication

INDICATIONS/CONTRAINDICATIONS Although the indications for an antireflux repair and the biomechanics of an antireflux repair done by laparoscopic and open approaches are similar, there are some specific situations in which…

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Endoscopic Antireflux Repair—EsophyX

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Endoscopic Antireflux Repair—EsophyX

INDICATIONS/CONTRAINDICATIONS As with other endoscopic reflux therapies, the ideal patients for TIF are those with minimal anatomic change at the gastroesophageal junction (GEJ) and moderate-to-severe GERD symptoms that are responsive…

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Transhiatal Esophagectomy

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Transhiatal Esophagectomy

INDICATIONS/CONTRAINDICATIONS Regardless of which technique of esophageal resection is used, it is very important that the operation be well tolerated by the patient with low morbidity and complication rates. It…

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Gastric Bypass

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Gastric Bypass

INDICATIONS/CONTRAINDICATIONS In 1991, the National Institutes of Health Consensus Development Conference established the current indications for bariatric surgery, which have remained in effect since that time. These guidelines recommend bariatric…

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Transoral Repair of Zenker’s Diverticula

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Transoral Repair of Zenker’s Diverticula

INDICATIONS/CONTRAINDICATIONS Because many patients with Zenker’s diverticula are elderly, an endoscopic approach offers potential advantages by avoiding neck incision. However, several technical points need to be emphasized. It is important…

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Esophageal Perforation

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Esophageal Perforation

Figure 36.1 Chest radiograph demonstrating extravasation of oral contrast into the mediastinum following a cervical esophageal perforation sustained during transesophageal echocardiography. The patient had a history of chronic bronchiectasis involving…

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Esophageal Radiofrequency Ablation for the Treatment of Barrett’s Esophagus with and without Dysplasia

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Esophageal Radiofrequency Ablation for the Treatment of Barrett’s Esophagus with and without Dysplasia

INDICATIONS/CONTRAINDICATIONS Indications High-grade dysplasia (HGD): Recent reports have shown superior results of RFA compared with surveillance alone, and RFA is associated with significantly less morbidity than esophagectomy. Low-grade dysplasia (LGD):…

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Esophageal Stents

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Esophageal Stents

INDICATIONS Current indications for stent placement approved by U.S. Food and Drug Administration include the palliation of esophageal obstruction and tracheoesophageal fistulas secondary to malignancy. Other less common applications for…

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