INDICATIONS The most common indication for an Ivor Lewis esophagectomy is middle-third esophageal squamous or adenocarcinoma Esophageal disorders requiring removal of most of the esophagus Distal esophageal tumors with proximal…
INDICATIONS/CONTRAINDICATIONS Indications for surgical intervention for esophageal diverticula include symptoms, large diverticula size, bleeding, and rarely cancer of the diverticulum (Avisar, 2000). Symptoms commonly include chest pain, dysphagia, and regurgitation…
INDICATIONS/CONTRAINDICATIONS Many hybrid approaches have been reported in the pursuit of the ideal minimally invasive esophagectomy, but the main techniques include laparoscopic transhiatal esophagectomy, laparoscopic–thoracoscopic 3-hole (McKeown) esophagectomy, and laparoscopic—thoracoscopic…
INDICATIONS/CONTRAINDICATIONS The primary indication for surgical resection of esophageal cancer is for potential cure, which can be achieved in patients whose tumors are confined to the esophageal wall and when…
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…
