Laparoscopic Partial Fundoplications
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…
CARDIAC SURGERY
Merendino Jejunal Interposition
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…
Esophagectomy with Substernal Pull-up
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…
Laparoscopic Collis Gastroplasty
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…
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…
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…
Congenital Diaphragmatic Hernia Repair: Open and Thoracoscopic
INDICATIONS/CONTRAINDICATIONS In general, the presence of a congenital diaphragmatic hernia (CDH) is an indication for repair (Figs. 37.1 and 37.2). Most patients with CDH will present in the first 24…
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…
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…
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…
