INDICATIONS/CONTRAINDICATIONS Because none of the available treatments can correct the underlying disease in patients with achalasia, the foundation of therapy is palliative and centers on relieving esophageal outlet obstruction while…

INDICATIONS/CONTRAINDICATIONS Esophageal dilation is indicated for the treatment of dysphagia caused by esophageal-obstructing pathologies and functional disorders (Table 35.2). Achalasia, malignant strictures, and postoperative anastomotic strictures constitute the most common…

INDICATIONS/CONTRAINDICATIONS Endoscopic resection is a minimally invasive, organ-preserving technique to endoscopically remove premalignancy or early-stage cancer arising from the gastrointestinal epithelium as a mucosal–submucosal complex. Patients with no risk of…

Figure 7.1 Original Collis illustrations from 1957. (From: Collis JL. An operation for hiatus hernia with short esophagus. Thorax. 1957;12(3):181–188, with permission). INDICATIONS/CONTRAINDICATIONS The absolute indication for performing a Collis…

INDICATIONS/CONTRAINDICATIONS The primary indication for the repair of a paraesophageal hernia is a symptomatic hernia. The most common symptoms are postprandial pain (59%), vomiting (31%), and dysphagia (30%), but may…

INDICATIONS/CONTRAINDICATIONS If one simply abides by the basic tenants of cancer surgery—(1) optimal exposure of the cancer field, (2) complete resection that includes radial margins, (3) extensive locoregional lymphadenectomy for…

INDICATIONS/CONTRAINDICATIONS Colon interposition is performed most frequently when the stomach is not suitable or available for use as an esophageal substitute. Possible reasons include previous gastrectomy, tumor involvement of the…

INDICATIONS Reconstruction of the esophagogastric junction (EGJ) that includes fundoplication is indicated in the treatment of (1) gastroesophageal reflux disease (GERD) and (2) symptomatic mechanical obstruction resulting from Type III…

INDICATIONS FOR TRANSTHORACIC APPROACH Consideration of antireflux surgery is appropriate under several circumstances, which are well documented in Chapters 1 and 3. Briefly, operation is reasonable to consider when the…