Fig. 1.1 Heinrich Quincke. First description of esophagitis (Source: National Library of Medicine Images from the History of Medicine) Fig. 1.2 Joannes Baptista Morgagnus. First description of a hiatal hernia…
Esophageal perforation 1.5–6.5% Gastric perforation 1.5–4.5% Splenic injury Rare Pneumothorax 2–7.4% Immediate failure 2–4.5% Acute post-op volvulus 3–8% Delayed esophageal leak 3–4.5% Death (attributable) 0.5–3% From the technical standpoint, every…
Fig. 13.1 Intraoperative assessment and decision making algorithm Fig. 13.2 View after mediastinal dissection was completed Treatment Options The first totally laparoscopic approach to a modified Collis technique was described…
General operative considerations Mobilization Incision of gastrohepatic ligament Incision of phrenoesophageal membrane Dissection of right crus away from gastroesophageal junctiona Division of short gastric vessels and exposure of left crus…
Fig. 12.1 Computed tomographic scan in a patient with chest herniation of a Nissen fundoplication Indications to reoperation should be based on the patient’s physiological state, the severity of symptoms,…
Fig. 8.1 (a) Normal endoscopic appearance of an intact Nissen fundoplication on retroflexion view. The entire valve body is located below the crural diphragm, confirming its intra-abdominal location. It conceals…
Normal pHmonitoring Extra-esophageal symptoms Lack of response to acid suppression therapy Psychiatric disorders Obesity Female gender Absence of hiatal hernia Low socioeconomic status Since diverse symptoms respond differently to antireflux…
Fig. 11.1 Retroflexion view in stomach of normal fundoplication appearance. With sufficient insufflation careful assessment should be made of features of wrap folds’ position (below the z-line and diaphragm), length…
Resolution of heartburn Resolution of extraesophageal symptoms Group 1 – Severe heartburn/Minimal extraesophageal symptoms 87% – Group 2 – Severe heartburn/Severe extraesophageal symptoms 76% 42% Group 3 – Minimal…
Source Sample size Intervention Primary outcomes Main findings P-value Cough Shaheen 2011 40 Esomeprazole 40 mg bid for 12 weeks versus placebo Change in Cough Specific Quality of Life Questionnaire…
