Laparoscopic Nissen Fundoplication

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Laparoscopic Nissen Fundoplication

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…

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Laparoscopic Partial Fundoplications

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on 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…

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Merendino Jejunal Interposition

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on 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…

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Esophagectomy with Substernal Pull-up

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on 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…

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Laparoscopic Collis Gastroplasty

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on 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…

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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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