Gastric Bypass

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

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Transoral Repair of Zenker’s Diverticula

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

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Esophageal Perforation

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Esophageal Perforation

Figure 36.1 Chest radiograph demonstrating extravasation of oral contrast into the mediastinum following a cervical esophageal perforation sustained during transesophageal echocardiography. The patient had a history of chronic bronchiectasis involving…

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Esophageal Radiofrequency Ablation for the Treatment of Barrett’s Esophagus with and without Dysplasia

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Esophageal Radiofrequency Ablation for the Treatment of Barrett’s Esophagus with and without Dysplasia

INDICATIONS/CONTRAINDICATIONS Indications High-grade dysplasia (HGD): Recent reports have shown superior results of RFA compared with surveillance alone, and RFA is associated with significantly less morbidity than esophagectomy. Low-grade dysplasia (LGD):…

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Esophageal Stents

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Esophageal Stents

INDICATIONS Current indications for stent placement approved by U.S. Food and Drug Administration include the palliation of esophageal obstruction and tracheoesophageal fistulas secondary to malignancy. Other less common applications for…

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Transthoracic Approach for Achalasia

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Transthoracic Approach for Achalasia

INDICATIONS/CONTRAINDICATIONS The age distribution of patients with achalasia is a bell-shaped curve ranging from the very young to those of advanced age. The peak age for clinical presentation is 30…

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Bougie and Balloon Dilation of Esophageal Strictures—Malignant and Benign

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Bougie and Balloon Dilation of Esophageal Strictures—Malignant and Benign

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…

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