Endoscopic Mucosal Resection

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Endoscopic Mucosal Resection

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…

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Open Collis Gastroplasty

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Open Collis Gastroplasty

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…

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Colon Interposition

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Colon Interposition

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…

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Fundoplication: Open Transabdominal Approach

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Fundoplication: Open Transabdominal Approach

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…

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Transthoracic Nissen Fundoplication

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

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…

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