Advances in the management of benign esophageal diseases:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2011
|
| Schriftenreihe: | Thoracic surgery clinics
21,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XI S., S. [449]-595 Ill., graph. Darst. |
| ISBN: | 9781455711598 |
Internformat
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Datensatz im Suchindex
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| adam_text | Titel: Advances in the management of benign esophageal diseases
Autor: Jobe, Blair A.
Jahr: 2011
Advances in the Management of Benign Esophageal Diseases
Contents
Preface: Advances in the Management of Benign Esophageal Diseases ix
Blair A. Jobe
The Cutting Edge in Esophageal Physiology Testing: Equipment, Uses, and Analysis 449
ThomasJ. Watson
Advancements in foregut diagnostic technologies have led to improvements in the
esophagologist s ability to accurately diagnose and classify esophageal pathophys-
iology and increased patient satisfaction and compliance in undergoing testing. The
esophageal surgeon s ability to bring about a successful outcome is dependent on
the proper application and interpretation of these diagnostic modalities. The ability
to reliably and consistently differentiate foregut disorders from other potential con-
tributors is an essential ingredient in assuring appropriate therapy and predicting
success. The physician or surgeon treating esophageal disorders is well advised
to keep abreast of ongoing advancements and to implement them into their diagnos-
tic armamentarium.
High-Resolution Manometry: An Atlas of Esophageal Motility Disorders and Findings
of GERD Using Esophageal Pressure Topography 465
John E. Pandolfino and Sabine Roman
High-resolution manometry (HRM) has now become widely available and currently is
moving into mainstream clinical practice. This article provides an HRM-related atlas
of esophageal motility disorders focused on dysphagia and gastroesophageal reflux
disease (GERD). Although there is some overlap between esophageal motor disor-
ders associated with dysphagia and the defects and esophageal motor function that
would predispose the patient to more severe GERD, this review is organized to
differentiate the distinct pathophysiologic components of the two disease groups.
A section on impaired bolus transit is also included to highlight the important aspect
of impaired clearance in the pathogenesis of GERD.
Evaluation and Treatment of Laryngopharyngeal Reflux Symptoms 477
Yong S. Kwon, Brant K. Oelschlager, and Albert L Merati
Gastroesophageal reflux disease (GERD) is a well-defined disease characterized by
symptoms or complications caused by an abnormal amount of GER, which is a ret-
rograde movement of gastric contents into the esophagus. Laryngopharyngeal
reflux (LPR) is a subset of GERD and given its own identity, because the main symp-
tomatic regions are the larynx and pharynx. Accurate diagnosis and effective treat-
ment of LPR has been challenging. Much research has been dedicated to the
elucidation of its complex pathophysiology and the development of accurate diag-
nostic modalities and effective treatment. Considerable advancements have been
made in the evaluation and treatment of LPR.
Management of the Obese Patient with Gastroesophageal Reflux Disease 489
Kevin M. Reavis
Obesity and gastroesophageal reflux disease (GERD) are common chronic illnesses.
They often coexist and need to be treated concomitantly. Fundoplication may be
effective for the short-term control of GERD in the obese patient; however, this
Contents
procedure does not induce weight loss or treat the comorbid conditions related to
obesity. Roux-en-Y gastric bypass is a highly effective treatment of GERD, obesity,
and the associated comorbidities. Surgeons who are not comfortable with a bariatric
surgical procedure in these patients should either complete appropriate advanced
training in bariatric surgery or refer those patients to a qualified surgeon who can
offer these options.
Diagnosis and Management of GERD Before and After Lung Transplantation 499
Toshitaka Hoppo and Blair A. Jobe
The strong association between gastroesophageal reflux disease (GERD) and the
development and progression of pulmonary diseases has been suggested, and
GERD has been focused on as a potential cause and thus a target for prevention
and/or therapy. Because GERD is curable, the proper diagnosis and management
of underlying GERD would theoretically improve the outcomes. This article reviews
the existing literature and discusses the strategy to manage GERD in patients with
end-stage pulmonary diseases before and after lung transplantation.
Management of Cricopharyngeal Dysphagia With and Without Zenker s Diverticulum 511
Brandon H. Tieu and John G. Hunter
Cricopharyngeal dysphagia and Zenker s diverticulum result from cricopharyngeal
dysfunction, a failure of the upper esophageal sphincter to relax at the initiation of
swallowing. The focus of surgical management involves a cricopharyngeal myotomy
that is performed by either an open or an endoscopic approach. The endoscopic
approach offers faster operating times, a shorter hospital stay, earlier time to oral
intake, and lower complication rates, but a role for open cricopharyngeal myotomy
remains.
Peroral Endoscopic Myotomy for Esophageal Achalasia: Technique, Indication,
and Outcomes 519
Haruhiro Inoue, Kris MaTianle, Haruo lkeda,Toshihisa Hosoya, Manabu Onimaru,
Akira Yoshida, Hitomi Minami, and Shin-ei Kudo
Peroral endoscopic myotomy (POEM) has been developed as an incisionless, min-
imally invasive endoscopic treatment intending a permanent cure for esophageal
achalasia. The concept of endoscopic myotomy was first reported about 3 decades
ago, but the direct incision method through the mucosal layer was not considered to
be a safe and reliable approach. A novel method of endoscopic myotomy was de-
veloped and established by the authors. In this article, the current techniques, appli-
cations, and clinical results of POEM are described.
Esophageal Preservation in Esophageal High-Grade Dysplasia and Intramucosal
Adenocarcinoma 527
Toshitaka Hoppo, Shah D. Rachit, and Blair A. Jobe
The management of esophageal high-grade dysplasia (HGD) and intramucosal ad-
enocarcinoma remains controversial. Because lymph node involvement is unlikely in
this setting, interest in the treatment strategies for esophageal preservation has
grown. Esophageal preservation indicates any endoluminal procedure that is used
in an attempt to completely eradicate disease while preserving the anatomic struc-
ture of the esophagus. The goal of esophagus-preserving approaches is to provide
Contents
definitive therapy while avoiding the morbidity of esophagectomy. This article
describes the patient selection and the status of currently available esophagus-
preserving options, and discusses the strategy for treating HGD and intramusocal
adenocarcinoma.
Advances in the Management of Esophageal Perforation 541
Philip W. Carrott Jr and Donald E. Low
Therapy for acute esophageal perforation in the last decade has benefited from newer
technology in endoscopy and imaging. Success with nonoperative therapies such as
endoluminal stenting and clipping has improved outcomes and shortened length of
stay in selected patients. Iatrogenic injury currently comprises most acute esopha-
geal perforation, and nonoperative therapy may be appropriate in a significant
percentage of patients. The decision regarding operative vs non-operative therapy
is best done by a dedicated surgical team with experience in all the surgical and
endoscopic treatment options. Boerhaave syndrome occurs less often and may be
treated with endoscopic therapy, although it more likely requires operative interven-
tion. This article reviews current advances in the diagnosis and management of acute
esophageal perforation.
New Pharmacologic Approaches in Gastroesophageal Reflux Disease 557
David Armstrong and Daniel Sifrim
This article highlights current and emerging pharmacological treatments for gastro-
esophageal reflux disease (GERD), opportunities for improving medical treatment,
the extent to which improvements may be achieved with current therapy, and where
new therapies may be required. These issues are discussed in the context of current
thinking on the pathogenesis of GERD and its various manifestations and on the
pharmacologic basis of current treatments.
The Natural History and Complications of Eosinophilic Esophagitis 575
Alex Straumann
Eosinophilic esophagitis is a chronic disease limited to the esophagus and has a per-
sistent or spontaneously fluctuating course. So far it does not seem to limit life ex-
pectancy, but it often substantially impairs the quality of life. To date, there has
been no association with malignant conditions, but there is concern that the chronic,
uncontrolled inflammation will evoke irreversible structural alterations of the esoph-
agus, leading to tissue fibrosis, stricture formation, and impaired function. This
esophageal remodeling may result in several disease-inherent and procedure-
related complications.
Index 589
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| physical | XI S., S. [449]-595 Ill., graph. Darst. |
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| spelling | Advances in the management of benign esophageal diseases guest ed. Blair A. Jobe Philadelphia [u.a.] Saunders 2011 XI S., S. [449]-595 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Thoracic surgery clinics 21,4 Therapie (DE-588)4059798-2 gnd rswk-swf Speiseröhrenkrankheit (DE-588)4182156-7 gnd rswk-swf Speiseröhrenkrankheit (DE-588)4182156-7 s Therapie (DE-588)4059798-2 s DE-604 Jobe, Blair A. Sonstige (DE-588)141201851 oth Thoracic surgery clinics 21,4 (DE-604)BV019335438 21,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024654059&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Advances in the management of benign esophageal diseases Thoracic surgery clinics Therapie (DE-588)4059798-2 gnd Speiseröhrenkrankheit (DE-588)4182156-7 gnd |
| subject_GND | (DE-588)4059798-2 (DE-588)4182156-7 |
| title | Advances in the management of benign esophageal diseases |
| title_auth | Advances in the management of benign esophageal diseases |
| title_exact_search | Advances in the management of benign esophageal diseases |
| title_full | Advances in the management of benign esophageal diseases guest ed. Blair A. Jobe |
| title_fullStr | Advances in the management of benign esophageal diseases guest ed. Blair A. Jobe |
| title_full_unstemmed | Advances in the management of benign esophageal diseases guest ed. Blair A. Jobe |
| title_short | Advances in the management of benign esophageal diseases |
| title_sort | advances in the management of benign esophageal diseases |
| topic | Therapie (DE-588)4059798-2 gnd Speiseröhrenkrankheit (DE-588)4182156-7 gnd |
| topic_facet | Therapie Speiseröhrenkrankheit |
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