Surgical approaches to esophageal disease:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia, Pa.
Elsevier
2015
|
| Series: | Surgical clinics of North America
95,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Includes bibliographical references and index Esophageal motility disorders -- Approach to patients with esophageal dysphagia -- Benign esophageal tumors -- Physiology and pathogenesis of gastroesophageal reflux disease -- Surgical treatment of gastroesophogeal reflux disease -- Paraesophageal hernia -- Endoscopic dilation, Heller myotomy, and peroral endoscopic myotomy: treatment modalities for achalasia -- Gastroesophageal reflux disease after bariatric procedures -- Barrett esophagus -- Minimally invasive esophagectomy for benign disease -- Preoperative evaluation of gastroesophogeal reflux disease -- Reoperative antireflux surgery -- Short esophagus -- Endoscopic treatment of gastroesophageal reflux disease -- Esophageal strictures and diverticula |
| Physical Description: | XVI S., S. 467 - 693 zahlr. Ill., graph. Darst. 24 cm |
| ISBN: | 9780323389082 |
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| 245 | 1 | 0 | |a Surgical approaches to esophageal disease |c ed. Dmitry Oleynikov |
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| 490 | 1 | |a Surgical clinics of North America |v 95,3 | |
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| 500 | |a Esophageal motility disorders -- Approach to patients with esophageal dysphagia -- Benign esophageal tumors -- Physiology and pathogenesis of gastroesophageal reflux disease -- Surgical treatment of gastroesophogeal reflux disease -- Paraesophageal hernia -- Endoscopic dilation, Heller myotomy, and peroral endoscopic myotomy: treatment modalities for achalasia -- Gastroesophageal reflux disease after bariatric procedures -- Barrett esophagus -- Minimally invasive esophagectomy for benign disease -- Preoperative evaluation of gastroesophogeal reflux disease -- Reoperative antireflux surgery -- Short esophagus -- Endoscopic treatment of gastroesophageal reflux disease -- Esophageal strictures and diverticula | ||
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| adam_text | Titel: Surgical approaches to esophageal disease
Autor: Oleynikov, Dmitry
Jahr: 2015
Surgical Approaches to Esophageal Disease
Contents
Foreword: Esophageal Disease
Ronald F. Martin
XIII
Preface: Esophageal Disease
Dmitry Oleynikov
xv
Esophageal Motility Disorders
467
Steven P. Bowers
The diagnosis of esophageal motility disorders has been greatly enhanced
with the development of high-resolution esophageal manometry studies
and the Chicago Classification. Both hypomotility disorders and hypercon-
tractility disorders of the esophagus have new diagnostic criteria. For the
foregut surgeon, new diagnostic criteria for esophageal motility disorders
have implications for decision-making during fundoplication and may
expand the role of surgical therapy for esophageal achalasia by clarifying
diagnostic criteria.
Approach to Patients with Esophageal Dysphagia 483
Udayakumar Navaneethan and Steve Eubanks
Patients frequently present to a physician with complaints of difficulty
swallowing. The approach to systematically evaluating these problems
can be challenging for those who do not manage this type of patient regu-
larly. The potential for life-threatening malignancies is present and makes
this evaluation a priority. Numerous excellent tools are available to aid with
the determination of the cause of dysphagia and assist with the formula-
tion of a logical treatment algorithm.
Benign Esophageal Tumors 491
Cindy Ha, James Regan, Ibrahim Bulent Cetindag, Aman AN,
and John D. Mellinger
Benign esophageal and paraesophageal masses and cysts are a rare but
important group of pathologies. Although often asymptomatic, these le-
sions can cause a variety of symptoms and, in some cases, demonstrate
variable biological behavior. Contemporary categorization relies heavily on
endoscopic ultrasound and other imaging modalities and immunohisto-
chemical analysis when appropriate. Minimally invasive options including
endoscopic, laparoscopic, and thoracoscopic methods are increasingly
used for symptomatic or indeterminate lesions.
Physiology and Pathogenesis of Gastroesophageal Reflux Disease 515
Dean J. Mikami and Kenric M. Murayama
Gastroesophageal reflux disease (GERD) is one of the most common prob-
lems treated by primary care physicians. Almost 20% of the population in
viii Contents
the United States experiences occasional regurgitation, heartburn, or
retrosternal pain because of GERD. Reflux disease is complex, and the
physiology and pathogenesis are still incompletely understood. However,
abnormalities of any one or a combination of the three physiologic pro-
cesses, namely, esophageal motility, lower esophageal sphincter function,
and gastric motility or emptying, can lead to GERD. There are many diag-
nostic and therapeutic approaches to GERD today, but more studies are
needed to better understand this complex disease process.
Surgical Treatment of Gastroesophageal Reflux Disease 527
Robert B. Yates and Brant K. Oelschlager
Gastroesophageal reflux disease (GERD) is the most common benign
medical condition of the stomach and esophagus. For patients that expe-
rience life-limiting symptoms of GERD despite medical therapy, antireflux
surgery should be considered. The application of laparoscopy to antireflux
surgery has decreased perioperative morbidity, hospital length of stay,
and cost compared with open operations. Laparoscopic antireflux surgery
(LARS) is a safe operation that provides durable improvement in typical
symptoms of GERD. Careful patient selection based on symptoms,
response to medical therapy, and preoperative testing will optimize chan-
ces for effective and durable postoperative control of symptoms. Compli-
cations of LARS are rare.
Paraesophageal Hernia 555
Dmitry Oleynikov and Jennifer M. Jolley
Minimally invasive surgery is the mainstay of treatment for symptomatic
hiatal hernia. Laparoscopic paraesophageal hernia (PEH) repair includes
certain key steps such as complete reduction of the hernia sac, identifica-
tion of both crura and the gastroesophageal junction, obtaining at least
3 cm of intra-abdominal esophageal length, tension-free re-approximation
of the crura utilizing an absorbable mesh onlay, creation of an anti-reflux
procedure, and diagnostic endoscopy at the end of the procedure. This
article reviews various aspects of managing a patient who presents with
a paraesophageal hernia and examines the current controversies in surgi-
cal technique with regards to laparoscopic PEH repair.
Endoscopic Dilatation, Heller Myotomy, and Peroral Endoscopic Myotomy:
Treatment Modalities for Achalasia 567
Marco E. Allaix and Marco G. Patti
Esophageal achalasia is a primary esophageal motility disorder character-
ized by the absence of esophageal peristalsis and failure of the lower
esophageal sphincter to relax in response to swallowing. This article re-
views the most clinically relevant aspects of diagnosis and management
of patients with achalasia, focusing on the several treatment modalities
available. At present, laparoscopic Heller myotomy with partial fundoplica-
tion is considered the gold standard for the treatment. Endoscopic proce-
dures such as endoscopic botulinum toxin injection and pneumatic
dilatation should be considered as primary treatment modalities only in
frail patients. Peroral endoscopic myotomy is a new approach with pro-
mising short-term results.
Contents ix
Gastroesophageal Reflux Disease After Bariatric Procedures 579
Maria S. Altieri and Aurora D. Pryor
Obesity has become an epidemic in the United States and around the
world. Weight loss surgery is the only effective treatment for obesity and
its complications. Owing to an increase in the number of bariatric pro-
cedures, surgeons should have an understanding of complications asso-
ciated with such procedures. This article reviews the effect of three
common bariatric procedures on gastroesophageal reflux disease.
Barrett Esophagus 593
Mark Splittgerber and Vic Velanovich
Barrett esophagus is a change in the normal squamous epithelium of the
esophagus to specialized columnar-lined epithelium. Barrett esophagus
is of interest to surgeons in that it is associated with gastroesophageal re-
flux disease (GERD) and is a risk factor for esophageal adenocarcinoma.
Beyond that, nearly every other aspect of Barrett esophagus has been
an area of controversy among surgeons, gastroenterologists, pathologists,
and epidemiologists. The purpose of this article is to review the disease
Barrett esophagus with emphasis on current clinical management.
Minimally Invasive Esophagectomy for Benign Disease 605
Blair A. Jobe
There has been recent interest in minimally invasive esophagectomy (MIE),
which has the theoretic advantages of being less traumatic, with a shortened
postoperative recovery and fewer cardiopulmonary complications, com-
pared with open approaches. In addition, enhanced visualization afforded
by high-definition imaging and magnification may facilitate a safer approach,
with a resultant reduction in blood loss and complications. MIE has been
adopted in many centers. This article describes the history of MIE in the
context of benign disease, the surgical technique, and the outcomes of mini-
mally invasive approaches compared with those of the open approach.
Preoperative Evaluation of Gastroesophageal Reflux Disease 615
Vikas Singhal and Leena Khaitan
This article reviews the key diagnostic studies for the preoperative evalu-
ation of gastroesophageal reflux disease (GERD) and their relevance to the
diagnosis. Also discussed is how these diagnostic studies can help guide
the physician in choosing the optimal treatment modality for the patient.
Treatment options are significantly underused. Despite the availability of
multiple treatments on the market, medications remain the primary treat-
ment modality offered to patients. The preoperative assessment for treat-
ment of GERD now includes not only confirmation of the diagnosis of
GERD but also the determination of the cause of GERD to tailor the appro-
priate treatment option to the patient.
Reoperative Antireflux Surgery 629
Brandon T. Grover and Shanu N. Kothari
Patient satisfaction with primary antireflux surgery is high, but a small per-
centage of patients experience recurrent reflux and dysphagia, requiring
x Contents
reoperation. The major anatomic causes of failed fundoplication are slip-
ped fundoplication, failure to identify a short esophagus, and problems
with the wrap. Minimally invasive surgery has become more common for
these procedures. Options for surgery include redo fundoplication with
hiatal hernia repair if needed, conversion to Roux-en-Y anatomy, or, as a
last resort, esophagectomy. Conversion to Roux-en-Y anatomy has a
high rate of success, making this approach an important option in the
properly selected patient.
Short Esophagus 641
Nicholas R. Kunio, James P. Dolan, and John G. Hunter
In the presence of long-standing and severe gastroesophageal reflux dis-
ease, patients can develop various complications, including a shortened
esophagus. Standard preoperative testing in these patients should include
endoscopy, esophagography, and manometry, whereas the objective
diagnosis of a short esophagus must be made intraoperatively following
adequate mediastinal mobilization. If left untreated, it is a contributing fac-
tor to the high recurrence rate following fundoplications or repair of large
hiatal hernias. A laparoscopic Collis gastroplasty combined with an antire-
flux procedure offers safe and effective therapy.
Endoscopic Treatment of Gastroesophageal Reflux Disease 653
Kristin Hummel and William Richards
Multiple new endoluminal devices and therapies have been devised to
create a more effective antireflux barrier in patients with gastroesopha-
geal reflux disease (GERD). Most of these therapies have been aban-
doned, because they were ineffective and/or had significant adverse
effects. However, there are currently two therapies (Stretta, EsophyX)
that have US Food and Drug Administration approval and continue to
be used in select patients with GERD. The clinical management of
GERD, disease complications, endoluminal techniques, evidence for effi-
cacy, and controversies concerning endoluminal therapy for GERD are re-
viewed and discussed.
Esophageal Strictures and Diverticula 669
C. Daniel Smith
Esophageal disease and dysfunction of the lower esophageal sphincter
(LES) manifesting as gastroesophageal reflux disease (GERD) particularly,
is the most common of all gastrointestinal conditions impacting patients
on a day-to-day basis. LES dysfunction can lead to anatomic changes to
the distal esophagus, with GERD-mediated changes being benign stric-
ture or progression of GERD to Barrett s esophagus and even esopha-
geal cancer, and LES hypertension impairing esophageal emptying with
subsequent development of pulsion esophageal diverticulum. This article
details the causes, clinical presentation, workup, and treatment of esoph-
ageal stricture and epiphrenic esophageal diverticulum. Other types of
esophageal diverticula (Zenker s and midesophageal) are also covered.
Index
683
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| physical | XVI S., S. 467 - 693 zahlr. Ill., graph. Darst. 24 cm |
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| spelling | Surgical approaches to esophageal disease ed. Dmitry Oleynikov Philadelphia, Pa. Elsevier 2015 XVI S., S. 467 - 693 zahlr. Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Surgical clinics of North America 95,3 Clinics review articles Includes bibliographical references and index Esophageal motility disorders -- Approach to patients with esophageal dysphagia -- Benign esophageal tumors -- Physiology and pathogenesis of gastroesophageal reflux disease -- Surgical treatment of gastroesophogeal reflux disease -- Paraesophageal hernia -- Endoscopic dilation, Heller myotomy, and peroral endoscopic myotomy: treatment modalities for achalasia -- Gastroesophageal reflux disease after bariatric procedures -- Barrett esophagus -- Minimally invasive esophagectomy for benign disease -- Preoperative evaluation of gastroesophogeal reflux disease -- Reoperative antireflux surgery -- Short esophagus -- Endoscopic treatment of gastroesophageal reflux disease -- Esophageal strictures and diverticula Esophagus / Surgery Esophagus / Surgery fast Oleynikov, Dmitry Sonstige (DE-588)1074292030 oth Surgical clinics of North America 95,3 (DE-604)BV000003239 95,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028144833&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Surgical approaches to esophageal disease Surgical clinics of North America Esophagus / Surgery Esophagus / Surgery fast |
| title | Surgical approaches to esophageal disease |
| title_auth | Surgical approaches to esophageal disease |
| title_exact_search | Surgical approaches to esophageal disease |
| title_full | Surgical approaches to esophageal disease ed. Dmitry Oleynikov |
| title_fullStr | Surgical approaches to esophageal disease ed. Dmitry Oleynikov |
| title_full_unstemmed | Surgical approaches to esophageal disease ed. Dmitry Oleynikov |
| title_short | Surgical approaches to esophageal disease |
| title_sort | surgical approaches to esophageal disease |
| topic | Esophagus / Surgery Esophagus / Surgery fast |
| topic_facet | Esophagus / Surgery |
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