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An Internist's Illustrated Guide to Gastrointestinal Surgery by George Y. Wu

By George Y. Wu

Textual content describes the entire surgical and laparoscopic systems now used for the gastrointestinal tract. contains transparent, halftone illustrations and discussions of anatomical and physiological adjustments. additionally bargains recommendation at the clinical administration of the postsurgical sufferer. For physicians. DNLM: Digestive method Surgical Procedures--methods.

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Treatment of esophageal achalasia with laparoscopic Heller myotomy and Dor partial fundoplication: Prospective evaluation of 100 consecutive patients. J Gastrointest Surg 2000;4:282–289. 9. Patti MG, Pellgrini CA, Horgan S, et al. Minimally Invasive Surgery for Achalasia: An 8-year experience with 168 patients. Ann Surg 1999;230:587–594. 32 Braveman, Khitin, and Brams Chapter 4 / Surgery for GERD 4 33 Surgery for Gastroesophageal Reflux Disease Lev Khitin, MD and David M. Brams, MD CONTENTS INTRODUCTION PATHOPHYSIOLOGY OF GERD SYMPTOMS OF GERD INDICATIONS FOR SURGERY CONTRAINDICATIONS TO SURGERY PREOPERATIVE EVALUATION LAPAROSCOPIC FUNDOPLICATION: CONDUCT OF OPERATION RESULTS AND COMPLICATIONS ALTERNATIVE PROCEDURE COST SUMMARY REFERENCES INTRODUCTION Gastroesophageal reflux disease (GERD) is one of the most common problems seen in medical practice.

5%. Gastroesophageal reflux occurs in 20 to 40% of patients (3). Intrasphincteric injection of the LES with Botox through the flexible endoscope represents a newer modality for treating achalasia. The toxin blocks release of acetylcholine from the presynaptic parasympathetic nerve endings in the smooth muscle producing a Chapter 3 / Esophagectomy for Achalasia 27 denervation of the LES. The immediate results are excellent, with 70% to 100% of patients experiencing relief within the first month.

Mansour K, Bryan C, Carlson G. Bowel interposition for esophageal replacement: twenty-five-year experience. Ann Thorac Surg 1997;64:752. 31. McLarty A, Deschamps C, Trastek V, et al. Esophageal Resection for Cancer of the Esophagus: LongTerm Function and Quality of Life. Ann Thorac Surg: 1997;63:1568. 16 Kent, Port, and Altorki Chapter 2 / Zenker's Diverticulum 2 17 Zenker’s Diverticulum Anders Holm, MD and Denis C. Lafreniere, MD CONTENTS INTRODUCTION EVALUATION TREATMENT PROCEDURE COMPLICATIONS COST SUMMARY REFERENCES INTRODUCTION The Zenker’s diverticulum is an out pouching of the hypopharynx arising between the fibers of the cricopharyngeus inferiorly and the inferior constrictor superiorly.

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