Gastroesophageal reflux disease symptoms Esophageal Heartburn Regurgitation Dysphagia Gastric Bloating Early satiety Belching Nausea Pulmonary Aspiration Dyspnea Wheezing Cough Asthma Ears-nose-throat Globus Hoarseness Cardiac Chest pain The clinical evaluation should…
Fig. 15.1 Position of the patient Trocar Placement We use five 10 mm ports for the procedure. The first port is placed in the mid-line about 14 cm below the…
Fig. 7.1 Division of gastrohepatic ligament Fig. 7.2 Division of phrenoesophageal membrane Fig. 7.3 Circumferential exposure of the esophagus Fig. 7.4 Division of short-gastric vessels Before creating the fundic wrap,…
Score Weight loss (Kg) Dysphagia Retrosternal pain Regurgitation 0 0 None None None 1 <5 Occasional Occasional Occasional 2 5–10 Daily Daily Daily 3 >10 Each meal Each meal Each…
Fig. 26.1 Port placement for laparoscopic Roux-en-Y gastric bypass Keynote Trocars without blade are used to reduce the rate of herniation. It is important to avoid placing the ports too…
Fig. 22.1 (a) Gross appearance of esophageal specimen with Barrett’s metaplasia (salmon-colored patches) with adjacent native squamous epithelium (white). (b) Endoscopic appearance of Barrett’s changes (pink patches) extending proximally from…
Fig. 19.1 Stretta device used for radiofrequency energy delivery to LES and gastric cardia for endoluminal treatment of GERD (Reused with permission © 2019 Restech | Mederi-RF) This procedure is…
Fig. 11.1 Submucosal injection and mucosal incision . (a) Submucosal injection with a solution of saline, indigocarmine, and dilute epinephrine; (b) Mucosectomy with electrocautery. (Reprinted with permission © Springer Nature…
Fig. 9.1 Short myotomy Incomplete Myotomy This may occur because of scar tissue at the level of the GEJ secondary to prior endoscopic treatment [2, 7, 16–18]. Both pneumatic dilatation…
Fig. 29.1 Fluoroscopic image of an anterior band prolapse. The arrow indicates the horizontal position of the band Band Erosion This complication is reported with an incidence of 0.3% to…
