Ureteral Stents, Nephrostomy Tubes, and Urethral Dilators
Fig. 4.1 (a) is a depiction of a double-J stent in the left kidney. Images Copyright Visible Health, Inc., created using draw MD Urology (www.drawmd.com) and reproduced with permission by…
Novel Endoscopic Antireflux Procedures: Do They Have a Role in Patients with Hiatus Hernia?
1. Is GERD truly present and validated by endoscopy and/or pH monitoring? 2. Does GERD affect the patient’s quality of life? 3. Is there a confounding illness that makes GERD…
Utility of Endoscopy in the Diagnosis of Hiatus Hernia and Correlation with GERD
Type Location of GEJ Incidence Symptoms I Above diaphragmatic hiatus >90% Asymptomatic or GERD II Normal anatomic position <1% Asymptomatic but may become strangulated or incarcerated III Above diaphragmatic 5%…
Long-Term Results After Laparoscopic Reoperation for Failed Antireflux Procedure
Fig. 17.1 Gastrographin swallow demonstrating an acute postoperative paraesophageal herniation Fig. 17.2 Slipped fundoplication A correlation between the cause of recurrence and the interval between the primary procedure and the…
Revision Strategies for Recurrent Paraesophageal Hiatal Hernia
Tension Radial Axial Technical Misplaced wrap Incomplete hiatal dissection Misidentified GEJ Loose sutures Improperly tied knots Poor tissue bites Surgeon experience Asymmetric fundoplication Tightness of fundoplication Tightness of crural closure…
Quality of Life Following Laparoscopic Antireflux Surgery for Primary and Recurrent Gastroesophageal Reflux Disease
VAS (visual analog scale ) of patient satisfaction with symptom control score range from 0 (no relief) to 100 (complete symptom relief), more than 70 equals symptom control De Mester…
Laparoscopic Repair of Paraesophageal Hiatus Hernia: Suture Cruroplasty or Prosthetic Repair
Fig. 9.1 Large PHH The current chapter will address an area of controversy i.e., the use of prosthetic material (mesh) at the esophageal hiatus and whenever possible will compare it…
Preoperative Assessment of Failed Fundoplication with Recurrent Hiatal Hernia
Slipped fundoplication and hiatal hernia Slipped fundoplication Malpositioned fundoplication Malpositioned fundoplication and hiatal hernia Tight fundoplication Hiatal hernia alone Loose fundoplication Tight cruroplasty 13.2 Pathophysiology Despite having been recognized over…
Indications and Procedures for Surgical Therapy of GERD with Hiatal Hernia
Typical Atypical Heartburn Hoarseness Regurgitation Throat pain Chest pain Globus sensation Water brash Cough Dysphagia Shortness of breath Belching Asthma Bloating 5.3.1 Atypical Symptoms Atypical or extraesophageal symptoms of GERD…
Lower Esophageal Sphincter Efficacy Following Laparoscopic Antireflux Surgery with Hiatal Repair: Role of Fluoroscopy, High-Resolution Impedance Manometry and FLIP in Detecting Recurrence of GERD and Hiatal Hernia
Fig. 10.1 The anatomy of the normal esophago-gastric junction showing the esophagus, stomach, diaphragm and the clasp and sling fibers (modified and reproduced with permission from ref. [2]) LES is…
