Pathophysiology of GERD Lean patients Obese patients TLESR Worse esophageal clearance (hyposalivation) Hiatal hernia Lower TP (obstructive sleep apnea) Higher AP (increased waist circumference and BMI) Higher TDPG Acid pocket…
Fig. 20.1 Types of surgical failure of Nissen fundoplication (Image reused with permission © Lippincott-Raven [10]) In this chapter, we will review the anatomic and physiologic evaluation of patients with…
Fig. 8.1 Upper GI demonstrating epiphrenic diverticulum and esophageal dysmotility in a patient with type II achalasia It is often difficult to distinguish between symptoms of an ED and the…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_31 31. Evaluation and Treatment of the Patient Who Is Regaining Weight A. Daniel Guerron1 and Ranjan Sudan1, 2 (1) Department of Surgery,…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_28 28. Laparoscopic Duodenal Switch Michel Gagner1, 2, 3, 4 (1) Herbert Wertheim School of Medicine, FIU, Miami, FL, USA (2)…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_25 25. Bariatric Surgery: Clinical Presentation and Evaluation Marco Di Corpo1, Francisco Schlottmann2, 1 and Marco G. Patti3, 4 (1) Department of Surgery, University of…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_24 24. Importance of a Multidisciplinary Approach for Bariatric Surgery Richard Thompson1 and Timothy M. Farrell1 (1) Department of Surgery, University of North Carolina,…
Achalasia subtype Integrated relaxation pressure (mm Hg) Peristalsis Additional considerations Type 1 >15 mm Hg 100% failed Premature contractions with DCI <450 mm Hg/s/cm can serve as surrogate for failed…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_21 21. From Heartburn to Lung Fibrosis and Beyond Benjamin E. Haithcock1 (1) Department of Surgery, University of North Carolina, Chapel Hill,…
Fig. 16.1 Laparoscopic antireflux surgery port placement We use an 11 mm optical viewing trocar to obtain access to the peritoneal cavity and position this approximately 10 cm inferior to…
