Fig. 27.1 Mobilization of the greater curvature of the stomach (photo courtesy of Nabeel R. Obeid, MD) Fig. 27.2 Mobilization of the gastric fundus at the splenic hilum with division…

Fig. 4.1 Thirty millimeter Rigiflex balloon with radiopaque markers defining the upper, middle, and lower borders Although PD was initially performed in the hospital setting with an overnight stay, for…

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…

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. 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…