Indications Print Section Listen General Duodenal or gastric ulcer. Bleeding. Perforation. Vagotomy for Bleeding Duodenal Ulcer With current antacid therapies, indications have become more selective. Chronic ulcers that are Helicobacter…

Indications Print Section Listen Laparoscopic and Open Nissen Fundoplication Evidence of gastroesophageal reflux disease (GERD) plus: Sequelae of GERD refractory to medical therapy (eg, esophageal strictures, Barrett’s esophagus, recurrent aspiration,…

Indications Print Section Listen Malignant tumors. Benign tumors. Intractable bleeding. Chronic ulceration and inflammation. Contraindications Print Section Listen Absolute Inability to completely resect primary cancer. Distant metastases. Relative High operative…

Indications Print Section Listen Resectable esophageal carcinoma. Barrett esophagus with high-grade dysplasia. Carcinoma of the cardia or proximal stomach. Achalasia. Advanced disease (mega-esophagus). Failed esophagomyotomy. Benign (undilatable) stricture. Recurrent hiatal…

Indications Print Section Listen Tumors may be functional (ie, a clinical syndrome of excessive levels of such hormones as insulin, gastrin, VIP, somatostatin, and glucagon) or nonfunctional (ie, normal serum…

Indications Print Section Listen General Indications Clinically or biochemically apparent adrenal hormonal hyperfunction. Possible or certain malignant adrenal mass. Adrenal mass of uncertain significance. Specific Conditions and Disease States Primary…

Indications Print Section Listen Symptomatic Fractures (especially vertebral compression fractures). Nephrolithiasis. Severe neuromuscular weakness. Easy fatigability. Loss of stamina. Sleep disturbance. Depression. Memory loss. Pancreatitis. History of an episode of…

Indications Print Section Listen Thyroid Lobectomy Unilateral toxic nodule. Solitary adenoma or cyst. Total Thyroidectomy Thyroid carcinoma. Graves’ disease. Hashimoto thyroiditis. Multinodular goiter. Substernal goiter. Neck Dissection Locally advanced head…