Operations for Zenker’s Diverticulum
Fig. 11.1 Zenker’s diverticulum, at the junction between the oblique fibers of the cricopharyngeus muscle and the transverse fibers of the inferior pharyngeal constrictor 11.1 Clinical Scenario #1 A 55-year-old…
Peroral Endoscopic Myotomy (POEM)
Fig. 10.1 Preoperative upper endoscopy: dilated and tortuous esophagus Fig. 10.2 Preoperative esophagram: retained contrast column and narrowing at the esophagogastric junction (EGJ) Fig. 10.3 Preoperative HRIM showing elevated integrated…
Laparoscopic Pyloroplasty
Fig. 7.1 Operative ports in order of placement for a laparoscopic Nissen fundoplication Fig. 7.2 Port placement and rearrangement for a pyloroplasty 7.2.4 Pyloroplasty Procedure Once the pylorus is identified,…
Transhiatal Esophagectomy
Fig. 15.1 Left cervical exposure with retraction of the sternocleidomastoid muscle, carotid artery, and internal jugular vein laterally and the trachea and thyroid medially Fig. 15.2 Vessel loop encircling the…
Patient Positioning
Fig. 5.1 The surgeon performs the procedure standing between the patient’s legs, with an assistant on the right side of the operating table and another one on the left side…
Esophageal Function Testing
Fig. 4.1 A normal high-resolution esophageal manometry (HREM) tracing, with time on the x-axis and esophageal distance on the y-axis 4.1.1 Motility Disorders Diagnosed by High-Resolution Esophageal Manometry Motility disorders…
History of Esophageal Surgery
Fig. 1.1 Rudolph Nissen (Source: National Library of Medicine) Fig. 1.2 Nissen fundoplication evolution from the original description in 1956 of a long and tight wrap to the final short-floppy…
Laparoscopic Treatment of Epiphrenic Diverticula
Fig. 12.1 Left, Barium swallow showing distal esophageal narrowing, an air-fluid level, slow emptying of barium into the stomach, and a 5 × 6-cm epiphrenic diverticulum. Right, Esophageal manometry showing achalasia, with…
