Abdominal Key

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…

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…

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,…

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…

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…

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…

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…

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…