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…
Fig. 9.1 Short myotomy Incomplete Myotomy This may occur because of scar tissue at the level of the GEJ secondary to prior endoscopic treatment [2, 7, 16–18]. Both pneumatic dilatation…
Fig. 29.1 Fluoroscopic image of an anterior band prolapse. The arrow indicates the horizontal position of the band Band Erosion This complication is reported with an incidence of 0.3% to…
Fig. 30.1 Roux-en-Y gastric bypass, gastrojejunostomy Fig. 30.2 Roux-en-Y gastric bypass, jejuno-jejunostomy Sleeve Gastrectomy The sleeve gastrectomy is a purely restrictive procedure, although resection of the fundus of the stomach…
Symptom Weight Loss (kg) Dysphagia Regurgitation Chest Pain Score 0 None None None None 1 <5 Occasional Occasional Occasional 2 5–10 Daily Daily Daily 3 >10 With every meal With…
Fig. 6.1 Position of the patient. (Reprinted with permission © Springer Nature [6]) Trocar Placement Five 10-mm ports are used for the procedure. The first port is placed about 14…
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…
