By P. Marco Fisichella, Marco G. Patti
This Atlas specializes in the outline of methods and surgical strategies used to regard the total spectrum of esophageal ailments. Surgical “pearls” and how you can opt for and practice the proper operation are integrated and dependent either on evidence-based facts and the adventure of the Editors.
Step-by-step descriptions of 14 operative strategies in esophageal surgical procedure are supplied. each one bankruptcy describes the present symptoms, perioperative administration techniques, and an in depth operative strategy with correct technical concerns.
The description of methods and surgical suggestions utilized in esophageal surgical procedure are defined in an simply comprehensible demeanour for the categorical audience.
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Extra info for Atlas of Esophageal Surgery
The right crus is separated from the right side of the esophagus by blunt dissection, the posterior vagus nerve is identified, and the right crus is dissected inferiorly toward the junction with the left crus. The use of a bipolar instrument allows right crus dissection to be performed more safely than with electrocautery, with a reduced risk of injury to the posterior vagus nerve due to the lateral spread of the electrical current from a monopolar instrument. Fig. 5 The right crus of the diaphragm is identified Fig.
Submucosal endoscopy: from ESD to POEM and beyond. Gastrointest Endosc Clin N Am. 2014;24:257–64. 14. Oyama T. Esophageal ESD: technique and prevention of complications. Gastrointest Endosc Clin N Am. 2014;24:201–12. Esophageal Function Testing 4 Wai-Kit Lo and Hiroshi Mashimo Esophageal functional testing comprises assessments of esophageal motility and reflux, for the diagnosis of esophageal motility disorders and acid and nonacid reflux in gastroesophageal reflux disease (GERD). Testing is accomplished using a catheter-based esophageal manometry system, as well as catheter-based and capsule-based pH and impedance systems.
More than 20 % of swallows feature simultaneous contractions, but peristalsis is present on other swallows, and the LES relaxes normally Fig. 7 Nutcracker esophagus, shown on HREM tracing. Esophageal body contraction amplitude is elevated above 180 mmHg. There may be incomplete LES relaxation, but bolus transit is usually complete 36 Fig. 8 Ineffective esophageal motility on an HREM tracing. This finding does not meet criteria for other motility disorders. LES relaxation is complete, but there may be low-amplitude or nontransmitted contractions in the esophageal body.
Atlas of Esophageal Surgery by P. Marco Fisichella, Marco G. Patti