| Laparoscopic surgery of the gastroesophageal junction. | |
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MedLine Citation:
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PMID: 10030859 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Incompetence of the lower esophageal sphincter mechanism leads to gastroesophageal reflux (GER), which is the most common indication for surgery of the gastroesophageal junction. Evaluation, diagnosis, and the modern surgical treatment of GER are discussed. Evaluation of patients with severe heartburn include upper endoscopy to evaluate the general condition of the esophagus, stomach, and duodenum; an upper gastrointestinal contrast study for a complete anatomic view of the esophagus and stomach; esophageal manometry to evaluate the function of the esophagus; 24-hour pH monitoring to determine esophageal acid exposure; and a gastric emptying study selectively to determine the presence of a motility disorder. These studies most often prove the diagnosis of gastroesophageal reflux, hiatal hernia, Barrett's esophagus, peptic esophageal stricture, paraesophageal hernia, or achalasia. The laparoscopic approach to treatments for these include Nissen fundoplication, Toupet fundoplication, Collis gastroplasty with fundoplication, modified Heller myotomy, esophageal diverticulectomy, and revisional operations. These procedures are described in detail. The results of these operations indicate that they are safe and effective and should be considered the new gold standard for correction of gastroesophageal pathology. Laparoscopic surgery has revolutionized many procedures traditionally performed through a laparotomy. Although they are technically more difficult and require a significant amount of time and practice for the surgeon to become proficient, it is becoming apparent that for functional surgery of the gastroesophageal junction laparoscopy is the access of choice. |
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Authors:
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H Spivak; S Lelcuk; J G Hunter |
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Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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Title: World journal of surgery Volume: 23 ISSN: 0364-2313 ISO Abbreviation: World J Surg Publication Date: 1999 Apr |
Date Detail:
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Created Date: 1999-04-05 Completed Date: 1999-04-05 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7704052 Medline TA: World J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 356-67 Citation Subset: IM |
Affiliation:
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Department of Surgery, Rabin Medical Center, Beilinson Campus, Petach-Tikva 49100, Israel. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Endoscopy, Digestive System Esophageal Diseases / diagnosis, surgery* Esophagogastric Junction / surgery* Follow-Up Studies Humans Laparoscopy* Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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