By P. Marco Fisichella, Marco G. Patti
This Atlas specializes in the outline of ways and surgical innovations used to regard the whole spectrum of esophageal illnesses. Surgical “pearls” and tips to decide upon and practice the right kind operation are incorporated and dependent either on evidence-based facts and the event of the Editors.
Step-by-step descriptions of 14 operative methods in esophageal surgical procedure are supplied. each one bankruptcy describes the present symptoms, perioperative administration suggestions, and an in depth operative strategy with appropriate technical issues.
The description of methods and surgical suggestions utilized in esophageal surgical procedure are defined in an simply comprehensible demeanour for the categorical target market.
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This Atlas specializes in the outline of techniques and surgical ideas used to regard the whole spectrum of esophageal ailments. Surgical “pearls” and find out how to decide upon and practice the right kind operation are integrated and established either on evidence-based info and the adventure of the Editors. step by step descriptions of 14 operative methods in esophageal surgical procedure are supplied.
Extra resources for Atlas of Esophageal Surgery
The electrode is brought into close contact with the mucosal lesion, and the electric current is delivered through an electrode array attached to the end of the endoscope. Fig. 6 Peroral Endoscopic Myotomy Because it is time-consuming and complex, the POEM procedure requires general anesthesia. A forward-viewing therapeutic endoscope with a large-bore working channel is usually used with CO2 insufflation. A transparent oblique cap attached at the distal tip of the endoscope is necessary to deploy a clip to the esophageal mucosal defects.
Curr Gastroenterol Rep. 2014;16: 389–96. 11. Wani S, Das A, Rastogi A, Drahos J, Ricker W, Parsons R, et al. Endoscopic ultrasonography in esophageal cancer leads to improved survival rates: results from a population-based study. Cancer. 2015;121:194–201. 12. Larghi A, Lightdale CJ, Memeo L, Bhagat G, Okpara N, Rotterdam H. EUS followed by EMR for staging of high-grade dysplasia and early cancer in Barrett’s esophagus. Gastrointest Endosc. 2005;62:16–23. 13. Inoue H, Santi EG, Onimaru M, Kudo SE.
Type 2 achalasia is most responsive to treatment by pneumatic dilation or laparoscopic Heller myotomy. Type 1 is more refractory to treatment, and Type 3 is the least amenable to either treatment. Given the greater risks of surgery versus pneumatic dilation, one proposal suggests that Type 2 patients be treated with pneumatic dilation and Type 1 patients be treated with surgery, if unresponsive to medical therapy. Botox injection should be reserved for Type 3 patients or any Type 1 or Type 2 patient who is a poor candidate for pneumatic dilation or surgery because of medical comorbidities.