Search results for "Esophageal body"

showing 3 items of 3 documents

Poor Esophageal Motility: A Tailored Approach?

2014

New onset dysphagia following antireflux surgery is among the most undesirable side effects of an otherwise excellent therapy. While its cause is multifactorial, insufficient circular muscle strength of the esophageal body, not powerful enough to force the bolus through the distal neo-high pressure zone, can be a component of the pathophysiology. The relative merits of “tailoring” the degree of fundoplication based upon esophageal body motility and/or other clinical features have been debated for decades. Herein we discuss the rationale for a tailored approach, its pros and cons and review data published to date available to guide the clinician in individual patient decision-making.

Antireflux surgerymedicine.medical_specialtyTailored approachbusiness.industryEsophageal bodyDysphagiaNew onsetPoor esophageal motilityCircular musclemedicinemedicine.symptomIntensive care medicinebusinessPartial fundoplication
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Uniportal Video-Assisted Thoracoscopic Surgery Resection of a Giant Midesophageal Diverticulum

2017

We describe a new video-assisted technique for the management of a giant midesophageal diverticulum using a single 5-cm port. It maintained the same principles of the traditional open technique as diverticulectomy, myotomy, and fundoplication. The better visualization of the main esophageal body, diverticulum, and esophagogastric junction and the better alignment of the stapler cartridge to the longitudinal axis of the esophagus are all technical factors supporting our procedure. Heavily calcified mediastinal lymph nodes and diffuse pleural adhesions are the main contraindications. However, future experiences are needed before this technique can be recommended as acceptable treatment. (C) 2…

MaleMyotomyPulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentSettore MED/21 - Chirurgia ToracicaEsophageal body030204 cardiovascular system & hematologyPleural adhesionsResection03 medical and health sciences0302 clinical medicinePort (medical)medicineHumansEsophagusThoracic Surgery Video-Assistedbusiness.industrySurgery; Pulmonary and Respiratory Medicine; Cardiology and Cardiovascular MedicineMiddle Agedmedicine.diseaseSurgerySettore MED/18 - Chirurgia Generalemedicine.anatomical_structure030220 oncology & carcinogenesisDiverticulum EsophagealSurgerybusinessCardiology and Cardiovascular MedicineUniportal video assisted thoracoscopic surgeryDiverticulumHuman
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Systematic analysis of esophageal pressure topography in high-resolution manometry of 68 normal volunteers

2013

Summary The introduction of high-resolution manometry (HRM) has been a significant advance in esophageal diagnostics. Normative values however are currently based upon a single set of published reference values, and multiple new metrics have been added over the past several years. Our goal was to provide a second set of ‘normal-values’ and to include all current metrics suggested by the 2012 Chicago classification. Sixty-eight subjects without foregut symptoms or previous surgery (median age 25.5 years, ranging from 20–58 years, 53% female) underwent esophageal motility assessment via an established standardized protocol. Normative thresholds were calculated for esophago-gastric junction (E…

medicine.medical_specialtyReproducibilitybusiness.industryGastroenterologyEsophageal bodyGeneral MedicineAnatomyControl subjectsNormal volunteersInternal medicineReference valuesmedicineCardiologyEsophageal pressurebusinessHigh resolution manometryPeristalsisDiseases of the Esophagus
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