Definitive text on Gastroesophageal Reflux Disease (GERD), outlining pathophysiology and medical management This multi-authored text provides information on the pathophysiology of GERD, appropriate medical management, and proper indications for and performance of surgical and endoscopic procedures The chapters will highlight the problem of failed medical and surgical anti-reflux therapy for Gastroesophageal Reflux Disease and will provide an algorithm for managing such failures

Autorentext

Dr. P. Marco Fisichella is an expert in Minimally Invasive Gastrointestinal, Esophageal, and Bariatric Surgery. Executive Director with over 12 years experience in patient care, clinical research, and higher education. Strong leadership and project management skills coupled with demonstrated ability to achieve profitable growth. Have directed:
The Surgical Services at Jamaica Plains, Boston VA Healthcare System, with a volume of 63,000 clinic visits per year.
A $4.5M Simulation Center at Loyola University Stritch School of Medicine
The Surgical Subspecialty Clinics at Hines Jr. VA Medical Center with a volume of 85,000 clinic visits per year
The Swallowing Center at Loyola University Medical Center.

Klappentext

This multi-authored text provides information on the pathophysiology of Gastroesophageal Reflux Disease (GERD), appropriate medical management, and proper indications for and performance of surgical and endoscopic procedures.

The Editors look at the current understanding of this disease, and present new information regarding tissue susceptibility, the role of bile and digestive enzymes, and cyclic changes in LES tone. Chapters are devoted to standard therapeutic options for GERD, including lifestyle changes, pharmacologic therapy, and surgery. In addition, newer endoscopic treatments including Stretta, Endocinch, injection of bulking agents, as well as others, are described. Failed Anti-Reflux Therapy: Analysis of Causes and Principles of Treatment is essential to any physician who manages patients with GERD, including internists, gastroenterologists, general surgeons, and thoracic surgeons.

Zusammenfassung

Inhalt

History of medical and surgical antireflux therapy.- Establishing the diagnosis of GERD.- Medical management of gastroesophageal reflux disease: algorithms and outcomes.- Principles of successful surgical antireflux procedures.- Diagnosis and treatment of the extraesophageal manifestations of gastroesophageal reflux disease.- Acute complications of antireflux surgery.- Management of complications after paraesophageal hernia repair.- Persistent symptoms after antireflux surgery and their management.- Technical surgical failures: presentation, etiology, and evaluation.- Symptoms after antireflux surgery: everything is not always caused by surgery.- The medical and endoscopic management of failed surgical antireflux procedures.- Reoperation for failed antireflux surgery.- Management of the short esophagus.- Esophagectomy: indications, techniques, and outcomes.