This book is intended for surgeons wanting to take their antireflux practice to an advanced level. It focuses on what experts do in real life, highlights pitfalls in skillful patient selection and fundoplication surgical technique, and addresses how to handle the “curve balls”. It also provides recommendations on obtaining high patient satisfaction and building relationships with referring physicians. It is intended as an “expert” level manual to help readers move to the next level in their practices. From patient assessment and selection, anticipation of perioperative challenges, intraoperative problem-solving and technique, and postoperative management of side-effects, to reducing long-term recurrence rates and resumption of antisecretory medication, these expert authors dig deep to share the pearls of wisdom that make the difference between the average surgeon and the expert.
Written by experts in the field, Fundoplication Surgery: A Clinical Guide to Optimizing Results confronts the issues that have hindered the broader use of fundoplication nationally and is a valuable resource and reference guide for addressing ambiguous symptoms and test results in one’s practice.
Table des matières
Anatomy of the Reflux Barrier in Health, Disease and Reconstruction.- Surgical Management of GERD: Recommendations for Patient Selection and Pre-Operative Work-up.- Identification and Management of a ‘Short Esophagus’ and a Complex Hiatus.- Difficult Diaphragmatic Closure.- Laparoscopic Nissen Fundoplication: Pitfalls and Pearls in Going from Learning Curve to Expert.- Alternatives to Nissen Fundoplication: The Hill Repair and the Nissen-Hill Hybrid.- Laparoscopic Toupet Fundoplication.- Anterior Partial Fundoplication.- Enhancing Clinical Outcomes Through Better Postoperative Management and Follow-Up.- How to Build the Trust of Your Reffering Physicians.- Diagnosis and Management of Gastroesophageal Reflux Disease in Pediatric Patients.A propos de l’auteur
Ralph Williams Aye, MD, FACS
Staff thoracic and esophageal surgeon
Clinical Program Leader, Thoracic Oncology
Fellowship Director, Minimally Invasive Thoracic and Esophageal Surgery
Chair, Quality Committee, Swedish Cancer Institute
Swedish Medical Center and Swedish Cancer Institute
Thoracic and Foregut Surgery
Seattle, WA
USA
John G Hunter, MD, FACS, FRCS Edin (hon)
Mackenzie Professsor and Chair, Surgery
Editor in Chief, World Journal of Surgery
Oregon Health and Science University
Portland, OR
USA
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