Background: Magnetic Sphincter Augmentation (MSA) has been shown to effectively control gastroesophageal reflux disease (GERD) in patients without Barrett’s esophagus, with normal motility, < 3 cm hiatal hernia, and BMI < 35 kg/m2. The underlying mechanism of the magnetic sphincter is based on the concept that a loose ligature increases the gastric pressure threshold required to open the lower esophageal sphincter (LES); however the exact mechanism of action is unknown. To date, no one has eval
INTRODUCTION: Conventional surgical approaches to the treatment of Zenker’s diverticulum (ZD) are effective but risk perforation and nerve injury. Rigid and flexible endoscopic approaches to the treatment of ZD have been described using cutting and energy delivery. These are associated with a significant rate of perforation. We report our 12- year experience with rigid endoscopic stapling (RES) for the treatment of Zenker’s diverticulum.
METHODS: Cricopharyngeal myotomy (CPM) for the treatment
Introduction. Current techniques of laparoscopic mesh repair of giant hiatal hernias are not effective as rate of recurrence reach 40 %. Thus, creation of fundamentally new methods of prosthetic hiatal repair is necessary.
The aim of the study was to assess long-term results of laparoscopic tension-free repair of giant hiatal hernias with a new prosthesis.
Methods and procedures. From 2010 to 2013, 44 laparoscopic repairs of giant hiatal hernias were performed. From them, 42 patients were foll
Introduction:
Paraesophageal Hernia (PEH) repair is technically challenging. Recurrence is common although most recurrences do not require re-operation. There are little published data on indications for redo PEH repair, or on outcomes of re-operation.
Methods:
All patients who underwent operation for recurrent PEH at a single, high-volume tertiary care center between 01/2005 and 12/2013 were analyzed. Data were obtained from a prospectively maintained database and systematic patient question
Introduction: In a prospective randomized controlled multi-institution trial (RCT) comparing the Nissen (LNF) and Hill (LHR) repairs we were able to show that the two repairs were equivalent in the surgical treatment of uncomplicated gastroesophageal reflux disease (GERD). However recurrence patterns differed, reflecting the inherent weakness in each repair. We therefore combined critical features of each repair to create a laparoscopic Nissen-Hill Hybrid operation (HYB). Its safety and feasibil