Introduction:Achalasia is a rare esophageal motility disorder that is usually treated with endoscopic interventions and/or surgical myotomy. The goal during surgical myotomy is to relieve the esophageal outflow obstruction by dividing all muscle fibers from 2-3 cm distal to the gastroesophageal junction and onto the esophagus 4-6 cm proximally. An incomplete myotomy can lead to […]
Introduction:Treatment of weight regain following Roux en Y Gastric Bypass using sclerotherapy has been demonstrated to be effective in stabilizing or providing moderate weight reduction. Optimum number of sclerotherapy treatments remains undefined. A retrospective review of patients with previous RYGB and weight regain (>10 lbs) who underwent at least one sclerotherapy treatment for a gastrojejunostomy […]
Introduction: The purpose of this study is to evaluate the acute and chronic fixation strength of fibrin sealant as an alternative fixation method for laparoscopic ventral hernia repair (LVHR). Methods: Representative mesh types for LVHR included one nonabsorbable barrier mesh (Composix™), and three absorbable barrier meshes (Sepramesh™, Proceed and Parietex™ Composite). Macroporous polypropylene mesh (Prolite […]
Introduction: Anatomic failure and recurrent gastroesophageal reflux (GERD) following fundoplication is a well described occurrence. Occasionally, reoperative surgery is required. The morbidity of revisional GERD surgery can be quite high, and the clinical outcomes may not be as good as is observed following primary antireflux operations. Methods: Data was obtained from a prospectively maintained foregut […]
BACKGROUND: Attempts at transoral fundoplication to treat gastroesophageal reflux have until recently been limited to gastro-gastric plications. The EsophyX device (EndoGastric Solutions, Redmond, WA) provides the potential to perform a transoral esophago-gastric fundoplication. Polypropylene fasteners are placed between the esophageal lumen and the gastric cardia up to 4 cm above the Z-line to create a […]