Objective: In patients with GERD who were stable and symptomatically controlled on long-term medical therapy we performed an RCT to compare ongoing optimized medical therapy with LNF.Methods: 201 patients were eligible for randomization, 104 gave informed consent (age mean 42.9, sd11; male 55 female 49) and 2 withdrew from the study immediately after randomization. Patients […]
Abstract Background: Major changes in endoscopic surgery have taken place in recent years. More and more, technical applications and complicated devices are introduced in the operation room. In previous studies, various preventable equipment related problems are reported. Potentially, this can influence the quality and safety of laparoscopic surgery. The goal of study is to find […]
Objective: The goal of this study was to assess the impact of minimally invasive surgery (MIS) fellowship training on the fellows’ clinical practice as well as former fellows’ perception of their experience.Methods: A survey composed of 50 multiple-choice questions was e-mailed to 270 former MIS fellows who began a fellowship in the U.S. between 2000 […]
Introduction: Body mass index > 30 is a preoperative predictor of failure after antireflux surgery, limiting therapeutic options for obese patients with medically refractory GERD. This study seeks to evaluate outcomes after two different endoluminal GERD therapies for these patients.Methods: Obese patients (BMI>30) presenting with medically-refractory GERD underwent either a single endoscopic full thickness (EFT) […]
Background: Optical access trocar (OAT) for primary access has been shown to be safe for obese and non-obese patients. Visualization of the abdominal layers is thought to help reduce the risk of injury to intra-abdominal organs. Concern still exists about the use of an OAT in obese patients with prior abdominal operations (PAO). We retrospectively […]