Outcomes of esophageal surgery, especially of the lower esophageal sphincter

Luigi Bonavina, Stefano Siboni, Greta I. Saino, Demetrio Cavadas, Italo Braghetto, Attila Csendes, Owen Korn, Edgar J. Figueredo, Lee L. Swanstrom, Eelco Wassenaar

Research output: Contribution to journalArticlepeer-review

Abstract

This paper includes commentaries on outcomes of esophageal surgery, including the mechanisms by which fundoduplication improves lower esophageal sphincter (LES) pressure; the efficacy of the Linx™ management system in improving LES function; the utility of radiologic characterization of antireflux valves following surgery; the correlation between endoscopic findings and reported symptoms following antireflux surgery; the links between laparoscopic sleeve gastrectomy and decreased LES pressure, endoscopic esophagitis, and gastroesophageal reflux disease (GERD); the less favorable outcomes following fundoduplication among obese patients; the application of bioprosthetic meshes to reinforce hiatal repair and decrease the incidence of paraesophageal hernia; the efficacy of endoluminal antireflux procedures, and the limited efficacy of revisional antireflux operations, underscoring the importance of good primary surgery and diligent work-up to prevent the necessity of revisional procedures.

Original languageEnglish
Pages (from-to)29-42
Number of pages14
JournalAnnals of the New York Academy of Sciences
Volume1300
Issue number1
DOIs
Publication statusPublished - Oct 2013

Keywords

  • Antireflux
  • Esophagogastric junction
  • Lower esophageal sphincter
  • Manometry
  • Obesity

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

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