achalasia

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Saving the Hepatic Branch of the Anterior Vagus...

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Sacrificing the hepatic branch causes prolongation in the GET. This change in the motor functions of the gallbladder does not cause any symptomatic effect during the early postoperative period. However,...

Laparoscopic Heller Myotomy

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The objectives of this procedure are: (1) to carry out myotomy of the longitudinal and circular muscles of the lower 6 cm of the esophagus, the esophagogastric junction, and the proximal 2 cm of the stomach...

Where is the Target Endpoint of the Myotomy in...

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The pars flaccida of the gastrohepatic ligament is divided using a monopolar, bipolar, or ultrasonic energy device.Then creation of the Retroesophageal Window andplacing the Penrose drain allows retraction...

Laparoscopic Heller Myotomy

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The laparoscopic Heller myotomy combined with a Dor fundoplication has become the operative standard of care for the treatment of achalasia. One challenge has been the lack of effective techniques for...

Does it Make Patient`s Dysphagia? A Big Lipoma...

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Surgical video case: esophageal lipomas are rare tumors, making up 0.4% of all digestive tract benign neoplasms. Most of these lesions are clinically silent as a result of their small size, however, the...

Classic Endoscopic Findings of Achalasia

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Endoscopy plays an important role in early evaluation, primarily to exclude other diseases such as webs, rings, esophageal cancer, and proximal gastric cancer, which can mimic the symptoms of achalasia....

Achalasia Endoscopy in Situs Inversus Totalis

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Endoscopy video case: situs inversus totalis is a rare congenital disorder characterized by a completely reversed position (mirror‐image) of the thoracic and abdominal visceral organs. This preoperative...

Laparoscopic Heller Myotomy: Stretching and Tearing...

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Surgical video case: laparoscopic Heller myotomy with anterior fundoplication significantly relieves the symptoms of achalasia without causing the symptoms of gastroesophageal reflux disease. This procedure...

Laparoscopic Heller's Myotomy in Achalasia Concomitant...

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Surgical video case: achalasia is a rare esophageal motility problem that may coexist with a hiatal hernia. Both achalasia and hiatal hernia are associated with heartburn. The treatment in your case consists...

Steps in Laparoscopic Heller's Cardiomyotomy:...

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After the ports have been inserted, the patient is usually placed in a steep reverse Trendelenburg position. A 10-mm 30° angled camera is used. The initial approach involves dividing the left phrenoesophageal...