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Mercury or tungsten-weighted bougies have blindly inserted bougies placed into the esophagus by the treating physician. They are passed in sequentially increasing sizes to dilate the obstructed area. They must be used with precaution in patients with narrow strictures, as they may curl proximal to the obstruction.
The original procedure also consisted of an esophageal transection, splenectomy, vagotomy, and pyloroplasty. [ citation needed ] The Sugiura procedure was originally associated with significant morbidity and mortality ; in recent years, though, this procedure and its modifications have been performed in many hepatobiliary and pancreatic ...
The procedure involves dissecting the pars flaccida to open a plane between the right crus of the liver and the esophagus, performing an intrathoracic esophageal dissection, and identifying the left crus. [61] [63] A hiatal hernia repair is conducted, if necessary, with a posterior cruroplasty using a durable suture material. [63]
These vessels are fragile and often hemorrhage into the GI tract. (See esophageal, gastric, rectal varices). [citation needed] A TIPS procedure decreases the effective vascular resistance of the liver through the creation of an alternative pathway for portal venous circulation. By creating a shunt from the portal vein to the hepatic vein, this ...
The narrowing is caused by a ring of mucosal tissue (which lines the esophagus) or muscular tissue. [1] A Schatzki ring is a specific type of "esophageal ring", and Schatzki rings are further subdivided into those above the esophagus/stomach junction (A rings), [2] and those found at the squamocolumnar junction in the lower esophagus (B rings ...
The Kocher manoeuvre is a surgical procedure to expose structures in the retroperitoneum behind the duodenum and pancreas. In vascular surgery, it is described as a method to expose the abdominal aorta. It usually has been in contrast to midline laparotomy and right retroperitoneal space dissection. These two procedures have been used for ...
The procedure uses endoscopic ablation to burn targeted areas of the stomach lining to reduce the production of ghrelin. Participants in the small, six-month trial showed weight loss, lower ...
Minimally-invasive procedures have been shown to dramatically reduce healing time as well as reduce procedure risk. [ 3 ] The first clinical study using EndoStim technology was published in 2010, showing that in patients with GERD, electrical stimulation therapy significantly and consistently increased LES pressure.