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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]
It can be used to treat a number of medical conditions that result in narrowing of the esophageal lumen, or decrease motility in the distal esophagus. These include the following: Peptic stricture; Eosinophilic esophagitis [2] Schatzki rings; Achalasia; Scleroderma esophagus; esophageal cancer
A normal stomach can stretch, sometimes to over 1000 mL, while the pouch of the gastric bypass may be 15 mL in size. The gastric bypass pouch is usually formed from the part of the stomach that is least susceptible to stretching. That, and its small original size, prevents any significant long-term change in pouch volume.
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 abdomen is inflated with carbon dioxide gas to facilitate visualization and, often, a small video camera is used to show the procedure on a monitor in the operating room. The surgeon manipulates instruments within the abdominal cavity to perform procedures such as cholecystectomy (gallbladder removal), the most common laparoscopic procedure ...
In addition, "pharyngo" means pharynx, "laryngo" means larynx, "esophag" means esophagus. Thus, "pharyngolaryngoesophagectomy" refers to the surgical removal of the three. The field of minimally invasive surgery has spawned another set of words, such as arthroscopic or laparoscopic surgery. These take the same form as above; an arthroscope is a ...
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 ...
Heller myotomy is a surgical procedure [1] in which the muscles of the cardia (lower esophageal sphincter or LES) are cut, allowing food and liquids to pass to the stomach.It is used to treat achalasia, a disorder in which the lower esophageal sphincter fails to relax properly, making it difficult for food and liquids to reach the stomach.