By P. Marco Fisichella, Marco G. Patti
This Atlas specializes in the outline of ways and surgical innovations used to regard the full spectrum of esophageal ailments. Surgical “pearls” and the way to pick out and practice the right kind operation are incorporated and established either on evidence-based information and the adventure of the Editors.
Step-by-step descriptions of 14 operative tactics in esophageal surgical procedure are supplied. every one bankruptcy describes the present symptoms, perioperative administration concepts, and a close operative method with suitable technical issues.
The description of methods and surgical concepts utilized in esophageal surgical procedure are defined in an simply comprehensible demeanour for the explicit audience.
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Extra info for Atlas of Esophageal Surgery
This HREM tracing shows the swallow pattern of the esophageal compression subtype. This diagnosis requires absent peristalsis and panesophageal pressurization of the esophagus in more than 20 % of swallows. LESP may be elevated, with poor LES relaxation 4 Esophageal Function Testing Fig. 4 Achalasia, type 3. This HREM tracing shows the swallow pattern of the spastic subtype. This diagnosis requires high-amplitude spastic contractions of the esophagus in more than 20 % of swallows, with or without preservation of distal peristalsis.
Botox injection should be reserved for Type 3 patients or any Type 1 or Type 2 patient who is a poor candidate for pneumatic dilation or surgery because of medical comorbidities. Fig. 2 Achalasia, type 1. This HREM tracing shows the swallow pattern of the classic subtype. Absent peristalsis is required for diagnosis. Esophageal pressurization is fully absent. 2 Scleroderma HREM in patients with scleroderma (Fig. 5) shows evidence of low to absent LESP, accompanied by weak or absent lower esophageal body contraction amplitude.
1 shows a normal HREM tracing. Esophageal contraction is bordered by the upper esophageal sphincter (UES) above and the lower esophageal sphincter (LES) below. The upper thoracic transition zone represents the transition from striated to smooth muscle in the upper esophagus. Fig. -K. Lo (*) • H. M. G. 1 W. Lo and H. Mashimo Motility Disorders Diagnosed by High-Resolution Esophageal Manometry Motility disorders diagnosed by HREM include achalasia (Figs. 4), scleroderma (Fig. 5), diffuse esophageal spasm (Fig.