Operation for sigmoid oesophagus.

Sigmoid Oesophagus: Case Report and Review of Literature

It is the severe form of achalasia that is characterised by massive dilatation and tortuosity of the oesophagus. It is seen in long standing achalasia where the dilated upper segment of the oesophagus sags down below the level of the narrowed lower segment causing mechanical obstruction. Whereas Heller’s cardiomyotomy is considered to be the operation of choice in simple achalasia, it is regard...

An operation for hiatus hernia with short oesophagus.

Treatment of reflux strictures of the oesophagus by the Nissen-Rossetti operation.

There are several forms of treatment available for a stricture of the oesophagus caused by reflux of gastric fluid. In this context only strictures which resist the passage of bougies and the oesophagoscope are included. A constant narrowing is shown on barium swallow. If sufficient barium passes into the stomach a hiatus hernia and reflux are seen. The stricture is in the region of the junctio...

Antireflux surgery for Barrett's oesophagus.

Barrett's oesophagus is usually the result of severe reflux disease. Relief of reflux symptoms is the primary aim of treatment in patients with Barrett's oesophagus who do not have high-grade dysplasia. Some studies with medium-term (2-5 years) follow up show that antireflux surgery can provide good or excellent symptom control, with normal oesophageal acid exposure, in more than 90% of patient...

Management of Sigmoid Volvulus Avoiding Sigmoid Resection

Acute sigmoid volvulus is typically caused by an excessively mobile and redundant segment of colon with a stretched mesenteric pedicle. When this segment twists on its pedicle, the result can be obstruction, ischemia and perforation. A healthy, 18-year-old Caucasian woman presented to the emergency department complaining of cramping abdominal pain, distention, constipation and obstipation for t...