BACKGROUND There is today a significant greater number of laparoscopic antireflux procedures for the surgical treatment of gastroesophageal reflux disease and there are yet controversies about the necessity of division of the short gastric vessels and full mobilization of the gastric fundus to perform an adequate fundoplication. AIM To verify the results of the surgical treatment of non-compl...

HYPOTHESIS Operative manometry detects residual esophagogastric junction (EGJ) high pressure, ensuring complete myotomy. DESIGN Consecutive patients undergoing laparoscopic myotomy. SETTING Tertiary care academic medical center. PATIENTS From 1997 to 2003, 139 patients with achalasia underwent laparoscopic myotomy. INTERVENTIONS We assessed myotomy completeness by operative endoscopy an...

The use of high-frequency ultrasound transducers in the gastrointestinal tract (GI) has already yielded remarkable findings concerning the anatomy, physiology and pathophysiology of the GI tract and of various motility disorders. These transducers have made completely invisible portions of the GI tract (the longitudinal smooth muscle, muscles of the upper esophageal sphincter, components of the...

ALI Acute lung injury ARDS Acute respiratory distress syndrome COPD Chronic obstructive pulmonary disease CT Computerized tomography CXR Chest X-ray (radiograph) DLT Double lumen endotracheal tube(s) ECG Electrocardiogram EGD Esophagogastroduodenoscopy EUS Endoscopic ultrasound GDFT Goal-directed fluid therapy GERD Gastroesophageal reflux disease LEA Lumbar epidural analgesia LES Lower esophage...

Achalasia cardia is a motility disorder of the esophagus characterized by failure of relaxation of the lower esophageal sphincter. Nitrates and calcium channel blockers, pneumatic dilatation, botulinum toxin injection and surgical myotomy have been described in literature as possible management options. We present a patient who presented with achalasia and was co-incidentally diagnosed to have ...

We thank Iovino and Ciacci for their constructive comments regarding our article “Respiratory physiotherapy can increase lower esophageal sphincter pressure in GERD patients” and welcome the opportunity to respond. We agree that investigating symptoms, reflux pattern and quality of life in GERD patients are mandatory for evaluating this treatment applicability. However, the objective of our stu...

CONTEXT Gastroesophageal reflux disease is a chronic disease in which gastroduodenal contents reflux into the esophagus. The clinical picture of gastroesophageal reflux disease is usually composed by heartburn and regurgitation (typical manifestations). Atypical manifestations (vocal disturbances and asthma) may also be complaint. OBJECTIVE To analyse the clinical, endoscopic, manometric and ...

CC This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. *Correspondence: Esteban Sáez González, MD Servicio de Medicina Digestiva, Hospital Univ...