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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1401_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Preface
- •Contents
- •Contributors
- •Esophageal Manometry
- •Ambulatory pH Monitoring
- •Gastric Emptying Study
- •Differential Diagnosis
- •Complications
- •References
- •General Considerations
- •Clinical Findings
- •Symptoms
- •Clinical Evaluation
- •Endoscopy
- •Barium Swallow
- •Introduction
- •Transoral Incisionless Fundoplication (TIF)
- •Muse
- •Stretta
- •Novel Procedures
- •Conclusion
- •References
- •3: Magnetic Sphincter Augmentation
- •Introduction
- •Conclusion
- •References
- •Introduction
- •Gastroesophageal Junction (GEJ) Incompetence
- •Increased Acid Production
- •Obesity
- •Sleeve Gastrectomy
- •Preoperative Workup
- •Surgical Interventions
- •Fundoplication
- •Esophageal Lengthening Procedures
- •Laparoscopic Magnetic Sphincter Augmentation
- •Gastric Bypass
- •Electrical Lower Sphincter Augmentation (EndoStim)
- •Reflux After Sleeve Gastrectomy
- •References
- •References
- •History
- •Pathophysiology
- •Why Yes, Why No
- •Anatomy
- •Endoscopy
- •Manometry
- •Radiology
- •Intraoperative Measurement
- •Reported Incidence
- •Post-fundoplication Failure: Technical Failure or Short Esophagus?
- •References
- •7: Hiatal Hernia
- •Classification
- •Evaluation
- •Endoscopy
- •Barium Swallow
- •Esophageal Manometry
- •pH Monitoring
- •Computed Tomography
- •Surgical Treatment
- •Patient Positioning
- •Trocar Placement
- •Fundoplication
- •References
- •8: Redo Antireflux Surgery
- •Introduction
- •Early Failure
- •Late Failure
- •Presentation
- •Workup
- •Redo-Fundoplication
- •Technique
- •Diaphragmatic Relaxing Incision
- •Roux-en-Y Gastrojejunostomy
- •Technique
- •Minimally Invasive Esophagectomy
- •Technique
- •Reoperative Antireflux Surgery After Prior Transoral Incisionless Fundoplication
- •Reoperation After Failed Magnetic Sphincter Augmentation
- •Outcomes
- •References
- •Introduction
- •Achalasia
- •Symptoms
- •Diagnosis
- •Esophagogastric Junction Outflow Obstruction (EGJO)
- •Symptoms
- •10: Motility Disorders: Medical Modalities
- •Achalasia
- •Diagnosis
- •Diffuse Esophageal Spasm (DES)
- •Symptoms
- •Diagnosis
- •Jackhammer Esophagus (JHE)
- •Diagnosis
- •Symptoms
- •Absent Contractility
- •Provocative Tests
- •Postsurgical Assessments
- •References
- •Esophagogastric Junction Outflow Obstruction
- •Hypercontractile Esophagus
- •Distal Esophageal Spasm
- •Absent Contractility
- •Ineffective Esophageal Motility
- •Fragmented Peristalsis
- •References
- •11: Esophageal Motility Disorders
- •Overview
- •History
- •Initial Testing
- •Upper GI Fluoroscopy
- •Manometry
- •Achalasia
- •Chagas Disease
- •Systemic Sclerosis (Scleroderma)
- •Pharmacological Treatment
- •Peroral Endoscopic Myotomy
- •Recurrent Dysphagia
- •Total Esophagectomy
- •Conclusion
- •References
- •Introduction
- •Botulinum Toxin (BTx) Injection
- •Pneumatic Dilation
- •Peroral Endoscopic Myotomy (POEM)
- •References
- •Introduction
- •Primary Surgical Failure
- •Incomplete Myotomy
- •Gastroesophageal Reflux Disease (GERD)
- •Failed Fundoplication
- •Ineffective Esophageal Motility/Pan-Aperistalsis
- •Esophageal Cancer Development
- •Patient Workup
- •Upper Gastrointestinal Series (UGI) +/− Barium Tablet
- •Esophagogastroduodenoscopy (EGD)
- •High-Resolution Manometry (HRM)
- •pH/Impedance
- •Gastric Emptying Study (GES)
- •Medical Treatments
- •Pneumatic Dilation (PD)
- •Redo Heller Myotomy
- •Redo POEM
- •Redo Fundoplication
- •Esophagectomy
- •Robotics
- •Conclusion
- •References
- •Introduction
- •Clinical Presentation
- •Zenker Diverticulum
- •Midthoracic Diverticulum
- •Epiphrenic Diverticulum
- •Intramural Pseudodiverticulosis
- •Evaluation
- •Zenker Diverticulum
- •Midthoracic Diverticulum
- •Epiphrenic Diverticulum
- •Intramural Pseudodiverticulosis
- •Conclusions
- •References
- •15: Esophageal Diverticula
- •Introduction
- •Open Hypopharyngeal Diverticulectomy
- •Open Hypopharyngeal Diverticulopexy
- •Open Hypopharyngeal Diverticular Invagination
- •Open Cricopharyngeal Myotomy
- •Transoral Hypopharyngeal Diverticulotomy
- •Transoral Stapled Hypopharyngeal Diverticulotomy
- •Transoral Flexible Endoscopic Hypopharyngeal Diverticulotomy
- •Transoral Flexible Endoscopic Submucosal Approach Hypopharyngeal Diverticula
- •Preoperative Assessment
- •Postoperative Care
- •Mid-Esophageal Diverticula
- •Conclusions
- •References
- •Introduction
- •Surgical Treatment
- •Laparoscopic Approach
- •Thoracoscopic Approach
- •Robotic Approach
- •Postoperative Care
- •Conclusion
- •References
- •Introduction
- •Definition
- •Risk Factors
- •Conclusion
- •References
- •Introduction
- •Risk Factors
- •Gastroesophageal Reflux Disease
- •Management
- •Endoscopic Ablative Therapies
- •Radiofrequency Ablation
- •Cryotherapy
- •Argon Plasma Coagulation (APC)
- •Conclusion
- •References
- •19: Endoscopic Mucosal Resection
- •Background
- •Indications
- •Pre-procedural Preparation
- •Techniques
- •Ligation-Assisted EMR
- •Injection-Assisted EMR
- •Post-procedural Considerations
- •Complications
- •Oncologic Efficacy
- •Conclusion
- •References
- •Introduction
- •Clinical Presentation
- •Diagnosis
- •Neutralizing Agents
- •Antibiotics
- •Systemic Steroids
- •Endoscopy
- •Ivor Lewis Esophagectomy
- •Procedure Steps: Minimally Invasive
- •Abdominal Portion
- •Thoracic Portion
- •McKeown Esophagectomy
- •Procedure Steps
- •Transhiatal Esophagectomy
- •Procedure Steps
- •Conclusion
- •References
- •Introduction
- •Etiology
- •Location
- •Diagnosis
- •Endoscopy Versus Surgery
- •Endoscopic Techniques
- •Clips
- •Stents
- •Endoluminal Vacuum Therapy
- •References
- •Introduction
- •Etiology
- •Diagnosis
- •Postoperative Care
- •Summary
- •References
- •Index

Benign Esophageal
Disease
Modern Surgical Approaches
and Techniques
Natan Zundel
W. Scott Melvin
Marco G. Patti
Diego Camacho
Editors
123

Benign Esophageal Disease

Natan Zundel • W. Scott Melvin
Marco G. Patti • Diego Camacho
Editors
Benign Esophageal
Disease
Modern Surgical Approaches
andTechniques

Editors
Natan Zundel
Jackson North Medical Center
University at Buffalo
Miami, FL
USA
W. Scott Melvin
Monteore Medical Center
Albert Einstein College of Medicine
Bronx, NY
USA
Marco G. Patti
Department of Surgery and Medicine
University of North Carolina
Chapel Hill, NC
USA
Diego Camacho
Monteore Medical Center
Albert Einstein College of Medicine
Bronx, NY
USA
ISBN 978-3-030-51488-4 ISBN 978-3-030-51489-1 (eBook)
https://doi.org/10.1007/978-3-030-51489-1
© Springer Nature Switzerland AG 2021
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of
the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation,
broadcasting, reproduction on microlms or in any other physical way, and transmission or information
storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology
now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specic statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface
Over the past few decades, minimally invasive techniques have evolved and changes
in esophageal surgery have been dramatic. Due to the improvements in diagnosis,
the surgical community became more aware of these diseases and better procedures
are being developed.
Changes from open surgery to laparoscopic, robotic, and endoscopic procedures
brought remarkable improvements in outcomes and decreased the morbidity and
mortality of esophageal surgery.
As is expected with an evolution, and as our capacity to resolve problems
increases, we face new challenges such as reoperations and complications from
endoscopic procedures among others.
This book focuses on the diagnosis and treatment of benign esophageal disorders. A large number of world-renowned authors collaborated to develop what we
consider a magnicent compilation of amazing, state-of-the art chapters.
Particular emphasis has been placed on gastroesophageal reux disease (GERD),
a highly prevalent problem. This book describes the different diagnostic tools available as well as the therapeutic approaches for the management of GERD and its
potential complications such as Barrett’s esophagus or strictures and the associated
anatomical abnormalities such as hiatal hernia or short esophagus. We also discussed the primary motility disorders of the esophagus such as achalasia and esophageal diverticula. Different devices and approaches can be used to treat these
diseases and they will be covered and explained in different chapters of the book.
It is an honor for me to edit this book with Dr. Camacho, Dr. Melvin, and Dr.
Patti since they are all leaders in the eld of foregut surgery in the USA and all
around the world. An amazing group of people to work with, whom I am honored to
call friends.
I would like to thank rst and foremost our families for all their support to make
this book a reality, to all the authors that agreed to participate in this project with us,
and last but not least to Richard Hruska, Lillie Gaurano, Kevin Wright, and Daniel
Dominguez from the editorial team for all their hard work.
Miami, FL, USA NatanZundel
Bronx, NY, USA W.ScottMelvin
Chapel Hill, NC, USA MarcoG.Patti
Bronx, NY, USA DiegoCamacho
v

Contents
1 Gastroesophageal Reflux Disease: Workup and Evaluation . . . . . . . . . 1
Marco Di Corpo, Kamil Nurczyk, and Marco G. Patti
2 Endoscopic Therapies for GERD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
John Cole Cowling, Shinil K. Shah, Erik B. Wilson, and Melissa
M. Felinski
3 Magnetic Sphincter Augmentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Kathleen L. Lak and Jon C. Gould
4 Surgical Therapy for GERD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Ariel Shuchleib, Elias Chousleb, and Natan Zundel
5 Recurrence of Symptoms After Surgical Therapies . . . . . . . . . . . . . . . 43
Sammy Ho and Sara Welinsky
6 Short Esophagus: Its Relationship with Fundoplication
Failure and Postoperative Recurrence of the Hiatal Hernia . . . . . . . . . 47
Italo Braghetto and Owen Korn
7 Hiatal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Kamil Nurczyk, Marco Di Corpo, and Marco G. Patti
8 Redo Antireflux Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Brett Parker and Kevin Reavis
9 Motility Disorders: Workup and Evaluation . . . . . . . . . . . . . . . . . . . . . 91
Samuel Szomstein, Alejandro Cracco, and Jose Melendez-Rosado
10 Motility Disorders: Medical Modalities . . . . . . . . . . . . . . . . . . . . . . . . . 103
Andrew M. Brown and Aurora D. Pryor
11 Esophageal Motility Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Michael Jureller and Erin Moran-Atkin
12 The Endoscopic Treatment of Esophageal Motility Disorders . . . . . . . 137
Vitor Ottoboni Brunaldi and Manoel Galvao Neto
vii

viii
Contents
13 Redo Interventions in Failed Procedures . . . . . . . . . . . . . . . . . . . . . . . . 149
Kelly R. Haisley and Lee L. Swanström
14 Diverticulum: Workup and Evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . 165
Juan S. Barajas-Gamboa and Matthew Kroh
15 Esophageal Diverticula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Andrew T. Strong and Jeffrey L. Ponsky
16 Surgical Techniques for Lower Esophageal Diverticula . . . . . . . . . . . . 211
Francesca M. Dimou and Alfons Pomp
17 Medical Evaluation of Barrett’s Esophagus . . . . . . . . . . . . . . . . . . . . . . 219
Brian Hodgens, Reid Sakamoto, and Dean Mikami
18 Ablative Therapies in Barrett’s Esophagus . . . . . . . . . . . . . . . . . . . . . . 225
Audrey C. Pendleton and W. Scott Melvin
19 Endoscopic Mucosal Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Terence Jackson, David Faugno-Fusci, Aric Wogsland, and
Jeffrey Marks
20 Surgical Management of Esophageal Strictures After Caustic
Ingestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
Derek Moore, Georgios Orthopoulos, and John R. Romanelli
21 Endoscopic Management of Esophageal Perforations. . . . . . . . . . . . . . 259
Naomi Berezin
22 Surgical Treatment of Esophageal Perforation . . . . . . . . . . . . . . . . . . . 267
Thomas C. Tsai, Christopher R. Morse, and David W. Rattner
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275

Contributors
Juan S. Barajas-Gamboa Department of General Surgery, Digestive Disease
Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
Naomi Berezin General Surgery, Monteore Medical Center/Albert Einstein
College of Medicine, Bronx, NY, USA
ItaloBraghetto Department of Surgery, Hospital “Dr. José J.Aguirre”, University
of Chile, Santiago, RM, Chile
Andrew M. Brown Department of Surgery, Stony Brook University Hospital,
Stony Brook, NY, USA
Vitor Ottoboni Brunaldi Gastrointestinal Endoscopy Unit, Gastroenterology
Department, University of São Paulo Medical School, Sao Paulo, Brazil
Elias Chousleb Department of General Surgery, The Bariatric and Sleeve
Gastrectomy Center at Jackson North, Miami, FL, USA
JohnColeCowling Division of Minimally Invasive and Elective General Surgery,
Department of Surgery, McGovern Medical School, University of Texas Health
Science Center at Houston, Houston, TX, USA
AlejandroCracco
MarcoDi Corpo Department of Surgery, University of North Carolina, Chapel
Hill, NC, USA
FrancescaM.Dimou
Presbyterian Hospital, New York, NY, USA
David Faugno-Fusci Department of General Surgery, University Hospitals of
Cleveland, Cleveland, OH, USA
MelissaM.Felinski Division of Minimally Invasive and Elective General Surgery,
Department of Surgery, McGovern Medical School, University of Texas Health
Science Center at Houston, Houston, TX, USA
Jon C. Gould Department of Surgery, Medical College of Wisconsin,
Milwaukee, WI, USA
Cleveland Clinic Florida– Weston, Weston, FL, USA
Department of Surgery, Weill Cornell Medicine/New York
ix

x
Contributors
KellyR. Haisley Gastrointestinal and Minimally Invasive Surgery, The Oregon
Clinic, Portland, OR, USA
Brian Hodgens Department of Surgery, University of Hawaii, Honolulu,
HI, USA
SammyHo Monteore Medical Center, Bronx, NY, USA
Terence Jackson Department of General Surgery, University Hospitals of
Cleveland, Cleveland, OH, USA
Michael Jureller, MD
General Surgery, Monteore Medical Center/Albert
Einstein College of Medicine, Bronx, NY, USA
OwenKorn Department of Surgery, Hospital “Dr. José J.Aguirre”, University of
Chile, Santiago, RM, Chile
Matthew Kroh Department of General Surgery, Digestive Disease Institute,
Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA
Kathleen L. Lak Department of Surgery, Medical College of Wisconsin,
Milwaukee, WI, USA
JeffreyMarks Department of General Surgery, University Hospitals of Cleveland,
Cleveland, OH, USA
Jose Melendez-Rosado Eisenman & Eisenman M.D., Advanced Gastro
Consultants, Lake Worth, FL, USA
W. Scott Melvin, MD Department of Surgery, Monteore Medical Center,
Bronx, NY, USA
Dean Mikami Department of Surgery, The Queen’s Medical Center, Honolulu,
HI, USA
Derek Moore University of Massachusetts Medical School – Baystate Medical
Center, Springeld, MA, USA
Erin Moran-Atkin, MD General Surgery, Monteore Medical Center/Albert
Einstein College of Medicine, Bronx, NY, USA
Christopher R. Morse Division of Thoracic Surgery, Department of Surgery,
Massachusetts General Hospital, Boston, MA, USA
ManoelGalvao Neto Surgery Department, ABC University, Sao Paolo, Brazil
Kamil Nurczyk Departments of Surgery and Medicine, University of North
Carolina, Chapel Hill, NC, USA
GeorgiosOrthopoulos University of Massachusetts Medical School– Baystate
Medical Center, Springeld, MA, USA

Contributors
xi
Brett Parker Providence Portland Medical Center, The Oregon Clinic GMIS,
Portland, OR, USA
Marco G. Patti Departments of Surgery and Medicine, University of North
Carolina University of North Carolina, Chapel Hill, NC, USA
Audrey C. Pendleton, MD Department of Surgery, Monteore Medical Center,
Bronx, NY, USA
Alfons Pomp
Department of Surgery, Weill Cornell Medicine/New York
Presbyterian Hospital, New York, NY, USA
Jeffrey L. Ponsky Digestive Disease and Surgery Institute, Cleveland Clinic,
Cleveland, OH, USA
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University,
Cleveland, OH, USA
AuroraD.Pryor Department of Surgery, Stony Brook University Hospital, Stony
Brook, NY, USA
DavidW.Rattner Division of General and Gastrointestinal Surgery, Massachusetts
General Hospital, Boston, MA, USA
Kevin Reavis Division of Minimally Invasive Surgery, The Oregon Clinic,
Portland, OR, USA
John R. Romanelli University of Massachusetts Medical School – Baystate
Medical Center, Springeld, MA, USA
Reid Sakamoto Department of Surgery, John A. Burns School of Medicine,
Honolulu, HI, USA
Shinil K. Shah Division of Minimally Invasive and Elective General Surgery,
Department of Surgery, McGovern Medical School, University of Texas Health
Science Center at Houston, Houston, TX, USA
Michael E. DeBakey Institute for Comparative Cardiovascular Science and
Biomedical Devices, Texas A&M University, College Station, TX, USA
Ariel Shuchleib Department of General Surgery, ABC Medical Center, Mexico
City, Mexico
Andrew T. Strong Digestive Disease and Surgery Institute, Cleveland Clinic,
Cleveland, OH, USA
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University,
Cleveland, OH, USA
LeeL.Swanström Gastrointestinal and Minimally Invasive Surgery, The Oregon
Clinic, Portland, OR, USA
SamuelSzomstein Cleveland Clinic Florida– Weston, Weston, FL, USA
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