Charles Filipi, director of the laboratory, will review all tests and if studies indicate a failed valve or other abnormalities correctable by surgery, a surgical procedure may be scheduled. Dr. Filipi, one of the pioneers of small incision surgery has extensive experience in esophageal surgery. He was responsible for bringing laparoscopic antireflux surgery to this country. S urgical treatment may be necessary for patients with gastroesophageal reflux disease, abnormalities of esophageal function and problems with previous antireflux operations. Laparoscopic Nissen Fundoplication, Laparoscopic and Thoracoscopic Esophageal Heller Myotomy, and Redo Laparoscopic Surgery for Complex Esophageal Problems.
Laparoscopic surgery is done through five small incisions.
The following information describes this surgery. To be sure the wrap is not too tight, a flexible rubber tube is introduced into the esophagus after which the wrap is created. The mechanisms of failure have been identified and Dr. Filipi has utilized tests and new operative techniques to laparoscopically correct operations that have malfunctioned. The large number of anti-reflux laparoscopic operations at Creighton University plus patients referred from other centers has established Dr. Filipi as the most experienced surgeon in the Midwest for laparoscopic correction of failed operations. R epeat manometry and endoscopy is part of all evaluations and pH monitoring may be required.