Barrett's esophagus: surgical treatments
The following on surgical treatments for Barrett's esophagus includes commentaries on the indications for antireflux surgery after medical treatment; the effects of the various procedures on the lower esophageal sphincter; the role of impaired esophageal motility and delayed gastric emptying in the choice of the surgical procedure; indications for associated highly selective vagotomy, duodenal switch, and gastric electrical stimulation; therapeutic strategies for detection and treatment of shortened esophagus; the role of antireflux surgery on the regression of metaplastic mucosa and the risk of malignant progression; the detection of asymptomatic reflux brfore bariatric surgery; the role of non-GERD symptoms on the results of surgery; and the indications of Collis gastroplasty and choice of the type of fundoplication.
antireflux surgery esophageal motility gastric emptying highly selective vagotomy duodenal switch gastric electrical stimulation asymptomatic reflux bariatric surgery collis gastroplasty metaplastic epithelium dysplasia les pressure manometry peristalsis nissen wrap dysphagia truncal vagotomy preoperative hrm les achalasia esophageal body spastic disorders tlesr post-vagotomy gastroparesis gastric emptying test gastrostomy jejunostomy preoperative endoscopy short esophagus slipped wrap impedance