Article
Gastroenterology & Hepatology
Vic Velanovich
Summary: This article provides a historical perspective on practice-changing innovations in hiatal hernia and anti-reflux surgery based on a single surgeon's experience over the past 27 years. The study reviewed 1200 operations performed by the surgeon and highlighted various advancements in surgical techniques and procedures. The findings demonstrate the impact of practice-changing innovations on anti-reflux and hiatal hernia surgery over time.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Medicine, General & Internal
Fahui Cheng, Hongyan Liang, Yu Zhang, Hui Zeng, Xiao Gao, Lipeng Tan, Hengzheng He
Summary: This retrospective study evaluated the effectiveness of a biological mesh in the 4K laparoscopic repair of hiatal hernia. The results showed that the tension-free repair with a biological mesh effectively relieved GERD symptoms and no recurrence occurred during the follow-up period, but some patients experienced dysphagia.
Review
Gastroenterology & Hepatology
Muhammad Haseeb, Jeremy R. Glissen Brown, Umar Hayat, Camden Bay, Paul A. Bain, Pichamol Jirapinyo, Christopher C. Thompson
Summary: This study assessed the efficacy of transoral incisionless fundoplication (TIF) using the EsophyX device in treating atypical GERD symptoms. The results showed that TIF can effectively reduce these symptoms at 6 and 12 months of follow-up, with a high technical success rate and low adverse event rate. Most patients were satisfied with their health condition and a majority of them were able to stop using daily PPIs.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Surgery
Ralph W. Aye, George N. Baison, Hassan Ahmed, Jeffery Watkins, Steven R. DeMeester, Adam J. Bograd, Alexander S. Farivar, Brian E. Louie
Summary: The Nissen-Hill hybrid repair is a safe and effective method for treating gastroesophageal reflux and hiatal hernia, with excellent symptomatic and objective outcomes and low recurrence rates.
Article
Surgery
Savni Satoskar, Sarang Kashyap, Avian Chang, Joshua Ziehm, Francisco Benavides, Aanuoluwapo Obisesan, David Livert, Sagar Rohondia, Manju Kashyap, Vinay Singhal
Summary: The study retrospectively analyzed the resources utilized for robotic-assisted hiatal hernia repair and compared the outcomes of conventional repair and hybrid repair. The results showed that hybrid repair had shorter operative time and length of stay compared to conventional repair, but there was no significant clinical or cost-effectiveness advantage for hybrid repair.
JOURNAL OF ROBOTIC SURGERY
(2022)
Article
Gastroenterology & Hepatology
Jacques A. Greenberg, Federico Palacardo, Rodrigo C. L. Edelmuth, Caitlin E. Egan, Yeon Joo Lee, Felice H. Schnoll-Sussman, Philip O. Katz, Brendan M. Finnerty, Thomas J. Fahey, Rasa Zarnegar
Summary: Gastroesophageal reflux disease (GERD) is a common complication in obese patients. Roux-en-Y gastric bypass (RYGB) is the main treatment, but some patients are reluctant to undergo bypass. This study found that anti-reflux surgery (ARS) can achieve satisfactory results in patients with different body mass indexes (BMIs), including those with higher BMIs.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Francisco Schlottmann, Francisco Laxague, Cristian A. Angeramo, Emmanuel E. Sadava, Fernando A. M. Herbella, Marco G. Patti
Summary: Laparoscopic redo fundoplication (LRF) is a feasible and safe procedure that provides symptom relief and improved quality of life for the majority of patients, with low recurrence rates.
Review
Medicine, General & Internal
N. J. Talley, M. Zand Irani
Summary: Gastroesophageal reflux disease (GERD) is a common disorder that may not respond to initial proton pump inhibitor (PPI) treatment, and refractory reflux can be challenging to manage. Differential diagnosis is crucial in order to tailor appropriate therapy, and a combination of clinical assessment and testing can help characterize patients for targeted treatment. Newer approaches, such as endoscopic techniques, are being explored as alternative options for refractory reflux.
JOURNAL OF INTERNAL MEDICINE
(2021)
Article
Surgery
Zhi Zheng, Xiaoye Liu, Chenglin Xin, Weitao Zhang, Yan Gao, Na Zeng, Mengyi Li, Jun Cai, Fandong Meng, Dong Liu, Jie Zhang, Jie Yin, Jun Zhang, Zhongtao Zhang
Summary: The total left-side surgical approach (TLSA) shows promise in treating HH and GERD with successful outcomes in 5 patients, including shorter operative time, less blood loss, rapid recovery, and improved gastrointestinal function. Six-month follow-up results also show reductions in symptoms and improved quality of life, suggesting short-term efficacy of TLSA.
Article
Veterinary Sciences
Giselle L. Hosgood, Carla Appelgrein, Candice Gelmi
Summary: The study presented a technique for circumferential esophageal hiatal rim reconstruction in 29 brachycephalic dogs with persistent regurgitation. Short-term follow-up showed a significant reduction in regurgitation frequency post surgery. It is recommended to consider this procedure for brachycephalic dogs with a history of regurgitation unresponsive to medical management.
JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
(2021)
Review
Surgery
Wenhui Chen, Jia Feng, Cunchuan Wang, Yucheng Wang, Wah Yang, Zhiyong Dong
Summary: After undergoing SG+HHR treatment, patients experienced a significant reduction in GERD symptoms, improvement in esophagitis, and decrease in GERD-HRQL. SG+HHR has a positive impact on GERD remission, reduction in esophagitis, and improvement in GERD-HRQL.
Article
Surgery
Suyu He, Yingdong Jia, Fei Xu, Qianlong Li, Xin Xiong, Hui Wang, Xiaojuan Jing, Xuejun Yang, Lianfen He, Hanmei Wang, Xin Tao
Summary: Transient delayed gastric emptying (DGE) is common one month post-LNF surgery but can quickly recover in the second month following the surgery.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Surgery
Vivian L. Wang, Anahita D. Jalilvand, Anand Gupta, Jennwood Chen, Chaitanya Vadlamudi, Kyle A. Perry
Summary: In this retrospective study, it was found that smokers and non-smokers who underwent LARS surgery had similar outcomes in terms of symptom resolution, PPI cessation rates, and satisfaction with the surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Sharbel A. Elhage, Angela M. Kao, Michael Katzen, Jenny M. Shao, Tanushree Prasad, Vedra A. Augenstein, B. Todd Heniford, Paul D. Colavita
Summary: Elective repair versus watchful waiting in paraesophageal hernia (PEH) patients remains controversial. Generating predictive factors to determine patients at greatest risk for emergent repair may be helpful. Patients undergoing emergent repair are more likely to experience complications, require ICU care, have a higher mortality rate, and an increased likelihood of reoperation. An increase in intrathoracic hernia sac volume (HSV) predicts the need for emergent surgery. Patients with large PEH may benefit from early elective surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Medicine, Research & Experimental
Qing Wang, Junhui Lu, Yue Sui, Jing Fan, Jinnan Ren, Zhenzhen Wang, Xing Chen
Summary: The present study aimed to assess the effectiveness of a prediction model in predicting reflux symptom recurrence among outpatient with reflux esophagitis (RE). A total of 261 outpatients diagnosed with RE complicated by anatomical alterations and reflux symptoms were included in the study. The study found that a prediction model utilizing multiple risk factors, such as hiatal hernia length, esophageal hiatus diameter, Hill classification, and BMI, along with chronic atrophic gastritis and Helicobacter pylori infection, had a good predictive value for reflux recurrence in patients with RE.
EXPERIMENTAL AND THERAPEUTIC MEDICINE
(2023)