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Dorchester Center, MA 02124

Fundoplication and Other Antireflux Procedures

KEY FACTS Terminology Nissen fundoplication (FDP) : Complete (360°) FDP Toupet FDP : Partial (270°) FDP, posterior side Belsey Mark IV repair: 240° FDP wrap around left lateral aspect Nissen-Collis procedure creates "neoesophagus" GE junction (at B ring) will be above diaphragm; intact wrap around proximal stomach (neoesophagus) will be below diaphragm Imaging Preoperative: Identify "short esophagus," hiatal hernia, and dysmotility Wrap complications Tight FDP wrap…

Esophagectomy: Ivor Lewis and Other Procedures

KEY FACTS Terminology Surgical resection of a portion of esophagus and replacement by a conduit formed by another portion of alimentary tube Imaging Many surgical options for surgical excision of esophagus Transthoracic esophagectomy: Usually performed through right intercostal approach (Ivor Lewis procedure) Other options include minimally invasive (laparoscopic) procedures Stomach is ideal conduit, as it has reliable blood supply and can reach high into thorax or…

Zenker Diverticulum

KEY FACTS Terminology Pharyngoesophageal diverticulum or posterior hypopharyngeal diverticulum/outpouching Mucosal herniation through area of anatomic weakness of cricopharyngeal muscle (Killian triangle) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Schatzki Ring

KEY FACTS Terminology Annular, inflammatory, symptomatic narrowing of normal lower esophageal mucosal or B ring You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Esophageal Webs

KEY FACTS Terminology Thin mucosal fold narrowing esophageal lumen Lacks muscle layer (unlike distal esophageal B or Schatzki ring) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here