A5031242880- Gastroesophageal reflux and treatments
- Esophageal and GI Pathology
- Dysphagia Assessment and Management
- Hernia repair and management
- Eosinophilic Esophagitis
- Helicobacter pylori-related gastroenterology studies
- Esophageal Cancer Research and Treatment
- Pelvic and Acetabular Injuries
- Gastrointestinal disorders and treatments
- Minimally Invasive Surgical Techniques
- Gallbladder and Bile Duct Disorders
- Abdominal Surgery and Complications
- Gastric Cancer Management and Outcomes
- Congenital Diaphragmatic Hernia Studies
- Global Health and Surgery
- Appendicitis Diagnosis and Management
- Intestinal and Peritoneal Adhesions
- Cardiac, Anesthesia and Surgical Outcomes
- Gastrointestinal Tumor Research and Treatment
- Diversity and Career in Medicine
- Clinical Nutrition and Gastroenterology
- Bariatric Surgery and Outcomes
- Metastasis and carcinoma case studies
- Hip and Femur Fractures
- Pediatric Hepatobiliary Diseases and Treatments
CHI Health Creighton University Medical Center - Bergan Mercy
2003-2025
Sisters of Mercy Health System
2025
CHI Health
2022-2025
Creighton University
2010-2020
Hernia Center
2016
University of Southern California
1994-2009
Jacksonville College
2009
Mayo Clinic in Florida
2009
WinnMed
2009
Klinikum Ludwigsburg
2007
Objectve The open Nissen fundoplication is effective therapy for gastroesophageal reflux disease. In this study, the outcomes in 198 patients treated with laparoscopic was evaluated up to 32 months after surgery ascertain whether similar positive results could be obtained. Summary Background Data To ensure surgical success, were required have mechanically defective sphincters on manometry and increased esophageal acid exposure 24-hour pH monitoring. either had severe complications of disease...
Paraesophageal hernias require surgery to avoid potentially serious complications.To evaluate paraesophageal hernia repair using the laparoscopic approach.Case series.University hospital and foregut testing laboratory.Sixty-five consecutive patients (mean age, 63.6 years; range, 26-90 years). Preoperative evaluation included barium esophagogram, endoscopy, esophageal manometry, 24-hour pH monitoring.Operative complications, postoperative morbidity, follow-up symptoms (53 patients; mean, 18...
<h3>Background:</h3> Myotomy offers the best known cure for achalasia and can now be performed via minimal-access surgery. <h3>Objective:</h3> To examine questions of surgical approach Heller myotomy choice fundoplication in setting <h3>Design:</h3> Thirty-nine patients with underwent either thoracoscopy or laparoscopy, a Dor Toupet (Heller-Dor Heller-Toupet procedures, respectively). Manometry, pH analysis, clinical course were evaluated 3 to 9 months after Clinical was reviewed at 11 46...
Hypothesis: Laparoscopic techniques can be used to treat patients whose antireflux surgery has failed.Design: Case series.Setting: Two academic medical centers.Patients: Forty-six consecutive patients, of whom 21 were male and 25 female (mean age, 55.6 years; range, 15-80 years).Previous procedures laparoscopic (21 patients), laparotomy thoracotomy (3 thoracoscopy (1 patient). Main Outcome Measures:The cause failure, operative postoperative morbidity, the level follow-up satisfaction...
To assess whether reoperative surgery for failed Nissen fundoplication is beneficial and to classify all mechanisms of failure recognized.Antireflux often necessary, but a 10% rate commonplace. We report results patients undergoing present nomenclature failure.A total 104 patients, who had previous gastroesophageal reflux disease (GERD), underwent surgery. Manometry (n = 86), endoscopy 101), pH monitoring 27), upright esophagram 90), gastric emptying 26), symptom assessment 104) were...
Abstract Purpose The long-term outcomes of inguinal hernioplasty are crucial for evaluating patient benefits, though follow-up can be challenging, especially in low and middle-income countries (LMICs). Methods Program coordinators the Dominican Republic reached out to 288 patients operated on between 2014 2019 under a Hernia Repair Underserved (HRFU) training initiative. Each underwent an anterior Lichtenstein procedure performed by either international HRFU expert surgeon (128 patients) or...
Laparoscopic Heller myotomy for achalasia has a 10-20% failure rate and may require re-operation to control persistent or recurrent symptoms. We report follow-up of 15 patients who underwent laparoscopic failed myotomy. Between 1993 2004, at our center. The mean duration between procedures was 23 months. Follow-up completed 30 months in 14 (93%) via telephone questionnaire. Our overall primary surgery (n = 106) 5.6%. mechanisms were incomplete (33%), fibrosis (27%), fundoplication disruption...