The Epidemiology and Pathophysiology of Gastroesophageal Reflux Disease.- History of Medical and Surgical Anti-Reflux Therapy.- Medical Management of GERD: Algorithms and Outcomes.- Complications of GERD: Esophagitis, Stricture, Barrett’s, and Cancer.- Principles of Successful Surgical Anti-Reflux Procedures.- Acute Complications of Anti-Reflux Surgery.- Persistent Symptoms after Anti-Reflux Surgery and their Management.- Technical Surgical Failures: Presentation, Etiology, and Evaluation.- Symptoms after Anti-Reflux Surgery: Everything is not Always Caused by Surgery.- The Medical and Endoscopic Management of Failed Surgical Anti-Reflux Procedures.- Reoperation for Failed Anti-Reflux Surgery.- Management of Alkaline Reflux.- Management of the Short Esophagus.- Esophagectomy: Indications, Techniques, and Outcomes.- Vagal Sparing Esophagectomy.- Future Directions of Therapy for GERD.
Dr. P. Marco Fisichella is an expert in Minimally Invasive Gastrointestinal, Esophageal, and Bariatric Surgery. Executive Director with over 12 years experience in patient care, clinical research, and higher education. Strong leadership and project management skills coupled with demonstrated ability to achieve profitable growth.
Have directed:
• The Surgical Services at Jamaica Plains, Boston VA Healthcare System, with a volume of 63,000 clinic visits per year. • A $4.5M Simulation Center at Loyola University Stritch School of Medicine • The Surgical Subspecialty Clinics at Hines Jr. VA Medical Center with a volume of 85,000 clinic visits per year • The Swallowing Center at Loyola University Medical Center.
This multi-authored text provides information on the pathophysiology of Gastroesophageal Reflux Disease (GERD), appropriate medical management, and proper indications for and performance of surgical and endoscopic procedures.
The Editors look at the current understanding of this disease, and present new information regarding tissue susceptibility, the role of bile and digestive enzymes, and cyclic changes in LES tone. Chapters are devoted to standard therapeutic options for GERD, including lifestyle changes, pharmacologic therapy, and surgery. In addition, newer endoscopic treatments including Stretta, Endocinch, injection of bulking agents, as well as others, are described.
Failed Anti-Reflux Therapy: Analysis of Causes and Principles of Treatment is essential to any physician who manages patients with GERD, including internists, gastroenterologists, general surgeons, and thoracic surgeons.