Felipe Raiser

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BACKGROUND Myotomy offers the best known cure for achalasia and can now be performed via minimal-access surgery. OBJECTIVE To examine the questions of surgical approach for Heller myotomy and choice of fundoplication in the setting of minimal-access surgery. DESIGN Thirty-nine patients with achalasia underwent Heller myotomy via either thoracoscopy or(More)
Laparoscopic Nissen fundoplication was first performed in 1991. With the increasing number of these procedures being performed it is appropriate to review the published short-term results. A retrospective review of reports on this subject was performed. There were a total of 2453 patients available for review. Twenty-five of 2453 (1.0%) patients had an(More)
As described in the syllabus, the 1995 SAGES Postgraduate Course--Surgical Endoscopy: Outcomes and Costs--was designed to provide the practicing surgeon with an economic consciousness of our health care system, and enhanced sensibility to outcome, utilizing surgical endoscopy ([rigid] and flexible endoscopy). With the collaboration of the course director,(More)
Patients with severe GERD resistant to medical therapy are benefited greatly by laparoscopic fundoplication provided that there is careful preoperative patient selection and evaluation. Preoperative evaluation should include contrast esophagography, EGD with biopsies, stationary manometry, and 24-hour pH analysis. Significant esophageal shortening or severe(More)
Primary esophageal motility disorders include achalasia, diffuse and segmental esophageal spasm, nutcracker esophagus and hypertensive lower esophageal sphincter. Failed medical therapy frequently precedes the presentation of these patients for surgical intervention. Both laparoscopic and thoracoscopic techniques have been developed to successfully treat(More)
Background: Vascular ring anomaly is considered a hereditary change. It occurs when the fourth right aortic arch persists instead of the fourth left aortic arch, forming a vascular ring that compress the esophagus causing esophageal dilatation cranial to the compression site. Diagnosis is based upon anamnesis, physical examination, clinical signs and(More)