Mohamed A. Selima

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BACKGROUND Laparoscopic fundoplication has revolutionized the surgical treatment of gastroesophageal reflux disease. Despite improvements in the technique of fundoplication, persistent dysphagia remains a significant cause of postoperative morbidity. METHOD Causes of persistent postoperative dysphagia were analyzed in a consecutive series of 167 patients(More)
Gastroesophageal reflux disease (GERD) often is associated with pulmonary problems such as asthma as well as recurrent and nocturnal cough. Dual-probe 24-hr pH monitoring may assist in establishing a correlation between these symptoms and GERD-related symptoms. To determine if any specific symptom was predictive of aspiration, this study was undertaken.(More)
A 66-year-old woman presented with progressive dysphagia of 10 years' duration. She had undergone a Teflon gastric wrap operation for obesity 20 years earlier. Endoscopic and radiological examinations showed a dilated tortuous esophagus and a contracted stomach. The esophageal manometry findings were consistent with achalasia. She underwent an uneventful(More)
AIM With successful surgical treatment of gastroesophageal reflux disease (GERD), there is interest in understanding the anti-reflux barrier and its mechanisms of failure. To date, the potential use of vector volumes to predict the DeMeester score has not been adequately explored. METHODS 627 patients in the referral database received esophageal manometry(More)
Persistent postoperative dysphagia (PPD) is one of the most troublesome complications of laparoscopic antireflux surgery. Hiatal stenosis, although rare, is a serious complication and is one of the causes of PPD after antireflux procedures. In the 2 presented patients, progressive dysphagia started immediately after the antireflux procedure and did not(More)
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