Gastroesophageal reflux disease (GERD) is a common medical problem in the United States. As a result, laparoscopic antireflux surgery is a common surgical procedure. At the authors' institution, the barium esophagram before and after antireflux surgery is a critical examination in patients with GERD. This article summarizes the authors' examination protocol and describes how the findings are integrated in the care of these patients.
[Show abstract][Hide abstract] ABSTRACT: Managing gastroesophageal reflux disease (GERD) is difficult because it is a chronic relapsing disease. Surgical management of GERD is indicated only after medical management has failed. In patients who have the most advanced forms of GERD, surgical therapy is good for treating symptoms and healing esophagitis, but far from a gold standard. Freedom from symptoms, side effects, medical therapy, or reoperation cannot be guaranteed. Care must be taken when prescribing surgery for GERD, and it is best that an experienced surgeon at a specialty center participate in the patient's lifelong care.
Gastroenterology Clinics of North America 01/2009; 37(4):901-19, x. DOI:10.1016/j.gtc.2008.09.007 · 2.82 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Patients with dysphagia can initially undergo either endoscopic or radiologic evaluation, depending on the clinical history and physician preference. We usually recommend that most patients with dysphagia initially undergo barium esophagography, and in this paper we discuss its role in evaluating dysphagia.
Cleveland Clinic Journal of Medicine 03/2009; 76(2):105-11. DOI:10.3949/ccjm.76a.08032 · 2.71 Impact Factor
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