Comparison of Surgical Approaches to Recalcitrant Gastroesophageal Reflux Disease in the Patient with Scleroderma Michael S. Kent, MD, James D. Luketich,

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Presentation transcript:

Comparison of Surgical Approaches to Recalcitrant Gastroesophageal Reflux Disease in the Patient with Scleroderma Michael S. Kent, MD, James D. Luketich, MD, Kashif Irshad, MD, Omar Awais, DO, Miguel Alvelo-Rivera, MD, Patricia Churilla, CRNP, Hiran C. Fernando, MD, Rodney J. Landreneau, MD The Annals of Thoracic Surgery Volume 84, Issue 5, Pages 1710-1716 (November 2007) DOI: 10.1016/j.athoracsur.2007.06.025 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Several mechanisms lead to the severe pattern of reflux seen in scleroderma patients. (LES = lower esophageal spincter.) The Annals of Thoracic Surgery 2007 84, 1710-1716DOI: (10.1016/j.athoracsur.2007.06.025) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 For scleroderma patients, three main modifications were made to the standard Roux-en-Y reconstruction that we use for patients with morbid obesity. The Annals of Thoracic Surgery 2007 84, 1710-1716DOI: (10.1016/j.athoracsur.2007.06.025) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions