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

Published byTove Thorbjørnsen Modified over 6 years ago

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Presentation on theme: "Comparison of Surgical Approaches to Recalcitrant Gastroesophageal Reflux Disease in the Patient with Scleroderma  Michael S. Kent, MD, James D. Luketich,"— Presentation transcript:

1 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 (November 2007) DOI: /j.athoracsur Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

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

3 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  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

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