Download presentation
Presentation is loading. Please wait.
Published byDorcas Cobb Modified over 8 years ago
1
Yuen Soon Oesophagogastric Laparoscopic Physiology
2
Oesophagogastric Surgery Cancer Complex Benign Oesophageal ruptures Gastric volvulus Oesophageal dysmotility Reflux disease
3
Laparoscopic Single Incision Surgery MATTU Teaching Research
6
The
12
Complex Reflux is surgery appropriate?
13
Common Symptoms Heartburn Globus Chest Pains
14
Complex Reflux Symptoms Mass Reflux Cough/Asthma/recurrent Chest Infections Sore Throat
15
Complex Atypical Symptoms Dysphagia Pain
16
Differential Diagnoses Cancer Dysmotility Oesophageal gastric
17
Treatment Conservative Medical PPI Barrier Surgical
18
Medical vs Surgical Only three Trials of Lap vs Medicine Mahon 2005 Anvari 2006 Grant 2008 All Show improve QOL at 1 year
19
Indications for Surgery Lifestyle Breakthrough Symptom Control Complex Reflux Control
20
Why pH Manometry Prove reflux For surgical therapy For medical escalation Avoid dysmotility Gastric Oesophageal Manage expectation
21
What is New Regional Oesophageal Physiology Unit High Resolution Manometry Impedance pH studies Bravo Enterra
22
Patients All three patients described have Dysphagia Odynophagia Reflux
23
Hypotensive dysmotility – typical of GORD
25
Vigorous Achalasia
28
Structural obstruction at the PIP
29
Impedance pH Detects Non acid reflux Studies symptom correlation Manages expectation
31
Bravo System
32
Enterra Gastric Pacing
33
Research Interest Single Port Laparoscopy Microdialysis and Perioperative Physiology Molecular Biology Tumour Bank
34
Other Interest Patient Support Groups OPA Achalasia Support Group Uganda Link with Mukono Need to Buy a house!!
35
Other Other Interest Climbing Basketball Dancing Diving House Hunting Still Need A House
36
Thank You Any questions
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.