title: Outcomes of esophageal surgery, especially of the lower esophageal sphincter.
abstract: This paper includes commentaries on outcomes of esophageal surgery, including the mechanisms by which fundoduplication improves lower esophageal sphincter (LES) pressure; the efficacy of the Linx™ management system in improving LES function; the utility of radiologic characterization of antireflux valves following surgery; the correlation between endoscopic findings and reported symptoms following antireflux surgery; the links between laparoscopic sleeve gastrectomy and decreased LES pressure, endoscopic esophagitis, and gastroesophageal reflux disease (GERD); the less favorable outcomes following fundoduplication among obese patients; the application of bioprosthetic meshes to reinforce hiatal repair and decrease the incidence of paraesophageal hernia; the efficacy of endoluminal antireflux procedures, and the limited efficacy of revisional antireflux operations, underscoring the importance of good primary surgery and diligent work-up to prevent the necessity of revisional procedures.
authors.affiliation: General Surgery, IRCCS, University of Milano, Milano, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Bonavina
authors.affiliation: General Surgery, IRCCS, University of Milano, Milano, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Siboni
authors.affiliation: General Surgery, IRCCS, University of Milano, Milano, Italy.
authors.forename: Greta I
authors.initials: GI
authors.lastname: Saino
authors.affiliation: Department of Surgery, Hospital Italiano, Buenos Aires, Argentina.
authors.forename: Demetrio
authors.initials: D
authors.lastname: Cavadas
authors.affiliation: Department of Surgery, University Hospital, Faculty of Medicine, University of Chile, Santiago, Chile.
authors.forename: Italo
authors.initials: I
authors.lastname: Braghetto
authors.affiliation: Department of Surgery, University Hospital, Faculty of Medicine, University of Chile, Santiago, Chile.
authors.forename: Attila
authors.initials: A
authors.lastname: Csendes
authors.affiliation: Department of Surgery, University Hospital, Faculty of Medicine, University of Chile, Santiago, Chile.
authors.forename: Owen
authors.initials: O
authors.lastname: Korn
authors.affiliation: Department of Surgery, University of Washington, Seattle, Washington.
authors.forename: Edgar J
authors.initials: EJ
authors.lastname: Figueredo
authors.affiliation: GI/MIS, The Oregon Clinic, Portland, Oregon.
authors.forename: Lee L
authors.initials: LL
authors.lastname: Swanstrom
authors.affiliation: Department of Surgery, University of Washington, Seattle, Washington.
authors.forename: Eelco
authors.initials: E
authors.lastname: Wassenaar
mesh_terms: D049630:Esophageal Sphincter, Lower / Q000503:physiopathology / Q000601:surgery*; D004945:Esophagoscopy; D004947:Esophagus / Q000503:physiopathology / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008365:Manometry; D016896:Treatment Outcome
keywords: antireflux; esophagogastric junction; lower esophageal sphincter; manometry; obesity