El Salvador Atlas of Gastrointestinal VideoEndoscopy. A Large Database of Images and Video Clips with Cases Reported.
El Salvador Atlas of Gastrointestinal VideoEndoscopy
Post Fundoplication Endoscopic Examination. Fundus in retrofled image. Statust Post Laparoscopic Nissen fundoplication. The images and the videos here display the endoscopic statust post Laparoscopic Nissen fundoplication.

Video Endoscopic Sequence 1 of 5.

Post Fundoplication Endoscopic Examination.

Retrofled image.

 Statust Post Laparoscopic Nissen fundoplication.
 The images and the videos here display the endoscopic
 statust post Laparoscopic Nissen fundoplication.

 For more endoscopic details download the video clips by
 clicking on the endoscopic images, wait to be downloaded
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 the video in full screen.

 All endoscopic images shown in this Atlas contain
 video clips.
Statust Post Laparoscopic Nissen fundoplication. Gastroesophageal reflux disease (GERD) is a disorder that affects the lower esophageal sphincter or valve separating stomach from esophagus. This valve normally prevents food from regurgitation back into the esophagus. Patients with GERD have a weakened sphincter that allows for stomach acid to flow back into the esophagus. The esophageal lining becomes inflamed and patients experience heartburn, chest pain, and even a sour taste in their mouth. If left untreated, GERD can lead to ulcer formation, bleeding, and scarring. After a 360 Nissen fundoplication, with 2 cm wrap completely encircling the esophagogastric junction. Note that the gastric folds of the grap are parallel to the diaphagm.

Video Endoscopic Sequence 2 of 5.

 Statust Post Laparoscopic Nissen fundoplication.
 Gastroesophageal reflux disease (GERD) is a disorder that
 affects the lower esophageal sphincter or valve separating
 stomach from esophagus. This valve normally prevents food
 from regurgitation back into the esophagus. Patients with
 GERD have a weakened sphincter that allows for stomach
 acid to flow back into the esophagus. The esophageal lining
 becomes inflamed and patients experience heartburn, chest
 pain, and even a sour taste in their mouth. If left untreated,
 GERD can lead to ulcer formation, bleeding, and scarring.
 After a 360 Nissen fundoplication, with 2 cm wrap
 completely encircling the esophagogastric junction. Note
 that the gastric folds of the grap are parallel to the
 diaphagm.
 
Laparoscopic antireflux surgery is esophagus as a bolster. At the same time if there is a hiatal a minimally invasive approach to correct GERD. Most commonly a laparoscopic Nissen fundoplication is performed. In this procedure the weakened lower esophageal sphincter is supported by wrapping the top portion of the stomach around the lower esophagus as a bolster. At the same time if there is a hiatal hernia or part of the stomach residing in the chest cavity, this hernia will be returned to the abdomen and the abdominal opening secured.

Video Endoscopic Sequence 3 of 5.

 Laparoscopic antireflux surgery is a minimally invasive
 approach to correct GERD. Most commonly a laparoscopic
 Nissen fundoplication is performed. In this procedure the
 weakened lower esophageal sphincter is supported by
 wrapping the top portion of the stomach around the lower
 esophagus as a bolster. At the same time if there is a hiatal
 hernia or part of the stomach residing in the chest cavity,
 this hernia will be returned to the abdomen and the
 abdominal opening secured.
Retroflexed views of the esophagogastric junction. Surgical management of GERD is safe and durable according to several large series, with 85% to 95 % symptom control and low morbidity and mortality. Laparoscopic antireflux surgery is becoming a widely practiced treatment for complicated GERD. The endoscopist therefore needs to become familiar with the endoscopic appearance of the various fundoplications, as well as the endoscopic assessment of post fundoplication syndromes.

Video Endoscopic Sequence 4 of 5.

 Retroflexed views of the esophagogastric junction.

 Surgical management of GERD is safe and durable
 according to several large series, with 85% to 95 %
 symptom control and low morbidity and mortality.
 Laparoscopic antireflux surgery is becoming a widely
 practiced treatment for complicated GERD.
 The endoscopist therefore needs to become familiar with
 the endoscopic appearance of the various fundoplications,
 as well as the endoscopic assessment of post fundoplication
 syndromes.
Cardias view from the esophagus.

Video Endoscopic Sequence 5 of 5.

Cardias view from the esophagus.