Endoscopic appraisal of the gastroesophageal valve after antireflux surgery

OBJECTIVES: Little consensus exists regarding the endoscopic assessment of the esophagogastric junction after antireflux surgery. The purpose of this report is to characterize the gastroesophageal valve appearance unique to each type of antireflux procedure and to introduce an endoscopic lexicon by which to describe this anatomic region. METHODS: Endoscopic images were obtained from patients who… Read more »

Mechanisms of action of antireflux surgery: theory and fact

Abstract Despite the absence of definitive explanations regarding either the physiologic or surgical factors which curtail gastro-esophageal reflux, effective antireflux operations exist. This article explores the theoretical factors relevant to the surgical control of reflux. These theoretical features include: (1) the pressure, length, and location of the manometrically defined lower esophageal sphincter (LES); (2) the… Read more »

A valve mechanism to prevent gastroesophageal reflux and esophagitis

Adler RH, Firme CN, Lanigan JM. A valve mechanism to prevent gastroesophageal reflux and esophagitis. Surgery. 1958;44:63-75. After searches in PubMed.gov, Amazon.com and AbeBooks.com we were unable to locate a digital copy of this peer-reviewed clinical publication. This material may be protected by copyright law. It is our intent to honor Drs Richard H Adler,… Read more »