Esophageal Surgery | Surgical Treatment and Multidisciplinary Management

Surgery · Clinical Specialties

How it begins

Comprehensive clinical-surgical treatise on esophageal pathology. From the microanatomical foundations and high-resolution motor physiology, to the detailed approach to triincisional oncological esophagectomy, Heller myotomy, the management of acute perforations and the implementation of accelerated recovery protocols.

What it covers

1. Esoteric and Esophageal Surgery
2. Surgical Anatomy and Spatial Relations
3. · 1.1 · Structure of the Esophageal Wall
4. · 1.2 · Segmental Vascularization and Venous Drainage
5. · 1.3 · Lymphatic System: The Longitudinal Submucosal Plexus
6. Physiology of Swallowing and Esophageal Motility
7. · 2.1 · Esophageal Peristalsis: Primary, Secondary and Tertiary
8. · 2.2 · The Lower Esophageal Sphincter (LES) as an Antireflux Barrier
9. Diagnostic Evaluation and High Resolution Manometry
10. · 3.1 · Imaging and Endoscopy Methods
11. · 3.2 · High Resolution Manometry (MHR) and the Chicago Classification
12. · 3.3 · 24-Hour pH-metry and Multichannel Impedanciometry (MII-pH)
13. Gastroesophageal Reflux Disease and Hiatal Hernia
14. · 4.1 · Surgical Indications in GERD
15. · 4.2 · Antireflux Surgical Techniques
16. · 4.3 · Critical Technical Steps of Laparoscopic Fundoplication
17. Primary Motor Disorders and Heller Myotomy
18. · 5.1 · Laparoscopic Heller Myotomy (LLM)
19. · 5.2 · Peroral Endoscopic Myotomy (POEM)
20. Esophageal Diverticula and Surgical Treatment
21. · 6.1 · Treatment of Zenker's Diverticulum
22. Benign Stenosis and Caustic Lesions
23. · 7.1 · Pathophysiology of Caustic Ingestion
24. · 7.2 · Zargar Endoscopic Classification for Caustic Lesions
25. · 7.3 · Surgical Treatment of Established Caustic Stenosis
26. Esophageal Cancer: Epidemiology and Staging
27. · 8.1 · Histological Duality: Squamous versus Adenocarcinoma
28. · 8.2 · Siewert Classification for Tumors of the Esophagogastric Junction (EGJ)
29. · 8.3 · AJCC Staging (8th Edition) and Stage Diagnosis
30. Barrett's Esophagus and High Grade Dysplasia
31. · 9.1 · Prague Classification for Barrett's Esophagus
32. · 9.2 · Surgical and Endoscopic Management Strategy
33. Oncological Principles and Lymphadenectomy
34. · 10.1 · Lymphadenectomy: Concept of Dissection Fields
35. · 10.2 · Role of Neoadjuvant Therapy
36. Esophagectomy Techniques and Surgical Approaches
37. · 11.1 · Ivor Lewis Esophagectomy (Two-Step Right Transthoracic Approach)
38. · 11.2 · McKeown Esophagectomy (Triincisional Three-Stage Approach)
39. · 11.3 · Transhiatal Orringer Esophagectomy
40. Esophageal Reconstruction and Substitutes
41. · 12.1 · The Gastric Tube (Gastric Pull-up)
42. · 12.2 · Colonic Substitute (Colon Interposition)
43. · 12.3 · Interposition of Jejunum
44. Surgical Emergencies: Perforation and Mediastinitis
45. · 13.1 · Clinical Presentation: Mackler's Triad
46. · 13.2 · Therapeutic Decision Algorithm
47. Management of Anastomotic Leakage and Complications
48. · 14.1 · Leak Diagnosis and Graduation (ECCG)
49. · 14.2 · New Horizons in Management: Endoscopic Vacuum Therapy (EndoVAC)
50. · 14.3 · Postoperative Chylothorax
51. Anastomotic Stenosis and Post-esophagectomy Reflux
52. · 15.1 · Benign Anastomotic Stenosis
53. · 15.2 · Gastroesophageal and Biliary Reflux Post-esophagectomy
54. ERAS Protocols in the Esophagus and Perioperative Management
55. · 16.1 · Key Components of the Esophageal ERAS Protocol
56. · 16.2 · Post-esophagectomy Oral Diet Start Algorithm