Esophageal Surgery | Surgical Treatment and Multidisciplinary Management

Surgery · Clinical Specialties

How it begins

Tratado clínico-quirúrgico integral sobre la patología esofágica. Desde los fundamentos microanatómicos y la fisiología motora de alta resolución, hasta el abordaje detallado de la esofaguectomía oncológica triincisional, la miotomía de Heller, el manejo de perforaciones agudas y la implementación de protocolos de recuperación acelerada.

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