- Complications of reflux oesophagitis.

Complications of reflux oesophagitis.

"USA-IBM"

Peptic Ulcer.

Short esophagus due to spasm of longitudinal muscles.
Stricture of esophagusdue due to spasm of longitudinal muscles.

Aneamia.


Inhalation pneumonia from recurrent reflux.

Bleeding.
Barretts oesophagus.

Monilial invasion with further mucosal damage.
Malignancy.

Dr Ibrahim

- Causes of acute oesophagitis.

Causes of acute oesophagitis.

"birds"

• Burn (corrosive)
• Infective(candidiasis,herpes virus)
• Radiation
• Drug induced (NSAIDs)
• Specific diseases e.g. behcets syndrome.

Dr Ibrahim

- Laparoscopic Nissen Fundoplication (video).

Laparoscopic Nissen Fundoplication (video)

In a fundoplication, the gastric fundus (upper part) of the stomach is wrapped , around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter.

In a Nissen fundoplication,"complete fundoplication", the fundus is wrapped all the way 360 degrees around the esophagus.

This is a video of a Laparoscopic Nissen Fundoplication 

- Saint's triad.

Saint's triad.

It is a common association of:-

1. Gall stones.
2. Hiatal Hernia
3. Diverticulosis coli.

Dr Ibrahim

Return to other triads here.