Type of Operation

Occasionally the endoscopist is confronted with postoperative changes in the esophagus. Usually this occurs after antireflux surgery and less commonly after resections. Endoscopy can define the postsurgical anatomical changes, their complications, and any recurrence of the underlying disease.

Endoscopic findings

Antireflux surgery

► Endoscopic appearance, see page 126 (Fig. 3.68)

► Endoscopically detectable complications

- Recurrence of reflux esophagitis

- Wrap too tight

Esophagectomy, gastrectomy

► Endoscopic appearance

- Gastric pull-up: demonstrate the anastomosis and the typical gastric mucosa distal to the anastomosis (Fig. 3.69 a, b)

- Colon interposition: demonstrate the anastomosis and typical colon relief distal to it

- Jejunal interposition: demonstrate the anastomosis and typical jejunal relief distal to it

- Gastrectomy: demonstrate the anastomosis and small-bowel relief distal to it (Fig. 3.69 c, d)

Endoscopically detectable complications in the distal esophagus

- Erythema

- Suture material

- Erosions

- Ulcerations

- Cicatricial strictures

- Recurrence of underlying disease

Fig. 3.68 Fundoplication a Typical endoscopic appearance

Fig. 3.68 Fundoplication a Typical endoscopic appearance

Fig. 3.69 Esophagectomy a Anastomositis following esophagectomy and gastric pull-up for esophageal carcinoma

Fig. 3.69 Esophagectomy a Anastomositis following esophagectomy and gastric pull-up for esophageal carcinoma

b View of the anastomosis following esophagectomy and gastric pull-up
Fundoplication performed as an antireflux procedure for reflux esophagitis
c Gastrectomy with esophagojejunos-tomy

Gastrectomy with esophagojejunos-tomy. View of the afferent and efferent limbs d

Gastrectomy with esophagojejunos-tomy. View of the afferent and efferent limbs

Overview of Pathological Findings in the Stomach - 96

Gastritis: Clinical Aspects - 97

Acute Gastritis: Diagnosis - 98

Acute Gastritis: Differential Diagnosis and Treatment - 99

Chronic Gastritis: Clinical Aspects and Classification - 1GG

Chronic Gastritis: Diagnosis, Giant Fold Gastritis, and Ménétrier Disease - 101

Gastric Ulcer: Clinical Aspects and Diagnosis - 102

Gastric Ulcer: Management - 1C3

Gastric Ulcer: Helicobacter pylori - 104

Mass, Tumor, Malignancy: Overview - 1C5

Mass, Tumor, Malignancy: Diagnosis - 1G6

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