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| 1 | Gastroesophageal reflux disease:From pathophysiology to treatment显示文摘This review focuses on the pathophysiology of gastroesophageal reflux disease (GERD) and its implications for treatment. The role of the natural anti-reflux mechanism (lower esophageal sphincter, esophageal peristalsis, diaphragm, and trans-diaphragmatic pressure gradient), mucosal damage, type of refluxate, presence and size of hiatal hernia, Helicobacter pylori infection, and Barrett’s esophagus are reviewed. The conclusions drawn from this review are: (1) the pathophysiology of GERD is multifactorial; (2) because of the pathophysiology of the disease, surgical therapy for GERD is the most appropriate treatment; and (3) the genesis of esophageal adenocarcinoma is associated with GERD. | Fernando A Herbella Marco G Patti | 2010 | World Journal of Gastroenterology2010,16,30: | 18 |
| 2 | Minimally invasive esophagectomy显示文摘Esophageal resection is associated with a high morbidity and mortality rate. Minimally invasive esophagectomy (MIE) might theoretically decrease this rate. We reviewed the current literature on MIE, with a focus on the available techniques, outcomes and comparison with open surgery. This review shows that the available literature on MIE is still crowded with heterogeneous studies with different techniques. There are no controlled and randomized trials, and the few retrospective comparative cohort studies are limited by small numbers of patients and biased by historical controls of open surgery. Based on the available literature, there is no evidence that MIE brings clear benef its compared to conventional esophagectomy. Increasing experience and the report of larger series might change this scenario. | Fernando A Herbella Marco G Patti | 2010 | World Journal of Gastroenterology2010,16,30: | 11 |
| 3 | Multidisciplinary approach for patients with esophageal cancer显示文摘Patients with esophageal cancer have a poor prognosis because they often have no symptoms until their disease is advanced. There are no screening recommendations for patients unless they have Barrett's esophagitis or a significant family history of this disease. Often, esophageal cancer is not diagnosed until patients present with dysphagia, odynophagia, anemia or weight loss. When symptoms occur, the stage is often stage Ⅲ or greater. Treatment of patients with very early stage disease is fairly straight forward using only local treatment with surgical resection or endoscopic mucosal resection. The treatment of patients who have locally advanced esophageal cancer is more complex and controversial. Despite multiple trials, treatment recommendations are still unclear due to conflicting data. Sadly, much of our data is difficult to interpret due to many of the trials done have included very heterogeneous groups of patients both histologically as well as anatomically. Additionally, studies have been underpowered or stopped early due to poor accrual. In the United States, concurrent chemoradiotherapy prior to surgical resection has been accepted by many as standard of care in the locally advanced patient. Patients who have metastatic disease are treated palliatively. The aim of this article is to describe the multidisciplinary approach used by an established team at a single high volume center for esophageal cancer, and to review the literature which guides our treatment recommendations. | Victoria M Villaflor Marco E Allaix Bruce Minsky Fernando A Herbella Marco G Patti | 2012 | World Journal of Gastroenterology2012,18,46: | 9 |
| 4 | Impact of minimally invasive surgery on the treatment of benign esophageal disorders显示文摘Thanks to the development of minimally invasive surgery, the last 20 years have witnessed a change in the treatment algorithm of benign esophageal disorders. Today a laparoscopic operation is the treatment of choice for esophageal achalasia and for most patients with gastroesophageal reflux disease. Because the pathogenesis of achalasia is unknown, treatment is palliative and aims to improve esophageal emptying by decreasing the functional obstruction at the level of the gastro-esophageal junction. The refinement of minimally invasive techniques accompanied by large, multiple randomized control trials with long-term outcome has allowed the laparoscopic Heller myotomy and partial fundoplication to become the treatment of choice for achalasia compared to endoscopic procedures, including endoscopic botulinum toxin injection and pneumatic dilatation. Patients with suspected gastroesophageal reflux need to undergo a thorough preoperative workup. After establishing diagnosis, treatment for gastroesophageal reflux should be individualized to patient characteristics and a decision about an operation made jointly between surgeon and patient. The indications for surgery have changed in the last twenty years. In the past, surgery was often considered for patients who did not respond well to acid reducing medications. Today, the best candidate for surgery is the patient who has excellent control of symptoms with proton pump inhibitors. The minimally invasive approach to antireflux surgery has allowed surgeons to control reflux in a safe manner, with excellent long term outcomes. Like achalasia and gastroesophageal reflux, the treatment of patients with paraesophageal hernias has also seen a major evolution. The laparoscopic approach has been shown to be safe, and durable, with good relief of symptoms over the long-term. The most significant controversy with laparoscopic paraesophageal hernia repair is the optimal crural repair. This manuscript reviews the evolution of these techniques. | Brian Bello Fernando A Herbella Marco E Allaix Marco G Patti | 2012 | World Journal of Gastroenterology2012,18,46: | 6 |
| 5 | Postprandial proximal gastric acid pocket in patients after laparoscopic Nissen {undoplication 显示文摘 | Herbella FA Vicentine FP Del Grande JC | 2011 | Surg Endosc2011,25,10: | 1 |
| 6 | Gastroesophageal Reflux Disease and Obesity. Pathophysiology and Implications for Treatment显示文摘 | Fernando A. M. Herbella Matthew P. Sweet Pietro Tedesco Ian Nipomnick Marco G. Patti | 2007 | Journal of Gastrointestinal Surgery2007,,3: | 1 |
| 7 | Postprandial proximal gastric acid pocket in patients after Roux-en-Y gastric bypass显示文摘 | Herbella FA Vicentine FP Del Grande JC | 2010 | J Gastrointest Surg2010,14,11: | 1 |
| 8 | High Resolution Manometry Findings in Patients with Esophageal Epiphrenic Diverticula显示文摘 | Vicentine Fernando P P Herbella Fernando A M Silva Luciana C Patti Marco G | 2011 | The American Surgeon2011,,12: | 1 |
| 9 | Thoracoscopic resection of esophageal duplication cysts 显示文摘 | Herbella FA Tedesco P Muthusamy R | 2006 | Dis Esophagus2006,19,2: | 1 |
| 10 | Side-to-side stapled intra-thoracic esophagogastric anastomosis reduces the incidence of leaks and stenosis 显示文摘 | Raz D J Tedesco P Herbella FA | 2008 | Dis Esophagus2008,21,1: | 1 |
| 11 | Anatomical analysis of the mediastinal lymph nodes of nor- real brazilian subjects according to the classification of the jap- anese society for diseases of the esophagus显示文摘 | HERBELLA F A DEL GRANDE J G COLLEONI R | 2003 | Surg Today2003,33,4: | 1 |
| 12 | Fundoplication After Laparoscopic Heller Myotomy for Esophageal Achalasia: What Type?显示文摘 | Marco G. Patti Fernando A. Herbella | 2010 | Journal of Gastrointestinal Surgery2010,,9: | 1 |
| 13 | Gastroesophageal Reflux Disease and Obesity. Pathophysiology and Implications for Treatment显示文摘 | Fernando A. M. Herbella Matthew P. Sweet Pietro Tedesco Ian Nipomnick Marco G. Patti | 2007 | Journal of Gastrointestinal Surgery2007,,3: | 1 |
| 14 | Esophagectomy for high grade dysplasia is safe,curative,and results in good alimentary outcome 显示文摘 | Williams VA Watson TJ Herbella FA | 2007 | JGastrointest Surg2007,11,12: | 1 |
| 15 | Esophagectomy for High Grade Dysplasia is Safe, Curative, and Results in Good Alimentary Outcome显示文摘 | Valerie A. Williams Thomas J. Watson Fernando A. Herbella Oliver Gellersen Daniel Raymond Carolyn Jones Jeffrey H. Peters | 2007 | Journal of Gastrointestinal Surgery2007,,12: | 1 |
| 16 | Postprandial prox- imal gastric acid pocket in patients after laparoscopic Nissen fundopli- cation 显示文摘 | Herbella FA Vicentine FP Del Grande JC | 2011 | SurgEndosc2011,25,10: | 1 |
| 17 | Postprandial prox- imal gastric acid pocket and gastric pressure in patients after gastric surgery 显示文摘 | Herbella FA Vicentine FP Del Grande JC | 2011 | Neurogastroenterol Motil2011,23,1: | 1 |
| 18 | Fundoplication after laparoscopic Heller myotomy for esophageal achalasia:what type显示文摘 | Patti MG Herbella FA | | 0,,09: | 1 |
| 19 | Gastroesophageal Reflux Disease and Obesity. Pathophysiology and Implications for Treatment显示文摘 | Fernando A. M. Herbella Matthew P. Sweet Pietro Tedesco Ian Nipomnick Marco G. Patti | 2007 | Journal of Gastrointestinal Surgery2007,,3: | 1 |
| 20 | REVIEW: Are Idiopathic and Chagasic Achalasia Two Different Diseases?显示文摘 | Fernando A. M. Herbella Daniel R. C. F. Oliveira Jose C. Del Grande | 2004 | Digestive Diseases and Sciences2004,,3: | 1 |