: Posterior partial fundoplication (PPF) was developed as an alternative surgical strategy to Nissen fundoplication, in attempt reduce the rate of side-effects, mainly dysphagia and gas bloat syndrome. Allowing patients maintain belching ability, this operation could lead minor gas-related symptoms than total fundoplication. The procedure first described by Andrè Toupet 1963 consisted a posteri...

Analyzing medical issues related to the elderly patients, particularly in the gastroenterological sphere, Gastro-Esophageal Reflux Disease (GERD) seems to be a disease that reaches an important role in terms of diagnosis and therapy, as well as adversely affect the quality of life of these “frail” patients. Comorbidities that affect these patients often lead to reduce the importance of this dis...

In the last few years, gastro-oesophageal reflux disease has received renewed interest from the ENT specialists. The symptomatology can vary on account of the differences between the gastro-oesophageal reflux and the laryngo-pharyngeal reflux as far as concerns both symptomatology and clinical-pathogenic aspects. The symptoms and the clinical laryngoscopic aspects are discussed.

The endoscopic diagnosis of hiatal hernia (sliding type) relies on direct and indirect criteria during the oesophagoscopic or gastroscopic approach. A wide separation between the anatomic and mucosal oesophago-gastric junction, the presence of a so-called Schatzki-ring, a wandering junction with sliding gastric mucosal folds during inspiration and two ringlike structures are important. Whereas ...

BACKGROUND In our previous case report of circumferential mucosal resection for short-segment Barrett's esophagus with high-grade dysplasia, symptoms of gastro-esophageal reflux disease (GERD) were significantly improved. This observation suggests that anti-reflux mucosectomy (ARMS) could represent an effective anti-reflux procedure, with the advantage that no artificial devices or prostheses w...

The mortality rate of the patients with gastric cancer is reduced dramatically from past few years. Still major concern that in front health care professionals and second leading cause death across world. But trend infection severity differ as per location histology. While there has been a marked decline distal, intestinal type cancers, incidence proximal, diffuse carcinoma increasing, particul...

The study aims to evaluate, at medium- and long-term follow-up, the efficacy of Nissen-Rossetti fundoplication to control both gastro-oesophageal and pharyngeal reflux, detected with the use of 24-hour pH-multi-channel intra-luminal impedance. Of the 1000 patients who underwent Nissen-Rossetti fundoplication in our Division since 1972, the laparoscopic approach was adopted in 428 consecutive pa...