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Throughout most of the course of the illness there is an inability to remember remote as well as newly learned material. See also Esophagitis, reflux esophageal strictures associated with, 67 hiatal hernia-related, 4, 56 postoperative Collis-Nissen procedure-related, 126 following posterior gastropexy, 114 laparoscopic esophagomyotomy- related, 144, 149 preoperative evaluation of, 5 surgical treatment of, 6 failure of, 7 posterior gastropexy (Hill repair), 107114 transabdominal Nissen fundoplication, 8594 transthoracic gastroplasty, 115126 Gastrohepatic ligament division of, 108, 110 location of, 85 proximal, division of, 85 in transthoracic gastroplasty, 118, 120 Gastropexy, posterior (Hill repair), 107114 abdominal closure in, 114 antireflux valve testing in, 114 calibration of the esophagocardiac orifice in, 108 complications of, 107, 114 dissection of median arcuate ligament in, 107108 Hills modification of, 107, 111 identification and liberation of the median arcuate ligament in, 107, 111112 incision and exposure techniques in, 108 insertion of the crural sutures in, 111 liberation of the left lobe of the liver in, 108 mobilization of the esophagogastric junction in, 108111 operative strategy in, 107108 operative technique in, 108114 pitfalls and dangers in, 107 postoperative care following, 114 suturing techniques in, 112114 Vansants modification of, 107, 112 Gastrophrenic ligament division of, 67, 110 in esophagogastrectomy, 42, 45 in transabdominal Nissen fundoplication, 85 identification of, 85 Gastroplasty, transthoracic (Collis- Nissen procedure), 81, 115126 adequacy of gastroplasty in, 115 closure of the hiatal defect in, 124, 125 complications of, 115, 126 contraindication to, 115 division of the short gastric vessels in, 121 esophageal perforation prevention in, 116 esophageal stricture dilation in, 120121 esophagus and stomach mobilization in, 115 excision of the hernial sac in, 118, 119120 gastroplasty in, 121122, 123 hemorrhage prevention in, 115116 incision in, 116118 indications for, 115 liberation of the esophagus in, 118, 119 modified Nissen fundoplication in, 122, 123, 124 neoesophagus in, 115 204 Chapter 19 esophageal symptoms, due to esophageal obstruc- tion or esophageal distension, particularly during early follow-up if they eat an inappropriate diet.
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