SAGES Manual of Physiologic Evaluation of Foregut Diseases

Ankit D. Patel, MD, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USAAmir Aryaie, MD, BMI Surgical Institute, Atlanta, GA, USAJayleen Grams, MD, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USALeena Khaitan, MD, Department of Surgery, University Hospitals, Cleveland Medical Center, Cleveland, OH, USA

• Introduction.- Anatomy & Physiology of the Esophagus.- Anatomy & Physiology of the Stomach.- Effect of obesity on foregut physiology.- Diagnostic Testing.- Diagnostic imaging.- High resolution manometry w/ and w/o impedance.- Endo/Eso FLIP.- pH testing.- Endoscopy.- Foregut Motility Disorders.- Achalasia.- Ineffective esophageal motility.- Distal esophageal spasm.- Jackhammer esophagus.- Secondary esophageal motility disorders.- Esophagogastric junction outflow obstruction.- Gastric outflow obstruction.- Gastroparesis.- Rapid gastric emptying (Dumping syndrome).- Absent peristalsis.- Normal Physiologic findings after hiatal hernia repair and fundoplication.- Normal Physiologic findings after bariatric surgery.- Normal Physiologic findings after esophageal myotomy.- Physiology after bariatric surgery.- Pathology/symptom Based.- Barretts Esophagus.- Gastroesophageal reflux disease.- Laryngopharyngeal Reflux.- Esophagitis.- Eosinophilic Esophagitis.- Paraesophageal hernia.- Primary dysphagia.- Persistent dysphagia after prior anti-reflux procedure.- Persistent dysphagia after esophageal myotomy.- Recurrent reflux after prior fundoplication.- Reflux after prior myotomy.- Reflux after bariatric surgery.- Duodenal switch.