Failed Anti-Reflux Therapy

Dr. P. Marco Fisichella is an expert in Minimally Invasive Gastrointestinal, Esophageal, and Bariatric Surgery. Executive Director with over 12 years experience in patient care, clinical research, and higher education. Strong leadership and project management skills coupled with demonstrated ability to achieve profitable growth. Have directed:•The Surgical Services at Jamaica Plains, Boston VA Healthcare System, with a volume of 63,000 clinic visits per year.•A $4.5M Simulation Center at Loyola University Stritch School of Medicine•The Surgical Subspecialty Clinics at Hines Jr. VA Medical Center with a volume of 85,000 clinic visits per year•The Swallowing Center at Loyola University Medical Center.

• History of medical and surgical antireflux therapy.- Establishing the diagnosis of GERD.- Medical management of gastroesophageal reflux disease: algorithms and outcomes.- Principles of successful surgical antireflux procedures.- Diagnosis and treatment of the extraesophageal manifestations of gastroesophageal reflux disease.- Acute complications of antireflux surgery.- Management of complications after paraesophageal hernia repair.- Persistent symptoms after antireflux surgery and their management.- Technical surgical failures: presentation, etiology, and evaluation.-  Symptoms after antireflux surgery: everything is not always caused by surgery.- The medical and endoscopic management of failed surgical antireflux procedures.- Reoperation for failed antireflux surgery.- Management of the short esophagus.- Esophagectomy: indications, techniques, and outcomes.