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Roux-en-Y Near Esophagojejunostomy for Failed Antireflux Operations: Outcomes in More Than 100 Patients  Omar Awais, DO, James D. Luketich, MD, Neha Reddy,

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Presentation on theme: "Roux-en-Y Near Esophagojejunostomy for Failed Antireflux Operations: Outcomes in More Than 100 Patients  Omar Awais, DO, James D. Luketich, MD, Neha Reddy,"— Presentation transcript:

1 Roux-en-Y Near Esophagojejunostomy for Failed Antireflux Operations: Outcomes in More Than 100 Patients  Omar Awais, DO, James D. Luketich, MD, Neha Reddy, MD, Valentino Bianco, DO, MPH, Ryan M. Levy, MD, Matthew J. Schuchert, MD, William E. Gooding, MS, Lawrence R. Crist, DO, Rodney J. Landreneau, MD, Arjun Pennathur, MD  The Annals of Thoracic Surgery  Volume 98, Issue 6, Pages (December 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Roux-en-Y near esophagojejunostomy (RNYNEJ). This is typically performed with a laparoscopic approach in a retrocolic and retrogastric fashion. A gastrostomy tube is placed to drain the remaining stomach. Inset shows esophagojejunal anastomosis. (Reprinted from Awais O, et al, Ann Thorac Surg 2008;85: [17], with permission from Elsevier.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Changes in preoperative versus postoperative symptoms in patients after Roux-en-Y near esophagojejunostomy (RNYNEJ). (* = p < ) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Frequency histograms of dysphagia scores before and after reoperative antireflux operations. Lower scores indicate improved dysphagia (signed rank p < ). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan-Meier plot of the probability of failure-free survival after Roux-en-Y near esophagojejunostomy (RNYNEJ). The bars represent 95% confidence intervals (Cis) for probability of failure. The number of patients at risk at the start of each year is shown above the x-axis. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions


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