Mr. Ewen Griffiths, Consultant Upper GI Surgeon at the Queen Elizabeth Hospital, Birmingham, joined us recently to answer questions around GORD, GI issues and the surgical treatments available for OA/TOF.
[Tip: You can use the links below to jump to the relevant section]
00:00 Start
00:45 Presentation begins
01:26 Declaration
02:30 GORD – Gastro-Oesophageal Reflux Disease
03:20 Defence against GORD
06:40 Endoscopic grading of GORD
07:28 Types of hiatus hernia
08:06 Barium Swallow
08:40 High resolution manometry
09:45 24 hour ph testing
10:56 Bravo Capsule
12:10 The modern diagnosis of reflux disease – the Lyon Consensus
12:42 SI (Symptom Index) and SAP (Symptom Association Probability)
13:05 Food and drink that affect the LOS
14:58 GORD treatment
15:41 Sleeping positions
16:22 What are PPIs?
17:57 Are PPIs safe?
19:40 Alternative to PPIs
20:34 Reflux Q&A
24:43 Upper GI endoscopy
26:25 Oesophageal dilatation
27:29 Barrett’s Oesophagus
30:04 Endoscopy Q&A
38:20 Surgical fundoplication
38:35 Laparoscopic anti-reflux surgery
39:18 Steps in the operation
39:50 Different types of fundoplication
40:19 270 Posterior partial fundoplication “Toupet”
40:50 180 Anterior fundoplication – Dor
41:19 Which fundoplication is best?
43:04 Post fundoplication issues
43:49 Functional side effects
48:11 Fundoplication Q&A
52:48 Post surgery Q&A
