Esophagogastric dissociation

Esophagogastric dissociation is a surgical procedure that is used to treat severe gastroesophageal reflux disease (GERD) and gastroparesis. This procedure involves the separation of the esophagus and the stomach to prevent the reflux of stomach contents into the esophagus.

Procedure

The esophagogastric dissociation procedure involves the complete separation of the esophagus from the stomach. The upper part of the stomach is wrapped around the lower part of the esophagus to create a new valve that prevents reflux. The lower part of the stomach is then connected to the small intestine to allow for normal digestion.

Indications

Esophagogastric dissociation is indicated for patients with severe GERD that is not responsive to medical management. It is also used in patients with gastroparesis who have severe reflux symptoms.

Risks and Complications

Like any surgical procedure, esophagogastric dissociation carries risks and potential complications. These may include infection, bleeding, and damage to surrounding organs. There is also a risk of developing dumping syndrome, a condition where food moves too quickly from the stomach to the small intestine.

Postoperative Care

After the procedure, patients are typically placed on a liquid diet for a few weeks to allow the stomach and esophagus to heal. Gradually, solid foods are reintroduced. Long-term, patients may need to take acid-reducing medications to prevent reflux symptoms.

See Also

• Gastroesophageal reflux disease
• Gastroparesis
• Dumping syndrome

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