Present the common surgical techniques used in laryngeal and upper gastrointestinal surgery Describe the normal fluoroscopic imaging findings and complications following laryngo-pharyngeal and upper gastrointestinal surgery Give tips on technique and how to avoid common diagnostic pitfalls,
correlating with relevant cross sectional imaging.
Although fluoroscopic examinations are in decline,
they still have a vital role in assessing the upper gastrointestinal tract after surgical intervention. The technique is both safe and quick to perform and provides useful functional information. Upper GI surgery is complex and can lead to significant morbidity and mortality. It is crucial to identify complications early,
therefore to facilitate this,radiologists must understand the surgical techniques used.
Findings and procedure details
Section A: Laryngo-Pharyngeal Surgery 1.
Total Laryngectomy •Plays an important role in the treatment of advanced laryngeal cancer that cannot be managed conservatively and recurrence after laryngeal preserving procedures. •Total laryngectomy is the most common surgical procedure for hypopharyngeal cancers,
in combination with a partial or total pharygectomy.
Postcricoid tumours almost always require laryngectomy. •Total laryngectomy involves removal of the hyoid bone,
We have presented the surgical techniques and common flouroscopic imaging findings for several common upper GI surgical procedures: Laryngectomy/ Laryngo-pharyngectomy Oesophagectomy Gastrectomy Nissen Fundoplication Understanding the characteristic imaging features after surgery on the upper GI tract is vital to recognise potential complications.
The radiologist can have a major impact on patient management,
potentially avoiding risky repeat surgical intervention.
Subtotal gastrectomy for gastric cancer.
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2014;20:13667–13680. Tao TY,
Easier to swallow: pictorial review of structural findings of the pharynx at barium pharyngography.
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Routine postoperative upper gastrointestinal fluoroscopy after laparoscopic sleeve gastrectomy: Is there still a...