Research Topics
| M G PattiSummaryAffiliation: University of California Country: USA Publications
| Collaborators
|
Detail Information
Publications
Gastro-oesophageal reflux disease: a decade of changesMarco G Patti
Department of Surgery, University of California, San Francisco 94143-0788, USA
Asian J Surg 26:4-6. 2003
Laparoscopic Heller myotomy and Dor fundoplication for esophageal achalasia. How I do itMarco G Patti
Department of Surgery, University of California San Francisco, 521 Parnassus Ave, Room C 341, San Francisco, CA 94143 0790, USA
J Gastrointest Surg 12:764-6. 2008..Today, a laparoscopic Heller myotomy and partial fundoplication is considered the treatment of choice for this disease. This article describes the technique of laparoscopic Heller myotomy and Dor fundoplication...
Idiopathic pulmonary fibrosis: how often is it really idiopathic?Marco G Patti
Department of Surgery, University of California, San Francisco, California 94143 0790, USA
J Gastrointest Surg 9:1053-6; discussion 1056-8. 2005..We conclude that patients with IPF should be screened for GERD, and if GERD is present, a fundoplication should be performed before or shortly after lung transplantation...
Timing of surgical intervention does not influence return of esophageal peristalsis or outcome for patients with achalasiaM G Patti
Department of Surgery and Swallowing Center, University of California, San Francisco, 533 Parnassus Avenue, Room U 122, San Francisco, CA 94143 0788, USA
Surg Endosc 19:1188-92. 2005..This study aimed to assess whether the timing of surgical intervention affects the return of esophageal peristalsis and the clinical outcome for patients with achalasia...
Spectrum of esophageal motility disorders: implications for diagnosis and treatmentMarco G Patti
Department of Surgery, University of California, San Francisco 94143 0788, USA
Arch Surg 140:442-8; discussion 448-9. 2005..Although the diagnosis and treatment of achalasia are well defined, such is not the case with the other disorders...
Laparoscopic antireflux surgery: preoperative lower esophageal sphincter pressure does not affect outcomeM G Patti
Department of Surgery and Swallowing Center, University of California, 533 Parnassus Avenue, Room U 122, San Francisco, CA 94143 0788, USA
Surg Endosc 17:386-9. 2003..We hypothesized that fundoplication is effective in patients with GERD irrespective of the preoperative LES pressure, and that in patients with normal LES pressure, a total fundoplication does not result in a high incidence of dysphagia...
Preoperative evaluation of patients with gastroesophageal reflux diseaseM G Patti
Department of Surgery and Swallowing Center, University of California San Francisco, 94143 0788, USA
J Laparoendosc Adv Surg Tech A 11:327-31. 2001....
Laparoscopic Heller myotomy and Dor fundoplication for achalasia: analysis of successes and failuresM G Patti
Department of Surgery, University of California, 533 Parnassus Ave, Room U 122, San Francisco, CA 94143 0788, USA
Arch Surg 136:870-7. 2001..The results of laparoscopic Heller myotomy have proven to be so good, however, that most experts now consider surgery the primary treatment...
Esophageal achalasia: preoperative assessment and postoperative follow-upM G Patti
Department of Surgery, University of California San Francisco, 533 Parnassus Ave, San Francisco, CA 94143 0788, USA
J Gastrointest Surg 5:11-2. 2001..Treatment is palliative and is directed toward elimination of the outflow resistance caused by the abnormal LES function...
Laparoscopic Heller myotomy relieves dysphagia in patients with achalasia and low LES pressure following pneumatic dilatationU Diener
Department of Surgery, University of California, 533 Parnassus Avenue, San Francisco, CA 94143-0788, USA
Surg Endosc 15:687-90. 2001..Thus, a laparoscopic Heller myotomy is indicated if dilatation does not relieve dysphagia, even if LES pressure has been decreased to <10 mmHg. Esophagectomy should be reserved for the occasional failure of this simpler operation...
Esophageal dysmotility and gastroesophageal reflux diseaseU Diener
Department of Surgery, University of California, San Francisco 94143-0788, USA
J Gastrointest Surg 5:260-5. 2001..We conclude that esophageal manometry and pH monitoring can be used to stage the severity of GERD, and this, in turn, should help identify those who would benefit most from surgical treatment...
Effect of partial and total laparoscopic fundoplication on esophageal body motilityF A M Herbella
Department of Surgery, University of California San Francisco, San Francisco, CA, USA
Surg Endosc 21:285-8. 2007..Although the effect of surgery on the pressure and behavior of the lower esophageal sphincter (LES) has been extensively studied, it still is unclear whether a successful fundoplication improves esophageal peristalsis...
Laparoscopic Heller myotomy and Dor fundoplication for esophageal achalasia in childrenM G Patti
Department of Surgery, University of California, San Francisco, CA 94143-0788, USA
J Pediatr Surg 36:1248-51. 2001..Hospital stay and recovery time was short, and the functional results were excellent. These data support the notion that laparoscopic Heller myotomy should become the primary treatment of esophageal achalasia in children...
Side-to-side stapled intra-thoracic esophagogastric anastomosis reduces the incidence of leaks and stenosisD J Raz
Department of Surgery, University of California, San Francisco, CA 94143 0788, USA
Dis Esophagus 21:69-72. 2008..We consider this to be the procedure of choice for patients with distal esophageal cancers...
Role of esophageal function tests in diagnosis of gastroesophageal reflux diseaseM G Patti
Department of Surgery, University of California, San Francisco, USA
Dig Dis Sci 46:597-602. 2001..More liberal use of these tests early in patient management would avoid much improper and costly medical therapy and would help single out for special attention the patients with GERD who have the most severe disease...
Gastroesophageal reflux disease (GERD) and chest pain. Results of laparoscopic antireflux surgeryM G Patti
Department of Surgery, University of California San Francisco, 533 Parnassus Avenue, San Francisco, CA 94143 0788, USA
Surg Endosc 16:563-6. 2002....
Preoperative lower esophageal sphincter pressure has little influence on the outcome of laparoscopic Heller myotomy for achalasiaM V Gorodner
Department of Surgery and Swallowing Center, University of California at San Francisco, 533 Parnassus Avenue, San Francisco, CA 94143-0788, USA
Surg Endosc 18:774-8. 2004..CONCLUSIONS: These data show that in 55% of untreated. achalasia patients the LES pressure is either normal or low, and that laparoscopic Heller myotomy usually relieves symptoms regardless of preoperative LES pressure...
Effect of laparoscopic fundoplication on gastroesophageal reflux disease-induced respiratory symptomsM G Patti
Department of Surgery, University of California, San Francisco, San Francisco, CA 94143 0788, USA
J Gastrointest Surg 4:143-9. 2000..Following laparoscopic surgery, respiratory symptoms resolved in 83% of patients when a temporal correlation between cough and reflux was found on pH monitoring; heartburn and regurgitation resolved in 90%...
Gastro-oesophageal reflux and aspiration in patients with advanced lung diseaseM P Sweet
University of California San Francisco, 500 Parnassus Ave, MU W405, Box 0118, San Francisco, CA 94117, USA
Thorax 64:167-73. 2009....
Impact of minimally invasive surgery on the treatment of esophageal achalasia: a decade of changeMarco G Patti
Department of Surgery, University of California, San Francisco, CA 94143, USA
J Am Coll Surg 196:698-703; discussion 703-5. 2003..This has followed documentation that laparoscopic treatment outperforms balloon dilatation and botulinum toxin injection...
[Laparoscopic Heller myotomy for esophageal achalasia. Is a fundoplication necessary?]M G Patti
University of Chicago, Pritzker School of Medicine, Department of Surgery, Chicago, Illinois, USA
G Chir 30:472-5. 2009..The following review describes the data present in the literature in order to identify the best procedure that can achieve relief of dysphagia while avoiding development of gastroesophageal reflux...
Outcomes after laparoscopic Nissen fundoplication are not influenced by the pattern of refluxA T Meneghetti
Department of Surgery and Swallowing Center, University of California San Francisco, San Francisco, California 94143 0790, USA
Dis Esophagus 21:165-9. 2008..The type of reflux identified preoperatively does not have an adverse effect on postoperative outcomes after Nissen fundoplication and should not discourage physicians from offering antireflux surgery to patients with upright reflux...
The outcome of laparoscopic Heller myotomy for achalasia is not influenced by the degree of esophageal dilatationMatthew P Sweet
Department of Surgery, University of California San Francisco, San Francisco, CA 94143 0790, USA
J Gastrointest Surg 12:159-65. 2008....
Gastroesophageal reflux disease and connective tissue disorders: pathophysiology and implications for treatmentMarco G Patti
Department of Surgery, University of Chicago Pritzker School of Medicine, 5841 S Maryland Ave, MC 5095, Room G 201, Chicago, IL 60637, USA
J Gastrointest Surg 12:1900-6. 2008..This belief has led to the common recommendation of avoiding antireflux surgery for fear of creating or worsening dysphagia...
Achalasia and chest pain: effect of laparoscopic Heller myotomySilvana Perretta
Department of Surgery, University of California San Francisco, San Francisco, California 94143-0788, USA
J Gastrointest Surg 7:595-8. 2003..Thus laparoscopic Heller myotomy was highly effective in treating achalasia with chest pain...
Total fundoplication is superior to partial fundoplication even when esophageal peristalsis is weakMarco G Patti
Department of Surgery and Swallowing Center, University of California, San Francisco, CA 94143-0788, USA
J Am Coll Surg 198:863-9; discussion 869-70. 2004....
Cause and treatment of epiphrenic diverticulaPietro Tedesco
Department of Surgery, University of California San Francisco, San Francisco, CA, USA
Am J Surg 190:891-4. 2005..Furthermore, the myotomy and fundoplication are much more easily performed from the abdomen than from alternative approaches...
Correlation of paired liver biopsies in morbidly obese patients with suspected nonalcoholic fatty liver diseaseRaphael B Merriman
Division of Gastroenterology, Department of Medicine, University of California San Francisco, CA 94143 0538, USA
Hepatology 44:874-80. 2006..In conclusion, significant sampling variability occurs in NAFLD, particularly for features of necroinflammation. This should be factored into the design of clinical trials and studies of the natural history of the disease...
Clinical, radiological, and manometric profile in 145 patients with untreated achalasiaPiero M Fisichella
Department of Surgery, University of California San Francisco, San Francisco, CA, USA
World J Surg 32:1974-9. 2008....
Thoracoscopic resection of esophageal duplication cystsF A M Herbella
Departments of Surgery and Medicine, University of California, San Francisco, CA 94143-0790, USA
Dis Esophagus 19:132-4. 2006..The authors describe two cases of esophageal duplication resected via a left thoracoscopic approach...
Thoracoscopic and laparoscopic Heller's myotomy in the treatment of esophageal achalasiaM G Patti
Department of Surgery, University of California, San Francisco, USA
Ann Chir Gynaecol 84:159-64. 1995..A thoracoscopic or laparoscopic Heller's myotomy should be considered today the primary form of treatment for esophageal achalasia...
Antireflux surgery for patients with end-stage lung disease before and after lung transplantationW J Gasper
Department of Surgery, University of California San Francisco, 521 Parnassus Avenue, Room C 341, San Francisco, CA 94143, USA
Surg Endosc 22:495-500. 2008..This study aimed to report the safety of laparoscopic fundoplication for patients with ESLD and GERD before or after lung transplantation...
Symptoms are a poor indicator of reflux status after fundoplication for gastroesophageal reflux disease: role of esophageal functions testsCarlos Galvani
Department of Surgery and Swallowing Center, University of California-San Francisco, San Francisco 94143-0788, USA
Arch Surg 138:514-8; discussion 518-9. 2003..Esophageal function tests should be performed early in the evaluation of patients after fundoplication to avoid improper and costly medical therapy...
Gastroesophageal reflux disease and obesity. Pathophysiology and implications for treatmentFernando A M Herbella
Department of Surgery, University of California San Francisco, CA 94143 0790, USA
J Gastrointest Surg 11:286-90. 2007..These findings show that the pathophysiology of GERD in morbidly obese patients might differ from that of nonobese patients, suggesting the need for a different therapeutic approach...
Gastroesophageal reflux in patients with idiopathic pulmonary fibrosis referred for lung transplantationMatthew P Sweet
University of California San Francisco, Department of Surgery, San Francisco, Calif, USA
J Thorac Cardiovasc Surg 133:1078-84. 2007..The aims of this study were to determine in patients with idiopathic pulmonary fibrosis (1) the prevalence of reflux symptoms, (2) the esophageal manometric profile, and (3) the prevalence of proximal and distal esophageal reflux...
Primary versus secondary esophageal motility disorders: diagnosis and implications for treatmentFernando A M Herbella
Department of Surgery, University of California San Francisco, San Francisco, California, USA
J Laparoendosc Adv Surg Tech A 19:195-8. 2009..Esophageal manometry and pH monitoring are essential to distinguish PEMD from GERD and to guide appropriate therapy...
Laparoscopic fundoplication in elderly patients with gastroesophageal reflux diseasePietro Tedesco
Department of Surgery and Anesthesia, University of California, San Francisco, USA
Arch Surg 141:289-92; discussion 292. 2006..CONCLUSIONS: Elderly patients more often had hiatal hernias and respiratory symptoms. Laparoscopic antireflux surgery was as safe in elderly patients as it was in younger patients, and clinical outcomes were as good...
Laparoscopic surgery for benign esophageal disordersMarco G Patti
Department of Surgery, University of California San Francisco, 94143-0788, USA
Chir Ital 57:681-6. 2005
Postprandial proximal gastric acid pocket in patients after distal gastrectomyF A M Herbella
Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
Neurogastroenterol Motil 23:1081-3. 2011..The role of gastric anatomy, specifically the antrum, in the physiology of the PPGAP is not yet fully elucidated. This study aims to analyze the presence of PPGAP in patients submitted to distal gastrectomy...
Endoscopic ablation of intestinal metaplasia containing high-grade dysplasia in esophagectomy patients using a balloon-based ablation systemC D Smith
Department of Surgery, Emory University School of Medicine, 1364 Clifton Road, NE, Suite H 122, Atlanta, GA 30322, USA
Surg Endosc 21:560-9. 2007..This study aimed to determine the optimal treatment parameters for the ablation of intestinal metaplasia (IM) containing high-grade dysplasia (HGD) using a balloon-based ablation system for patients undergoing esophagectomy...
Routine upper GI series after gastric bypass does not reliably identify anastomotic leaks or predict stricture formationJ T Carter
Department of Surgery, University of California, San Francisco, 505 Parnassus Avenue, Box 0780, San Francisco, CA 94143 0780, USA
Surg Endosc 21:2172-7. 2007..We hypothesized that this practice is unreliable...
Esophageal mucosal damage may promote dysmotility and worsen esophageal acid exposureAdam T Meneghetti
Department of Surgery and Swallowing Center, University of California San Francisco, California 94143-0790, USA
J Gastrointest Surg 9:1313-7. 2005..These findings suggest that Barrett's esophagus is an end-stage form of gastroesophageal reflux, and that if surgical therapy is performed early in the course of the disease, this cascade of events might be blocked...
Gastroesophageal reflux disease and morbid obesity: is there a relation?Piero M Fisichella
Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, 2160 South First Avenue, Room 3226, Maywood, IL, 60153, USA
World J Surg 33:2034-8. 2009..The following review describes the current evidence linking esophageal reflux to obesity, covering the pathophysiology of the disease and the implications for treatment of GERD in the obese patient...
Esophageal angulation after hiatoplasty and fundoplication: a cause of dysphagia?Fernando A M Herbella
Department of Surgery, University of California, San Francisco, California, USA
Dis Esophagus 22:95-8. 2009..2). We concluded that (i) laparoscopic hiatoplasty and fundoplication does not significantly change the esophageal anteroposterior angle; and (ii) de novo dysphagia is not with the esophageal anteroposterior angle...
Laparoscopic paraesophageal hernia repair. How I do itMarco G Patti
Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, IL 60637, USA
J Gastrointest Surg 13:1728-32. 2009..The following describes a step by step approach to the laparoscopic repair of paraesophageal hernia...
Laparoscopic repair of paraesophageal hiatal herniasPiero M Fisichella
Department of Surgery, Loyola University Medical Center, Maywood, Illinois 60153, USA
J Laparoendosc Adv Surg Tech A 18:629-32. 2008..This paper describes, step by step, our approach to the laparoscopic repair of a paraesophageal hiatal hernia...
Lung transplantation in patients with connective tissue disorders and esophageal dysmotilityWarren J Gasper
Department of Surgery, University of California, San Francisco, CA 94143 0790, USA
Dis Esophagus 21:650-5. 2008..In conclusion, esophageal dysmotility and reflux are common in CTD patients referred for lung transplant. For this group, laparoscopic fundoplication is safe in experienced hands...
Postprandial proximal gastric acid pocket and gastroesophageal reflux diseaseF A M Herbella
Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil Department of Surgery, Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA
Dis Esophagus 25:652-5. 2012..Gastric anatomy and physiology seem to be important elements for PPGAP genesis. Gastric operations and acid suppression medications may decrease distal - proximal intragastric acid reflux and help control gastroesophageal reflux...
Esophageal diverticula and cancerF A M Herbella
Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
Dis Esophagus 25:153-8. 2012..Patients must be carefully evaluated before therapy and a long-term follow-up is advisable...
The prevalence of distal and proximal gastroesophageal reflux in patients awaiting lung transplantationMatthew P Sweet
Department of Surgery, University of California San Francisco, San Francisco, CA 94143-0790, USA
Ann Surg 244:491-7. 2006..We conclude that patients with end-stage lung disease should be screened with pH monitoring for GERD...
Laparoscopic treatment of recurrent dysphagia following transthoracic myotomy for achalasiaThomas N Robinson
Department of Surgery, University of California, San Francisco, San Francisco, California
J Laparoendosc Adv Surg Tech A 13:401-3. 2003..Average followup was 18 months. CONCLUSIONS: Laparoscopic Heller myotomy is a very effective treatment for patients who experience recurrent dysphagia following a transthoracic myotomy...
Has recognition of the relationship between mortality rates and hospital volume for major cancer surgery in California made a difference?: A follow-up analysis of another decadeWarren J Gasper
Departments of Surgery, University of California, San Francisco, CA, USA
Ann Surg 250:472-83. 2009..It is unknown whether this information has affected referral patterns or operative mortality rates...
Autologous tissue reconstruction of ventral hernias in morbidly obese patientsEdward I Chang
Division of Plastic Surgery, University of California, San Francisco, 521 Parnassus Ave, Room C 341, San Francisco, CA 94143, USA
Arch Surg 142:746-9; discussion 749-51. 2007..Separation of components is a safe and effective technique for abdominal wall reconstruction in morbidly obese patients...
The Stretta procedure for the treatment of GERD: 6 and 12 month follow-up of the U.S. open label trialGeorge Triadafilopoulos
Gastroenterology and Otolaryngology-Head and Neck Surgery Sections, VA Palo Alto Health Care System, Palo Alto, CA 94304, USA
Gastrointest Endosc 55:149-56. 2002..CONCLUSION: The Stretta procedure significantly improves GERD symptoms, quality of life, and esophageal acid exposure and eliminates the need for antisecretory medication in the majority of patients at 12 months...
Management of high-grade dysplasiaFrancesco Palazzo
University of Chicago Medical Center, Chicago, IL 60637, USA
Curr Gastroenterol Rep 10:240-5. 2008..This review analyzes the progress in the understanding and treatment of high-grade dysplasia during the past 24 to 36 months and examines how this new information plays a role in the disease's treatment algorithm...
