Background Primary laparoscopic hiatal hernia repair is associated with up to a 42%
recurrence rate. This has lead to the use of mesh for crural repair, which has resulted in an …

Background The rising incidence and histological change to adenocarcinoma in esophageal
cancer over the past four decades has been among the most dramatic changes ever …

Objective The Pittsburgh group has suggested a perforation severity score (PSS) for better
decision making in the management of esophageal perforation. Our study aim was to …

Spontaneous rupture of the esophagus (Boerhaave syndrome) is an extremely rare, life-threatening
condition. Traditionally surgery was the treatment of choice. Endoscopic stent …

Background In patients undergoing a variety of procedures, surgical success is in part dependent
on maintaining normal intra-abdominal pressure in the immediate postoperative period…

Background Management of endoscopic retrograde cholangiopancreatography (ERCP)–associated
duodenal perforation remains controversial. Some recommend surgery, while …

Intrathoracic anastomotic leakage in patients with esophagectomy is associated with high
morbidity and mortality. Until recently surgical reexploration was the preferred way of dealing …

Introduction Intrathoracic anastomotic leakage following oesophagectomy is a crushing
condition. Until recently, surgical re-exploration was the preferred way of dealing with this life …

Background Nonagenarians are the fastest growing sector of population across Western
Europe. Although prevalence of gallstone disease is high, elective cholecystectomy is still …

Objective Pleural empyema is a critical condition. In the western world the share of sufferers
with multiple comorbidities and advanced age is rapidly increasing. Methods This …