Anatomy and physiology

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


In an attempt to elucidate the etiological factors that contribute to gastroesophageal reflux disease (GERD), it is necessary to have a full understanding of normal diaphragmatic anatomy and physiology. Pathological reflux occurs when there are anatomical and physiological abnormalities at the gastroesophageal junction and crura. These abnormalities are influenced by postural changes and gradients between intra-abdominal and intrathoracic pressures. Corrective surgery must include a proper diaphragmatic repair in order to minimize the potential for recurrence. Postoperative management must be tailored to the patient’s age, the size of the hiatal defect, and the patient’s lifestyle.

Original languageEnglish
Title of host publicationLaparoscopic Hernia Surgery
Subtitle of host publicationAn Operative Guide
PublisherCRC Press
Number of pages7
ISBN (Electronic)9781444113952
ISBN (Print)034080940X, 9780340809402
StatePublished - 1 Jan 2002


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