DOCSLIB.ORG

Aetna International Doctors Fees Incl. Complexity V2

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Aetna International Doctors Fees Incl. Complexity V2 £ Procedure Sum of Surgeon Sum of Code Procedure Complexity Fee Anaesthetist Fee 17170 Professional attendance on (initiation of care of) patient requiring 0 197 intensive care in an emergency up to 2 hours 17180 Professional attendance on (initiation of care of) patient requiring 0 303 intensive care in an emergency 2-3 hours 17190 Professional attendance on (initiation of care of) patient requiring 0 410 intensive care in an emergency over 3 hours 20110 ECG (including reporting) 0 50 20130 Exercise ECG (including base line 12 lead ECG and reporting) 0 137 20132 Exercise or dobutamine stress echocardiography (including ECG and 0 253 reporting) 20140 24 hour ECG Holter (including reporting) 0 137 20141 Continuous ambulatory ECG for up to 72 hours (including reporting) 0 147 20142 Insertion of implantable ECG loop recorder (including reporting) Intermediate 253 20143 Removal of implantable ECG loop recorder (including reporting) Intermediate 197 20150 Patch testing (inclusive of application, reading and reporting) 0 95 20210 Pure tone audiogram (air conduction) - including masking 0 60 20220 Pure tone audiogram (air and bone conduction) - including masking 0 90 20230 Impedance audiogram 0 50 20240 Impedance audiogram as part of other procedure 0 50 20300 Initial outpatient consultation 0 250 20310 Follow-up outpatient consultation 0 200 20320 Inpatient care 0 100 22000 Routine Electroencephalography (EEG) in adult or child aged over 5 Minor 131 (including reporting) 22002 Routine electroencephalography (EEG) in child under 5 (including Minor 147 reporting) 22003 Sleep Electroencephalography (EEG) Minor 131 22004 24 hour ambulatory electroencephalography (EEG) (including Minor 131 reporting) 22005 24 hour video telemetry electroencephalography (EEG) (including Minor 137 reporting) 22011 Recording and reporting on evoked potential study Minor 197 22021 Anorectal physiology performed by consultant (including reporting) Minor 197 22022 Recording and reporting on electromyography and nerve conduction Minor 197 studies (EMG); CTS (Bilateral upper limb only) or peripheral neuropathy 22023 Recording and reporting on electromyography and nerve conduction Minor 197 studies (EMG); Mononeuropathy (e.g. ulnar), Cx/Lumbar radiculopathy, Myopathy 22024 Recording and reporting on electromyography and nerve conduction Minor 197 studies (EMG); Mononeuritis Multiplex, MND - AHC, Multiple Muscle Monitoring (e.g. Torticollis), Myaesthenia Gravis (-SFEMG) 22025 Recording and reporting on electromyography and nerve conduction Minor 197 studies (EMG); Myaesthenia Gravis (+SFEMG) 22026 Spinal monitoring - up to 4 hours Minor 131 22027 Spinal monitoring - more than 4 hours Intermediate 137 25000 Incision and drainage (not elsewhere covered) Minor 131 25010 Paravertebral block up to two levels (without X-ray control) Minor 163 25011 Paravertebral block up to two levels (under x-ray control) Minor 197 117 25012 Sacral root block (under x-ray control) Minor 197 25020 Intravenous regional sympathetic block (guanethidine block) - 1 Minor 147 injection 25022 Stellate ganglion block (local anaesthetic) Minor 163 25030 Stellate ganglion block (neurolytic) Minor 197 25040 IV regional anaesthesia (Bier's block) administered by operator Minor 131 25100 Coeliac plexus block, splanchnic nerve block, hypogastric block - Intermediate 410 205 diagnostic 25110 Coeliac plexus block, splanchnic nerve block, hypogastric block - Intermediate 410 157 therapeutic Proprietary 46.03.826.1-EU (4/19) £ Procedure Sum of Surgeon Sum of Code Procedure Complexity Fee Anaesthetist Fee 25120 Dorsal root ganglion block (local anaesthetic or neurolytic) (as sole Intermediate 348 117 procedure) 25130 Dorsal root ganglion block (radiofrequency) Major 548 140 25140 Intrathecal neurolysis Intermediate 410 25150 Trigeminal ganglion injection (local anaesthetic under X-ray control) Intermediate 410 25160 Trigeminal ganglion radio frequency lesion (under X-ray control) Intermediate 753 218 64300 Echocardiography (including reporting) as sole procedure 0 147 64302 Transoesophageal echocardiography (including reporting) (as sole Intermediate 348 157 procedure) A0110 Hemispherotomy Complex Major 5 2260 1074 A0180 Excision of abscess of brain Complex Major 3 1895 973 A0200 Excision of lesion of tissue of brain Complex Major 5 1895 973 A0260 Excision of arteriovenous malformation from vessels of brain Complex Major 5 1895 973 A0280 Awake craniotomy with ablation of lesion of brain +/- cortical Complex Major 3 1895 632 mapping/stereotaxy A0300 Stereotactic ablation of tissue of brain Complex Major 3 1463 632 A0310 Stereotactic biopsy of lesion or tissue of brain Complex Major 3 1258 526 A0380 Stereotactic radiotherapy (SRT) using GammaKnife or similar SRT Complex Major 4 1463 632 technology A0400 Biopsy of lesion of tissue of brain (including via a burr hole or stealth Complex Major 2 1258 732 guided) A0900 Implantation of neurostimulator to brain Major 753 285 A0901 Removal of neurostimulator from brain Major 753 285 A0980 Deep brain stimulation Major 618 464 A1060 Fiducial placement Major 253 145 A1070 Stereotactic radiotherapy (SRT), first/sole session using Cyberknife or Complex Major 3 1258 similar SRT technology A1080 Stereotactic radiotherapy (SRT), second to fifth sessions, including Complex Major 3 949 adjustments, using Cyberknife or similar SRT technology A1220 Creation of ventriculovascular anastomosis Major 713 285 A1240 Creation of ventriculoperitoneal shunt Major 713 285 A1250 Creation of subcutaneous cerebrospinal fluid reservoir Major 713 285 A1300 Maintenance of cerebroventricular shunt (including revision) Major 548 240 A1430 Removal of cerebroventricular shunt Intermediate 468 179 A1440 Irrigation of cerebroventricular shunt Minor 410 240 A1700 Therapeutic endoscopic operations on ventricle of brain (including Major Plus 899 285 examination and biopsy of lesion) A2080 Ventricular puncture (as sole procedure) Minor 197 179 A2210 Drainage of subarachnoid space of brain Major 548 218 A2220 Puncture of cistern of brain Minor 253 205 A2223 Cerebral angiogram Intermediate 253 129 A2500 Intracranial transection of cranial nerve Complex Major 4 1895 1074 A2600 Other intracranial destruction of cranial nerve Complex Major 4 1895 1074 A2720 Proximal gastric vagotomy Major 713 240 A2730 Highly selective vagotomy Major 713 240 A2780 Vagotomy with pyloroplasty Major 753 285 A2781 Laparoscopic vagotomy/seromyotomy Major 713 240 A2900 Excision of lesion of cranial nerve (intracranial) Complex Major 5 2260 1074 A2952 Excision of acoustic neuroma (vestibular schwannoma) - tumours Complex Major 5 2260 1074 less than 2.5cm (performed by single surgeon) A2953 Excision of acoustic neuroma (vestibular schwannoma) - tumours Complex Major 5 2260 1129 more than 2.5cm or compressing brain stem (performed by single surgeon) A2954 Excision of acoustic neuroma (vestibular schwannoma) - tumours Complex Major 5 2260 1129 managed by combined oto-neurosurgical team irrespective of tumour size A3000 Repair of cranial nerve (intracranial) Complex Major 1 1011 632 A3200 Decompression of cranial nerve (craniotomy) Complex Major 4 1895 632 A3300 Implantation of neurostimulator to cranial nerve Major 753 268 A3330 Removal of neurostimulator from cranial nerve Major 663 179 A3680 Excision of cerebellopontine angle tumour Complex Major 5 2260 1074 A3810 Excision of lesion of meninges of brain Complex Major 5 2260 973 A3830 Operation for arachnoidal cyst Major Plus 949 352 A3900 Repair of dura Complex Major 2 1258 464 Proprietary 46.03.826.1-EU (4/19) £ Procedure Sum of Surgeon Sum of Code Procedure Complexity Fee Anaesthetist Fee A4010 Evacuation of extradural haematoma Complex Major 2 1258 464 A4080 Craniotomy - post-operative haemorrhage Major Plus 949 464 A4110 Evacuation of subdural haematoma or abscess Complex Major 2 1258 464 A4180 Subdural haemorrhage - tap Minor 131 157 A4280 Intracranial infection : burrhole Intermediate 548 218 A4400 Partial excision of spinal cord Complex Major 3 1463 526 A4500 Open operations on spinal cord Complex Major 3 1463 526 A4730 Percutaneous cordotomy of spinal cord Major Plus 1258 464 A4831 Trial of neurostimulator to spinal cord (as sole procedure) not at 0 753 268 time of permanent implant A4832 Implantation of neurostimulator to spinal cord Major 1258 268 A4850 Implantation/removal of intrathecal drug delivery system Major 147 A4860 Implantation/removal of epidural delivery system Major 147 A4900 Repair of spinal myelomeningocele Complex Major 2 1463 526 A5110 Excision of intradural lesion Complex Major 3 1463 526 A5200 Epidural injection (cervical) Intermediate 253 140 A5210 Epidural injection (lumbar) Minor 197 117 A5211 Epidural injection (caudal) Minor 163 117 A5220 Epidural injection (thoracic) Intermediate 253 140 A5230 Epidurogram Minor 197 145 A5240 Epiduroplasty (Racz catheter or equivalent) Intermediate 410 205 A5290 Transforaminal epidural Intermediate 253 117 A5291 Transforaminal epidural (cervical) Intermediate 253 117 A5292 Transforaminal epidural (thoracic) Intermediate 253 117 A5293 Transforaminal epidural (lumbar) Intermediate 253 117 A5294 Transforaminal epidural (caudal) Intermediate 253 117 A5300 Drainage of spinal canal (including insertion of shunt) Major Plus 949 285 A5410 Epidural blood patch Minor 197 A5420 Injection of therapeutic substance into CSF Minor 137 123 A5480 Intrathecal chemotherapy Intermediate 303 117 A5530 Lumbar puncture (including spinal manometry) Intermediate 147 117 A5540 Spinal angiogram Intermediate 197 117 A5580 CSF Infusion
Load more

Recommended publications
  • Laparoscopic Gastropexy As a Preventative Measure for Gastric Dilation Volvulus in Canines
    Laparoscopic Gastropexy as a Preventative Measure for Gastric Dilation Volvulus in Canines By: Erin O’Brien Advisors: Dr. Kimberly Boswell Board Certified Surgeon Southwest Michigan Animal Emergency Hospital Kalamazoo, MI Dr. Diane R. Kiino Ph.D. Kalamazoo College Health Science A paper submitted in partial fulfillment of the requirements for the degree of Bachelor of Arts at Kalamazoo College. 2010 ii ACKNOWLEDGEMENTS Over the summer I was able to intern at the Southwest Michigan Animal Emergency Hospital in Kalamazoo, MI. It was there that I was exposed to the emergency setting in veterinary medicine but also had the chance to observe surgeries done by Board Certified Surgeon, Dr. Kimberly Boswell. I would like to thank the entire staff at SWMAEH for teaching me a tremendous amount about veterinary medicine and allowing me to get as much hands on experience as possible. It was such a privilege to complete my internship at a hospital where I was able to learn so much about veterinary medicine in only ten weeks. I would also like to thank Dr. Boswell in particular, it was a gastropexy surgery I saw her perform during my internship that inspired the topic of this paper. Additionally I would like to acknowledge my advisor Dr. Diane Kiino for providing the direction I needed in choosing my paper topic. iii ABSTRACT Gastric Dilation Volvulus (GDV) is a fatal condition in canines especially those that are large or giant breeds. GDV results from the stomach distending and twisting on itself which when left untreated causes shock and ultimately death. The only method of prevention for GDV is a gastropexy, a surgical procedure that sutures the stomach to the abdominal wall to prevent volvulus or twisting.
    [Show full text]
  • Laparoscopic Fundoplication with Double Sided Posterior Gastropexy: a Different Surgical Technique
    View metadata, citation and similar papers at core.ac.uk ORIGINAL RESEARCH brought to you by CORE provided by Elsevier - Publisher Connector International Journal of Surgery 10 (2012) 532e536 Contents lists available at SciVerse ScienceDirect International Journal of Surgery journal homepage: www.theijs.com Original research Laparoscopic fundoplication with double sided posterior gastropexy: A different surgical technique Fahri Yetis¸ira,*, A. Ebru Salman b,Dogukan Durak a, Mehmet Kiliç c a Ataturk Research and Training Hospital, General Surgery Department, Turkey b Ataturk Research and Training Hospital, Anesthesiology and Reanimation Department, Turkey c Yildirim Beyazit University, General Surgery Department, Turkey article info abstract Article history: Background: Laparoscopic Nissen Fundoplication has become the gold standard surgical procedure for Received 18 April 2012 management of gastroesophageal reflux disease. Nissen fundoplication provides an effective barrier Received in revised form against reflux. The aim of this study was to evaluate early postoperative outcomes of a different surgical 3 August 2012 technique, laparoscopic fundoplication with double sided posterior gastropexy. Accepted 6 August 2012 Methods: Data of 46 patients who underwent laparoscopic fundoplication with double sided posterior Available online 21 August 2012 gastropexy between February 2010 and December 2011 were collected. Surgically, after Nissen fundoplication was completed, 2e4 sutures were passed through the uppermost parts of the posterior Keywords: Gastropexy and anterior wall of the gastric wrap and then passed gently 1 cm above the celiac artery from the denser fi Nissen fundoplication bers of uppermost part of the arcuate ligament. Demographic data, preoperative and postoperative Gastroesophageal reflux assesments of sympthomatic and functional outcomes of patients were recorded.
    [Show full text]
  • Modified Heller´S Esophageal Myotomy Associated with Dor's
    Crimson Publishers Research Article Wings to the Research Modified Heller´s Esophageal Myotomy Associated with Dor’s Fundoplication A Surgical Alternative for the Treatment of Dolico Megaesophagus Fernando Athayde Veloso Madureira*, Francisco Alberto Vela Cabrera, Vernaza ISSN: 2637-7632 Monsalve M, Moreno Cando J, Charuri Furtado L and Isis Wanderley De Sena Schramm Department of General Surgery, Brazil Abstracts The most performed surgery for the treatment of achalasia is Heller´s esophageal myotomy associated or no with anti-reflux fundoplication. We propose in cases of advanced megaesophagus, specifically in the dolico megaesophagus, a technical variation. The aim of this study was to describe Heller´s myotomy modified by Madureira associated with Dor´s fundoplication as an alternative for the treatment of dolico megaesophagus,Materials and methods: assessing its effectiveness at through dysphagia scores and quality of life questionnaires. *Corresponding author: proposes the dissection ofTechnical the esophagus Note describing intrathoracic, the withsurgical circumferential procedure and release presenting of it, in the the results most of three patients with advanced dolico megaesophagus, operated from 2014 to 2017. The technique A. V. Madureira F, MsC, Phd. Americas Medical City Department of General extensive possible by trans hiatal route. Then the esophagus is retracted and fixed circumferentially in the Surgery, Full Professor of General pillars of the diaphragm with six or seven point. The goal is at least on the third part of the esophagus, to achieveResults: its broad mobilization and rectification of it; then is added a traditional Heller myotomy. Submission:Surgery At UNIRIO and PUC- Rio, Brazil Published: The mean dysphagia score in pre-op was 10points and in the post- op was 1.3 points (maximum October 09, 2019 of 10 points being observed each between the pre and postoperative 8.67 points, 86.7%) The mean October 24, 2019 hospitalization time was one day.
    [Show full text]
  • Open Latarjet: Tried, Tested and True
    Review Article Page 1 of 14 Open Latarjet: tried, tested and true Owen Mattern1, Allan Young1, Gilles Walch2 1Sydney Shoulder Research Institute, Sydney, Australia; 2Centre Orthopédique Santy, Lyon, France Contributions: (I) Conception and design: G Walch, A Young; (II) Administrative support: A Young; (III) Provision of study materials or patients: None; (IV) Collection and assembly of data: None; (V) Data analysis and interpretation: None; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Allan Young. Sydney Shoulder Research Institute, Suite 201, 156 Pacific Highway, St Leonards, Sydney, New South Wales 2065, Australia. Email: [email protected]. Abstract: The open Latarjet procedure has proven to be an effective procedure in the treatment of anterior shoulder instability, particularly in patients with glenoid bone loss and/or an engaging Hill-Sachs lesion. The transfer of the coracoid bone block to the anterior glenoid provides stability via the “triple blocking effect”. We describe our indications and surgical technique for the open Latarjet procedure. Keywords: Latarjet; coracoid transfer; anterior shoulder instability Received: 04 June 2017; Accepted: 18 September 2017; Published: 08 November 2017. doi: 10.21037/aoj.2017.10.01 View this article at: http://dx.doi.org/10.21037/aoj.2017.10.01 Introduction Latarjet included a lower recurrence and dislocation rate, whilst loss of external rotation was less with Latarjet of Traumatic anterior shoulder instability is a common injury 11.5° compared to 20.9° with Bankart repair (11). for the contact athlete, with high rates of recurrence in some athletic populations (1-4). Anatomical Bankart repair procedures have been successful, however high recurrence Principles rates have been shown in certain patient groups (5,6).
    [Show full text]
  • Multidirectional Shoulder Instability with Bone Loss and Prior Failed
    Technical Note Multidirectional Shoulder Instability With Bone Loss and Prior Failed Latarjet Procedure: Treatment With Fresh Distal Tibial Allograft and Modified T-Plasty Open Capsular Shift Liam A. Peebles, B.A., Zachary S. Aman, B.A., Fletcher R. Preuss, B.S., Brian T. Samuelsen, M.D., M.B.A., Tyler J. Zajac, M.S., A.T.C., O.T.C., Mitchell I. Kennedy, B.S., and Matthew T. Provencher, M.D., C.A.PT., M.C., U.S.N.R. Abstract: Recurrent multidirectional shoulder instability (MDI) is a challenging clinical problem, particularly in the setting of connective tissue diseases, and there is a distinct lack of literature discussing strategies for operative management of this unique patient group. These patients frequently present with significant glenoid bone loss, patulous and abnormal capsulolabral structures, and a history of multiple failed arthroscopic or open instability procedures. Although the precise treatment algorithm requires tailoring to the individual patient, we have shown successful outcomes in correcting recurrent MDI in the setting of underlying connective tissue disorders by means of a modified T-plasty capsular shift and rotator interval closure in conjunction with distal tibial allograft bony augmentation. The purpose of this Technical Note was to describe a technique that combines a fresh distal tibial allograft for glenoid bony augmentation with a modified T-plasty capsular shift and rotator interval closure for the management of recurrent shoulder MDI in patients presenting with Ehlers-Danlos syndrome or other connective tissue disorders after failed Latarjet stabilization. ecurrent multidirectional shoulder instability Conversely, MDI without hyperlaxity is more likely to R(MDI) is a difficult clinical problem and becomes present with anterior and/or posterior capsulolabral even more challenging in the face of connective tissue pathology1,2 in addition to bony lesions.
    [Show full text]
  • The Open Eden-Hybinette Procedure for Recurrent Anterior Shoulder Instability with Glenoid Bone Loss Joseph W
    The Open Eden-Hybinette Procedure for Recurrent Anterior Shoulder Instability With Glenoid Bone Loss Joseph W. Galvin, DO,* Zachary R. Zimmer, MD,* Alexander M. Prete, BS,* and Jon J.P. Warner, MD* In the setting of significant glenoid bone loss, soft tissue stabilization procedures for recur- rent anterior shoulder instability have high failure rates. The open or arthroscopic Eden- Hybinette procedure with tricortical iliac crest autograft has been shown to provide good results with low rates of recurrent instability. Indications for this technique include severe glenoid bone loss (>40%), recurrent instability following a Latarjet or distal tibial allograft procedure, or patients with abnormal coracoid morphology. In this technique article, we review the indications, contraindications, surgical technique, postoperative care, out- comes, and complications of the open Eden-Hybinette procedure. Oper Tech Sports Med 27:95-101 © 2019 Elsevier Inc. All rights reserved. KEYWORDS Eden-Hybinette, recurrent anterior instability Introduction through advanced imaging with MRI and 3-dimensional recon- struction computed tomography (CT) scans has likely led to nterior shoulder instability is a common problem in young increased utilization of bone augmentation techniques such as A active individuals with an incidence in the United States the Latarjet procedure, distal tibial allograft (DTA), and distal 1,2 (US) general population of 0.08 per 1000 person-years. Cer- clavicular autograft.13-17 The Latarjet and DTA procedures have tain at-risk populations involved in contact and collision activi- showntobeeffectiveandprovidegoodoutcomeswithlow ties, such as American football players and military athletes, rates of recurrent instability in primary and revision instability have anterior instability at an order of magnitude greater of scenarios,18-20 with the Latarjet showing long-term durability.
    [Show full text]
  • H3 Schedule of Procedures H3 Insurance Schedule of Procedures
    H3 Schedule of Procedures H3 Insurance Schedule of Procedures This schedule is based on the CCSD schedule of procedures. H3 Schedule of Procedures Version 2020 All codes listed detail the maximum amount we will pay towards the fee a specialist and anaesthetist will charge for the operation/procedure. H3 Insurance is a trading name of Insure I Limited which is authorised and regulated by the Financial Conduct Authority. Insure I Ltd is registered in Northern Ireland, Registered number NI072940. H3 Insurance Registered address is Channel Wharf, 21 Old Channel Road, Belfast, BT3 9DE. T: 028 9046 9990 www.h3insurance.com H3 Schedule of Procedures Index Guidance Notes .................................................................................................................. 1 Abdomen – excluding urinary / reproductive organs......................................................... 3 Bones, joints & connective tissue / tendon muscle ......................................................... 13 Brain, cranium & other intracranial organs ...................................................................... 29 Breasts .............................................................................................................................. 32 Consultations, simple investigations & general procedures ............................................ 35 Ear, nose & throat… .......................................................................................................... 38 Endoscopic GIT procedures .............................................................................................
    [Show full text]
  • The Biomechanics of the Latarjet Reconstruction: Is It All About the Sling? Nobuyuki Yamamoto, MD,* and Scott P
    The Biomechanics of the Latarjet Reconstruction: Is It All About the Sling? Nobuyuki Yamamoto, MD,* and Scott P. Steinmann, MD† It has been clinically believed that the stabilizing mechanism of the Latarjet procedure is the sling effect. Biomechanical studies have demonstrated that there are 3 stabilizing mecha- nisms of the Latarjet procedure, the main one being the sling effect produced by the sub- scapularis and conjoint tendons. The other 2 mechanisms are the suturing of the capsular flap at the end-range arm position and reconstruction of the glenoid concavity at the mid- range arm position. All 3 stabilizing mechanisms function at both the mid- and end-range arm positions. After the Latarjet procedure, the shoulder even with a large glenoid defect can have stability increased by 14% compared to the normal shoulder. The acceptable clini- cal outcomes of the Latarjet procedure are supported by these 3 stabilizing mechanisms. Oper Tech Sports Med 27:49-54 © 2019 Elsevier Inc. All rights reserved. KEYWORDS biomechanics, Latarjet reconstruction, sling, subscapularis Why Good Clinical Results Can in which the essential lesion, the Bankart lesion is not repaired? To date, “sling effect of the subscapularis muscle” Be Obtained Without the Bankart has been clinically believed as the main stabilizing mechanism Repair? of this procedure. This was speculation among surgeons. Its he Latarjet procedure has gained popularity with recent precise stabilizing mechanism had not been studied. T reports1,2 showing that postoperative arthritis can be avoided by appropriate positioning of the coracoid bone graft. Excellent clinical results even for shoulders with a large Biomechanical Experiments glenoid defect have been reported.
    [Show full text]
  • The Short Esophagus—Lengthening Techniques
    10 Review Article Page 1 of 10 The short esophagus—lengthening techniques Reginald C. W. Bell, Katherine Freeman Institute of Esophageal and Reflux Surgery, Englewood, CO, USA Contributions: (I) Conception and design: RCW Bell; (II) Administrative support: RCW Bell; (III) Provision of the article study materials or patients: RCW Bell; (IV) Collection and assembly of data: RCW Bell; (V) Data analysis and interpretation: RCW Bell; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Reginald C. W. Bell. Institute of Esophageal and Reflux Surgery, 499 E Hampden Ave., Suite 400, Englewood, CO 80113, USA. Email: [email protected]. Abstract: Conditions resulting in esophageal damage and hiatal hernia may pull the esophagogastric junction up into the mediastinum. During surgery to treat gastroesophageal reflux or hiatal hernia, routine mobilization of the esophagus may not bring the esophagogastric junction sufficiently below the diaphragm to provide adequate repair of the hernia or to enable adequate control of gastroesophageal reflux. This ‘short esophagus’ was first described in 1900, gained attention in the 1950 where various methods to treat it were developed, and remains a potential challenge for the contemporary foregut surgeon. Despite frequent discussion in current literature of the need to obtain ‘3 or more centimeters of intra-abdominal esophageal length’, the normal anatomy of the phrenoesophageal membrane, the manner in which length of the mobilized esophagus is measured, as well as the degree to which additional length is required by the bulk of an antireflux procedure are rarely discussed. Understanding of these issues as well as the extent to which esophageal shortening is due to factors such as congenital abnormality, transmural fibrosis, fibrosis limited to the esophageal adventitia, and mediastinal fixation are needed to apply precise surgical technique.
    [Show full text]
  • MISSED? Metastatic Spinal Cord Compression NA Quraishi, C Esler ∗ BMJ 342 (7805), 1023-1025
    PUBLICATIONS (ABSTRACTS EXCLUDED) 2014: Metastatic spinal cord compression as a result of the unknown primary tumour. Quraishi NA, Ramoutar D, Sureshkumar D, Manoharan SR, Spencer A, Arealis G, Edwards KL, Boszczyk BM. Eur Spine J. 2014 Apr 2. Trans-oral approach for the management of a C2 neuroblastoma. Salem KM, Visser J, Quraishi NA. Eur Spine J. 2014 Feb 19. Calcified giant thoracic disc herniations: considerations and treatment strategies. Quraishi NA, Khurana A, Tsegaye MM, Boszczyk BM, Mehdian SM. Eur Spine J. 2014 Apr;23 Surgical treatment of sacral chordoma: prognostic variables for local recurrence and overall survival. Varga PP, Szövérfi Z, Fisher CG, Boriani S, Gokaslan ZL, Dekutoski MB, Chou D, Qurais NA, Reynolds JJ, Luzzati A, Williams R, Fehlings MG, Germscheid NM, Lazary A, Rhines LD. Eur Spine J. 2014 Dec 23. Expert's comment concerning Grand Rounds case entitled: "trans-oral approach for the management of a C2 neuroblastoma. (K. M. I. Salem, J. Visser, and N. A. Quraishi).Choi D. Eur Spine J. 2015 Jan;24(1):177-9. Diagnosis and treatment of a rectal-cutaneous fistula: a rare complication of coccygectomy. Behrbalk E, Uri O, Maxwell-Armstrong C, Quraishi NA. Eur Spine J. 2014 Nov 1. A cohort study to evaluate cardiovascular risk of selective and nonselective cyclooxygenase inhibitors (COX-Is) in arthritic patients attending orthopedic department of a tertiary care hospital. Bhosale UA, Quraishi N, Yegnanarayan R, Devasthale D. Niger Med J. 2014 Sep;55(5):417-22. An evidence-based medicine model for rare and often neglected neoplastic conditions. Fisher CG, Goldschlager T, Boriani S, Varga PP, Rhines LD, Fehlings MG, Luzzati A, Dekutoski MB, Reynolds JJ, Chou D, Berven SH, Williams RP, Quraishi NA, Bettegowda C, Gokaslan ZL.
    [Show full text]
  • Spleen Rupture Complicating Upper Endoscopy in the Medical Literature [3–5]
    E206 UCTN – Unusual cases and technical notes following gastroscopy [3]. To our knowl- edge, only few cases have been reported Spleen rupture complicating upper endoscopy in the medical literature [3–5]. We think that the excessive stretching of spleno-diaphragmatic ligaments and of spleno-peritoneal lateral attachments Fig. 1 Computed during endoscopy and possibly the loca- tomography (CT) scan of abdomen in an 81- tion of most of the stomach in the thoracic year-old woman with cavity had contributed to the spleen rup- generalized weakness, ture [5,6]. Rapid diagnosis in the presence persistent nausea, and of suggestive symptoms of hemodynamic difficulty swallowing, instability and abdominal pain following showing hemoperito- upper endoscopy is life-saving. neum, subcapsular spleen hematoma, and blood around the liver. Endoscopy_UCTN_Code_CPL_1AH_2AJ Competing interests: None F. Jabr1, N. Skeik2 1 Hospital Medicine, Horizon Medical Center, Tennessee, USA 2 Vascular Medicine, Abott Northwestern An 81-year-old woman with history of peritoneum with subcapsular hematoma Hospital, Minneapolis, USA chronic lymphocytic leukemia and recent on the spleen (●" Fig. 1). The patient was diagnosis of Clostridium difficile colitis, diagnosed as having splenic rupture. Ex- and maintained on oral vancomycin, pre- ploratory laparotomy showed large he- References sented for generalized weakness, persis- moperitoneum (about 1500 mL blood), 1 Lopez-Tomassetti Fernandez EM, Delgado Plasencia L, Arteaga González IJ et al. Atrau- tent nausea, and a long history of difficulty subcapsular hematoma of the lateral in- matic rupture of the spleen: experience of swallowing (food hangs in her chest and ferior portion of the spleen, as well as a 10 cases.
    [Show full text]
  • Guide to Pediatric Urology and Surgery in Clinical Practice Prasad P
    Guide to Pediatric Urology and Surgery in Clinical Practice Prasad P. Godbole • Martin A. Koyle Duncan T. Wilcox (Editors) Guide to Pediatric Urology and Surgery in Clinical Practice Editors Prasad P. Godbole Martin A. Koyle Department of Pediatric Surgery Department of Urology and Urology and Pediatrics Sheffield Children’s Hospital University of Washington Sheffield, UK and Department of Urology Duncan T. Wilcox and Pediatrics Department of Pediatric Urology Seattle Children’s Hospital Denver Children’s Hospital Seattle, WA University of Colorado at Denver USA Denver, CO USA ISBN 978-1-84996-365-7 e-ISBN 978-1-84996-366-4 DOI 10.1007/978-1-84996-366-4 Springer Dordrecht Heidelberg London New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2010933607 © Springer-Verlag London Limited 2011 Apart from any fair dealing for the purposes of research or private study, or criti- cism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use.
    [Show full text]