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Mr. Ewen Griffiths, Consultant Upper GI Surgeon at the Queen Elizabeth Hospital, Birmingham, joined us recently to answering questions around GORD, GI issues and the surgical treatments available for OA/TOF. [Tip: You can use the links below to jump to the relevant section] 00:00 Start 00:45 Presentation begins 01:26 Declaration 02:30 GORD – Gastro-Oesophageal Reflux Disease 03:20 Defence against GORD 06:40 Endoscopic grading of GORD 07:28 Types of hiatus hernia 08:06 Barium Swallow 08:40 High resolution manometry 09:45 24 hour ph testing 10:56 Bravo Capsule 12:10 The modern diagnosis of reflux disease – the Lyon Consensus 12:42 SI (Symptom Index) and SAP (Symptom Association Probability) 13:05 Food and drink that affect the LOS 14:58 GORD treatment 15:41 Sleeping positions 16:22 What are PPIs? 17:57 Are PPIs safe? 19:40 Alternative to PPIs 20:34 Reflux Q&A 24:43 Upper GI endoscopy 26:25 Oesophageal dilatation 27:29 Barrett's Oesophagus 30:04 Endoscopy Q&A 38:20 Surgical fundoplication 38:35 Laparoscopic anti-reflux surgery 39:18 Steps in the operation 39:50 Different types of fundoplication 40:19 270 Posterior partial fundoplication “Toupet” 40:50 180 Anterior fundoplication – Dor 41:19 Which fundoplication is best? 43:04 Post fundoplication issues 43:49 Functional side effects 48:11 Fundoplication Q&A 52:48 Post surgery Q&A About TOFS: TOFS (Tracheo-Oesophageal Fistula Support) is a charity dedicated to improving the lives of people born with the OA/TOF condition and their carers. For over 40 years we have been helping people through the lifelong challenges that being born with OA/TOF (also known as EA/TEF in some parts of the world), VACTERL and associated conditions can bring. Visit https://www.tofs.org.uk for more information and support. Disclaimer: TOFS is not engaged in the practice of medicine, and any information provided is not intended or offered as medical advice and is absolutely not a substitute for the patient’s individual consultation with qualified healthcare professionals. Read more at: https://tofs.org.uk/terms-conditions/