Sydney Heartburn got Instragram!

Whether you’re a patient who’s interested in what your surgery entails, or your just keen to know more about the human body; Sydney Heartburn’s instagram has all the ‘intimate’, up close and internal organ pictures and diagrams one could possibly ask for.

Check it out on your mobile device:  @sydney.heartburn

Have a request for a certain operation or disease picture? Ask us!

We have a huge database of pictures from our practice’s long history and would love to answer any questions you may have.


This week’s instagram preview: A Pancreatic Cyst!

Pancreatic Cyst Labelled



Interesting Reads: End of the Road for a Dysfunctional End Organ

Laparoscopic surgery offers hope to patients with severe gastroparesis. Professor Falk’s most recent article recommendation comes from the Journal of Gastrointestinal Surgery: 

Recommended Reading

Here are some articles that Professor Falk finds interesting and informative.

Gastro-Oesophageal Reflux Disease In Adults: Patient Guide
Gastroenterological Society of Australia & the Digestive Health Foundation

What’s good about this article?
This is an easy-to-read guide written for patients. It clearly describes Reflux Disease, and gives understandable information regarding diagnosis and management. We highly recommend that patients read this guide.

In most patients, reflux disease is a chronic disorder. Mild symptoms may vary in intensity and occur only on some days. With increasing severity, symptoms tend to occur daily. Most patients will therefore require long term management, although this should be individualised to control the
patient’s symptoms and reduce the risk of complications. [via]

What should be the gold standard for the surgical component in the treatment of locally advanced esophageal cancer: transthoracic versus transhiatal esophagectomy
Asad Kutup, MD, Michael F. Nentwich, MD, Elfriede Bollschweiler, MD, Dean Bogoevski, MD, Jakob R. Izbicki, MD, FACS, FRCS Ed (Hon), Arnulf H. Hölscher, MD; Annals of Surgery

What’s good about this article?
It highlights that the Gold standard of care is TTE (transthoracic esophagectomy). TTE has better survival figures, more complete tumour excision, and better lymph node removal.

Objective: To analyze survival differences between transthoracic esophagectomy (TTE) and limited transhiatal esophagectomy (THE) in clinically (cT3) and pathologically (pT3) staged advanced tumors without neoadjuvant treatment. Debate exists whether in the type of resection in locally advanced cancer plays a role in prognosis and whether THE is a valuable alternative to TTE regarding oncological doctrine and overall survival. [via]

Reoperative intervention in patients with mesh at the hiatus is associated with high incidence of esophageal resection — a single-center experience
Kalyana Nandipati, Maria Bye, Se Ryung Yamamoto, Pradeep Pallati, Tommy Lee, Sumeet K Mittal; Journal of Gastrointestinal Surgery

What’s good about this article?
This article affirms the undesirability of using mesh in hiatus hernia repair surgery. Mesh is not a technique utilised by the Sydney Heartburn Clinic when repairing hiatus hernias.

Mesh hiatoplasty is a widely debated topic among foregut surgeons. While short-term outcomes tout decreased recurrence rates, an increase in mesh-related complications has been reported. The aim of this study is to present a single-center experience with reoperative intervention in patients with previous mesh at the hiatus. [via PubMed]

Prognostic impact of lymph node retrieval and ratio in gastric cancer: a U.S. single center experience
Wong J, Rahman S, Saeed N, Lin HY, Almhanna K, Shridhar R, Hoffe S, Meredith KL; Journal of Gastrointestinal Surgery

What’s good about this article?
This article affirms that increased removal of lymph nodes leads to improved cure in gastric cancer patients.

Increased lymph node (LN) retrieval for gastric cancer has been associated with improved overall survival (OS). This study examines the impact of number of examined LN (eLN) and lymph node ratio. [via PubMed]

Laparoscopic Adrenalectomy: Surgical Techniques
Mellon MJ, Sethi A, Sundaram CP; Indian Journal of Urology

What’s good about this article?
It has elegant pictures and a good description of GORD technique.

Since its first description in 1992, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. The benefits of a minimally invasive approach to adrenal resection such as decreased hospital stay, shorter recovery time and improved patient satisfaction are widely accepted. However, as this procedure becomes more widespread, critical steps of the operation must be maintained to ensure expected outcomes and success. This article reviews the surgical techniques for the laparoscopic adrenalectomy. [via Indian Journal Of Urology]