This video covers the basic preoperative evaluation of a foregut surgery patient. While GERD is the most common issue in these patients, GERD symptoms can mask more sinister underlying pathology. We review the GERD-related "alarm symptoms" that should prompt a more thorough workup. We then discuss the four tests that these patients should receive preoperatively (UGI, EGD, pH/impedance, and manometry). We go through exactly how each test is done and what data it gives us to help narrow down our differential.
These videos are for educational purposes only, do not use to diagnose or treat any diseases. This is not clinical advice.