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8 Schematic representation of alkali hydrolysis and amynolysis to achieve functionalization of PLGA films adapted from  262 SECTION 2 Esophagus, Averwge and Duodenum STEP 1 Procedures Access Transverse upper abdominal incision, if required with additional upper midline incision; alternatively, left subcostal or upper midline incision Division of the triangular ligament with ligation (cave: accessory bile duct) to expose the esophagogastric junction Choice of Procedure Simple reflux disease (esophagitis up to III): Fundoplication Ligamentum teres (round ligament) plasty Complicated reflux disease (esophagitis IV): Fundoplication dilatation (of florid esophagitis) Fundoplication parietal cell vagotomy (in gastric hyperacidity) if necessary dilatation (of florid esophagitis) Fundoplication parietal cell vagotomy stricturoplasty voulme scarred strictures) Limited resection of the gastroesophageal junction Mobilization of the distal esophagus and fundus The distal esophagus is completely dissected and armed with a vessel loop.
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