Funduplicatura de Nissen por laparoscopia como técnica de elección para el tratamiento de la enfermedad por reflujo gastroesofágicoLaparoscopic nissen. TIPOS DE FUNDUPLICATURAS. Arantxa [Medicina]. Funduplicatura. Edgar Duran. Tecnicas plastia inguinal. Consultorios Medicos Nealtican. Many translated example sentences containing “funduplicatura de Nissen” – English-Spanish dictionary and search engine for English translations.
|Genre:||Health and Food|
|Published (Last):||14 April 2018|
|PDF File Size:||6.43 Mb|
|ePub File Size:||14.63 Mb|
|Price:||Free* [*Free Regsitration Required]|
A funudplicatura floppy Nissen fundoplication was done with non-absorbable material after adapting the diaphragmatic crura behind the esophagus. Intraoperative complications occurred in 11 patients and the rate of conversion to open surgery was 1.
FUNDUPLICATURA DE NISSEN PDF
Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series. When other pro-thrombotic, predisposing conditions such as laparoscopic surgery and cocaine consumption are present, the usual prophylactic doses of low molecular weight heparin might not be sufficient to protect against this life-threatening complication.
Two cases also showed additional predisposing conditions to thrombosis: CT findings were small-intestine dilatation, ascites, liver edema, and suspicion of both mesenteric and portal thrombosis. Nissen fundoplication Diagram of a Nissen fundoplication.
File:Procedimientos de funduplicatura de tipo nissen.jpg
Anal sphincterotomy Anorectal manometry Lateral internal fundhplicatura Rubber band ligation Transanal hemorrhoidal dearterialization. However, the clinical incidence of portal thrombosis is minimal.
Initially, vomiting is impossible; however, small amounts of vomit may be produced after the wrap settles over time, and in extreme cases such as alcohol poisoning or food poisoningthe patient may be able to vomit freely fundduplicatura some amount of pain. In a fundoplicationthe gastric fundus upper part of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter. When used to alleviate gastroesophageal reflux symptoms in patients with delayed gastric emptyingit is frequently combined with modification of funduplicqtura pylorus via pyloromyotomy or pyloroplasty.
No surgical manoeuvre was performed on the vessels.
The American Journal of Digestive Diseases. The esophageal hiatus is also narrowed down by sutures to prevent or treat concurrent hiatal hernia, in fjnduplicatura the fundus slides up through the enlarged esophageal hiatus of the diaphragm.
Diagram of a Nissen fundoplication. Views Read Edit View history.
The aim of this study was to determine, through our results and comparison of pre- and postoperative manometric and pH monitoring data, whether Nissen fundoplication is the technique of choice in the treatment of gastroesophageal reflux disease GERD and whether it provides similar results to those of conventional surgery.
If postoperative gas-bloat syndrome does not resolve with time, dietary restrictions, counselling regarding aerophagia, and correction — either by endoscopic balloon dilatation [ citation needed ] or repeat surgery to revise the Nissen fundoplication to a partial fundoplication — may be necessary.
Fecal fat test Fecal pH test Stool guaiac test.
Despite anticoagulation therapy, the patient exhibited a progressive deterioration and fumduplicatura 24 hours fe revision surgery. Preoperative studies included esophagogastroduodenoscopy, TEGD, hour pH monitoring and esophageal manometry. Lower esophageal sphincter pressure was 3 mmHg normal range, mmHg. Symptom onset happened after abundant food ingestion in one case 2 and after food and gassy drink ingestion in our case.
Lower esophageal sphincter pressure was 3 mmHg normal range, mmHg. Would a different regimen have diminished the severity of the clinical picture? It also promotes platelet aggregation and erythrocitosis, and therefore predisposes to arteriolar obstruction. In contrast, surgery for achalasia is generally accompanied by either a Dor or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia.
We report the case of a twenty-year-old man having a severe gastroesophageal reflux disease, uncontrolled with omeprazol 60 mg daily, and with a history of alcohol and cocaine consumption. Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice. Intraoperative Doppler ultrasounds showed total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries.
However, when its purpose is to reduce gastric reflux, difficulty in vomiting may be an undesired outcome. It is therefore useful to preoperatively find any risk-increasing factors in laparoscopic surgery: CS1 German-language sources de CS1 maint: Complications include “gas bloat syndrome”, dysphagia trouble swallowingdumping syndromeexcessive scarring, vagus nerve injury and, rarely, achalasia.
Portal thrombosis has been reported after laparoscopic surgery of the colon, spleen and gallbladder, but very infrequently after Nissen fundoplication, all having a favorable outcome Would the fatal outcome have been prevented with a longer heparin regimen, with higher doses? These may be associated with both acute and chronic consumption. Ann R Coll Surg Engl ; Fundhplicatura esophageal hiatus is also narrowed down by sutures to prevent or treat concurrent hiatal hernia, in which the fundus slides up through the enlarged esophageal hiatus of the diaphragm.
In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped the entire degrees around the esophagus. Also, hypercapnia due to CO2 absorption brings about nissej decrease in mesenteric blood flow as a result of vasoconstriction.
In other projects Wikimedia Commons. On the seventh postoperative day the patient had a portal and mesenteric venous thrombosis, which was confirmed at laparotomy, with both extensive small-intestine necrosis and partial colon necrosis.
Nissen fundoplication – Wikipedia
The offending gas may also come from dietary sources especially carbonated beveragesor involuntary swallowing of air aerophagia. From Wikipedia, the free encyclopedia. Two cases also showed additional predisposing conditions to thrombosis: Dig Surg ; Whenever the stomach contracts, it also closes off the esophagus instead of squeezing stomach acids into it. Portal and mesenteric vein is a very uncommon complication of laparoscopic surgery. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Portal and mesenteric thrombosis after laparoscopic surgery is very uncommon.