Laparoscopic Revision of Failed Antireflux Operations

2001 ◽  
Vol 95 (1) ◽  
pp. 13-18 ◽  
Author(s):  
F.M. Serafini ◽  
M. Bloomston ◽  
E. Zervos ◽  
J. Muench ◽  
M.H. Albrink ◽  
...  
2022 ◽  
pp. 62-71
Author(s):  
T. V. Khorobrykh ◽  
A. A. Voevodina ◽  
D. A. Efremov ◽  
V. I. Korotkiy ◽  
N. R. Khusainova ◽  
...  

Introduction. Hernia of the esophageal opening of the diaphragm in 90% of cases is the main cause of the development of reflux esophagitis. The doctrine highlighted a large group of extraesophageal manifestations of reflux esophagitis, including gastrocardiac syndrome.Аim. The purpose of this publication is to evaluate the effectiveness of antireflux surgery in patients with hiatal hernia through the prism of its effectiveness in the dynamics of gastrocardial syndrome regression.Material and мethods. The paper presents the results of diagnostics and surgical treatment of 101 patients with hiatal hernia.Results. According to the data of instrumental research methods, cardiac hernias of the esophageal opening of the diaphragm were detected in 45 (44.5%) patients, cardiofundal in 40 (39.6%), subtotal in 15 (14.8%), total in 1 (0.9%). The main place in the clinical picture of gastrocardial syndrome was occupied by the pain syndrome behind the breastbone (83.1%). Thus, arrhythmias were found in 16 (40.0%) patients with cardiofundal, in 10 (66.6%) subtotal and in 1 (100.0%) total hiatal hernia, and angina pectoris is characteristic of cardiac hernias and was observed in 20 (44.4%) patients. The clinical manifestation of reflex angina pectoris and arrhythmias depended on the degree of shortening of the esophagus. Thus, arrhythmias were more common in patients with cardiofundal (50.0%), subtotal (71.4%), total (100.0%) hiatal hernia with II degree of shortening of the esophagus, and angina pectoris characteristic of cardiac (75.0%) hiatal hernia. with II degree of shortening of the esophagus. Reflex angina is typical for patients of the older age group, and manifestations of arrhythmia are recorded at a younger age. Heart rate variability was considered, according to electrocardiogram and Holter ECG monitoring before and after surgical treatment, where the parameters significantly (p> 0.05) decreased.Conclusions. The phenomena of gastrocardial syndrome regressed after antireflux surgery in 44 (43.5%) patients. Surgical treatment from the endovideosurgical approach did not worsen the results of surgical treatment.


1987 ◽  
Vol 78 (6) ◽  
pp. 1018-1024
Author(s):  
Seiji Kunikata ◽  
Akira Wakabayashi ◽  
Kenjiro Kohri ◽  
Takahiro Akiyama ◽  
Takashi Kurita ◽  
...  

1996 ◽  
Vol 44 (2) ◽  
pp. 133-143 ◽  
Author(s):  
Sritharan S. Kadirkamanathan ◽  
David F. Evans ◽  
Feng Gong ◽  
Etsuro Yazaki ◽  
Mark Scott ◽  
...  

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 69-69
Author(s):  
Mikhail Koshkin ◽  
Oleg Vasnev ◽  
Alexandr Belousov ◽  
Mikhail Mikhnevich ◽  
Magomet Baychorov ◽  
...  

Abstract Background Surgical treatment is one of the most effective options for treatment of gastroesofageal reflux disease. Laparoscopic approach became is a ‘gold standard’ over the time demonstrating all advantages of minimally invasive techniques over the open procedures. However the utility of robotic antireflux operations still remains controversial. Methods Since the January till the December of 2017 thirty operations were operated on. Mean age was 57,2 (35–76), among them 21 (70%) were female and 9 (30%) were males. Mean BMI was 29,4 (24,1–41,0). Laparoscopic procedures were performed in15 patients (1st group), robotic procedures with DaVinci system were performed in 15 patients of the second group. Chernousov modified Nissen fundoplication was performed in 25 patients, Toupet fundoplication was used for 4 patients, Nissen type was performed in 4 cases. Results The median operative time in laparoscopic group was 125 min (80–200 min), in robotic group - 124 min (90–210 min). There were no statistical differences between two groups (P = 0,93).Blood loss was minimal in both groups. Mean postoperative hospital stay was 4 days (2–7 days) in the 1st group and 4 days (2–6 days) in the second. There were no statistical differences between two groups (P = 0,19). Postoperative course was uneventful in all patients of both groups. Conclusion Robotic antireflux operations are safe and effective in treatment of patients with reflux-esophagitis. There were no statistically significant differences in short-term results of laparoscopic and robotic operations. Disclosure All authors have declared no conflicts of interest.


Author(s):  
K.-H. Fuchs ◽  
S. M. Freys ◽  
J. Heimbucher ◽  
A. Thiede

2014 ◽  
Vol 85 (3) ◽  
pp. 113-120 ◽  
Author(s):  
Dan Falkenback ◽  
Christopher W. Lehane ◽  
Reginald V. N. Lord

1987 ◽  
Vol 19 (2) ◽  
pp. 141-143 ◽  
Author(s):  
W. Pypno

1973 ◽  
Vol 109 (6) ◽  
pp. 1002-1004 ◽  
Author(s):  
Robert A. Garrett ◽  
David P. Schlueter

2016 ◽  
Vol 101 (4) ◽  
pp. 1290-1296 ◽  
Author(s):  
Candice L. Wilshire ◽  
Brian E. Louie ◽  
Dale Shultz ◽  
Zeljka Jutric ◽  
Alexander S. Farivar ◽  
...  

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