Transgastric stapled esophagofundostomy and partial fundoplication – a technical illustration of a new concept for surgical treatment of achalasia

2004 ◽  
Vol 36 (2) ◽  
pp. 89-94 ◽  
Author(s):  
E. P. Cosentini ◽  
M. Riegler ◽  
O. Koperek ◽  
E. Wenzl
Keyword(s):  
Surgical Treatment ◽  
Partial Fundoplication ◽  
Technical Illustration

scholarly journals Surgical treatment of gastroesophageal reflux disease: total or partial fundoplication? Systematic review and meta-analysis

2011 ◽  
Vol 48 (4) ◽  
pp. 252-260 ◽  
Author(s):  
Rodrigo F Ramos ◽  
Suzana Angélica S Lustosa ◽  
Carlos Augusto P. de Almeida ◽  
Carolina P. da Silva ◽  
Delcio Matos
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Acid Reflux ◽  
Controlled Trials ◽  
Partial Fundoplication ◽  
Statistical Heterogeneity ◽  
Significant Difference

CONTEXT: Although the high incidence of gastroesophageal reflux disease (GERD) in the population, there is much controversy in this topic, especially in the surgical treatment. The decision to use of a total or partial fundoplication in the treatment of GERD is still a challenge to many surgeons because the few evidence found in the literature. OBJECTIVE: To bring more clear evidence in the comparison between total and partial fundoplication. DATA SOURCES: A systematic review of the literature and metaanalysis with randomized controlled trials accessed from MEDLINE, LILACS, Cochrane Controlled Trials Database was done. The outcomes remarked were: dysphagia, inability to belch, bloating, recurrence of acid reflux, heartburn and esophagitis. For data analysis the odds ratio was used with corresponding 95% confidence interval. Statistical heterogeneity in the results of the metaanalysis was assessed by calculating a test of heterogeneity. The software Review Manager 5 (Cochrane Collaboration) was utilized for the data gathered and the statistical analysis. Sensitive analysis was applied using only trials that included follow-up over 2 years. RESULTS: Ten trials were included with 1003 patients: 502 to total fundoplication group and 501 to partial fundoplication group. The outcomes dysphagia and inability to belch had statistical significant difference (P = 0.00001) in favor of partial fundoplication. There was not statistical difference in outcomes related with treatment failure. There were no heterogeneity in the outcomes dysphagia and recurrence of the acid reflux. CONCLUSION: The partial fundoplication has lower incidence of obstructive side effects.

scholarly journals Giant esophageal epiphrenic diverticulum: presentation and treatment

2017 ◽  
Vol 15 (4) ◽  
pp. 486-488 ◽  
Author(s):  
Marcelo Protásio dos Santos ◽  
Denise Akerman ◽  
Caio Pasquali Dias dos Santos ◽  
Paulo Vicente dos Santos Filho ◽  
Marcos Claudio Radtke ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Rare Disease ◽  
Surgical Indication ◽  
Motor Disorders ◽  
Partial Fundoplication ◽  
Epiphrenic Diverticulum ◽  
Esophageal Motor Disorders ◽  
Anterior Partial Fundoplication ◽  
Symptomatic Woman

ABSTRACT Epiphrenic diverticulum is a rare disease associated with esophageal motor disorders that is usually asymptomatic and has a well-established surgical indication. We report a case of giant epiphrenic diverticulum in a 59-year-old symptomatic woman who was diagnosed after underwent complementary exams. Because of her symptoms, the surgical treatment was chosen, and esophageal diverticulectomy was performed along with laparoscopic cardiomyotomy and anterior partial fundoplication.

scholarly journals THE NEAREST RESULTS OF LAPOROSCOPIC SURGERY FOR CARDIOSPASM (ACCORDING TO THE MATERIALS OF THE CLINIC)

2020 ◽  
Vol 74 (2) ◽  
pp. 81-83
Author(s):  
A.A. Polyantsev ◽  
◽  
V.V. Kotrunov ◽  
A.A. Polyantsev (jr.) ◽  
A.G. Zimin ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Treatment ◽  
Thoracic Surgery ◽  
Hospital Stay ◽  
Retrospective Analysis ◽  
Partial Fundoplication ◽  
Clinical Hospital

The retrospective analysis of nearest results of laparoscopic surgery for cardiospasm was provided according to the materials of the department of thoracic surgery of the «Volgograd Regional clinical Hospital №1» for 2018–2020. The research included 32 laparoscopic surgical treatment cases of cardiospasm II–III stage with Heller’s method with Nissen’s fundoplication or partial fundoplication after Tupa (270 ºС). Analysis of the nearest results of laparoscopic surgery for cardiospasm rated the advantages of the laparoscopic method in perfoming exstramucosal esophagocardiomyotomy are assessed. The traumatism and time of the operation decreasewas marked, it was reduced the patients hospital stay and postoperation rehabilitation was also redused in patients with II–III stage of the disease.

Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

1975 ◽  
Vol 33 ◽  
pp. 528-529
Author(s):  
M.D. Graham
Keyword(s):  
Electron Microscope ◽  
Surgical Treatment ◽  
Scanning Electron Microscope ◽  
Osmic Acid ◽  
Human Cadaver ◽  
Electron Microscopic ◽  
Scanning Electron Microscopic ◽  
Normal Human ◽  
Microscopic Findings ◽  
Scanning Electron

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.

Surgical treatment of familial benign chronic pemphigus

1981 ◽  
Vol 117 (9) ◽  
pp. 540-542 ◽  
Author(s):  
C. P. Crotty
Keyword(s):  
Surgical Treatment

Surgical treatment strategies for secondary peritonitis: Outcome in 278 patients

2001 ◽  
Vol 120 (5) ◽  
pp. A401-A401
Author(s):  
M BOERMEESTER ◽  
E BELT ◽  
B LAMME ◽  
M LUBBERS ◽  
J KESECIOGLU ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Strategies ◽  
Secondary Peritonitis
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