Mo2003 FAILURE OF MINIMALLY INVASIVE SURGICAL TREATMENT FOR GASTROESOPHAGEAL REFLUX DISEASE AND HIATAL HERNIA: THE ROLE OF ROBOTIC RE-DO FUNDOPLICATION

2020 ◽  
Vol 158 (6) ◽  
pp. S-1575-S-1576
Author(s):  
Massimo Arcerito ◽  
Martin G. Perez ◽  
Harpreet Kaur ◽  
John T. Moon
2018 ◽  
Vol 55 (suppl 1) ◽  
pp. 52-55 ◽  
Author(s):  
Thiago Ferreira de SOUZA ◽  
Eduardo GRECCO ◽  
Luiz Gustavo de QUADROS ◽  
Yael Duarte de ALBUQUERQUE ◽  
Fernanda Oliveira AZÔR ◽  
...  

ABSTRACT BACKGROUND: New endoscopic treatments for gastroesophageal reflux (GERD) are developed every year and are indicated in cases that are refractory to conventional therapies as well as after surgical treatment failure. OBJECTIVE: To present the first cases of endoscopic therapy for GERD performed in Brazil. METHODS: Use of radiofrequency with the Stretta procedure in symptomatic volunteers diagnosed with GERD. RESULTS The technique was performed in three patients after they were included in the study protocol. No patient had complications, and all patients were discharged on the same day, either without medication or taking it sporadically for symptom control. CONCLUSION: Endoscopic treatment for GERD using radiofrequency was effective in the cases presented herein with no technical complications.


World Science ◽  
2020 ◽  
Vol 2 (3(55)) ◽  
pp. 21-30
Author(s):  
Велигоцкий А. Н. ◽  
Рыбак И. М. ◽  
Страховецкий В. С. ◽  
Леонов А. В. ◽  
Федоровский С. Г. ◽  
...  

The results of examination and surgical treatment of 36 patients with cholelithiasis in combination with a hiatal hernia according to the developed algorithm, who were hospitalized and operated on in the clinic from 2014 to 2019, are presented. analysis of the early and long-term results of surgical treatment, it is proved that the surgical treatment of patients with cholelithiasis combined with gastroesophageal reflux disease and hiatal hernia is improved. In practice, the choice of tactics is carried out by the calculation method using the original formula. Thanks to the studies, it was possible to optimize the tactics of surgical treatment of patients with combined pathology.


2019 ◽  
Vol 10 (3) ◽  
pp. 5-12
Author(s):  
A. G. Grintcov ◽  
R. V. Ishenko ◽  
Igor V. Sovpel ◽  
O. V. Sovpel ◽  
Ju. A. Shapovalova

Introduction. Hiatal hernia occupies a third place in the structure of the gastrointestinal tract pathology. The association of hiatal hernia with gastroesophageal reflux disease can lead to severe complications and requires a surgical treatment. Objective. To analyze short-term and long-term results of a surgical treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease (GERD). Methods. A retrospective analysis of the short-term and long-term treatment results of 62 patients suffering from hiatal hernia complicated by gastroesophageal reflux disease was performed. All the patients underwent a laparoscopic hiatal hernia repair supplemented by Toupet fundoplication. Results. The hospital stay duration was 7.21.6 days. The postoperative complication rate was 6.5%. Mild functional dysphagia was noted in 8(12.9%). Persistent long-term dysphagia in the late postoperative period was observed in 2(3.2%) patients. The recurrences of hiatal hernia or GERD were noted in 15(24.2%) patients in 5 years after the surgery. The total GERD-HRQL questionnaire score 5 years after the surgery was 5.73.9. Сonclusion. Laparoscopic interventions are safe, less traumatic, provide the possibility of early rehabilitation of patients, can achieve positive functional results in 85% of patients and should be used in the treatment of patients suffering from hiatal hernia complicated by GERD.


1999 ◽  
Vol 17 (1) ◽  
pp. 23-36 ◽  
Author(s):  
P.J. Klingler ◽  
T. Bammer ◽  
G.J. Wetscher ◽  
K.S. Glaser ◽  
M.H. Seelig ◽  
...  

2021 ◽  
Vol 100 (6) ◽  
pp. 85-91
Author(s):  
N.N. Akhparov ◽  
◽  
R.Z. Boranbaeva ◽  
S.B. Suleimanova ◽  
L.N. Manzhuova ◽  
...  

The review is devoted to modern views on the etiology, pathogenesis, clinical picture, methods of diagnosis and surgical treatment of gastroesophageal reflux disease (GERD) in children. An analysis of scientific literature by domestic and foreign authors on the evolution of molecular genetic and cytogenetic studies, the role of morphological and immunohistochemical mechanisms in diagnostics is presented, the researchers’ opinions regarding the timing and tactics of surgical intervention, as well as the advantages of minimally invasive surgery for GERD are considered.


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