Antireflux-Operation – Postoperativer Einsatz von PPI höher als erwartet

2014 ◽  
Vol 52 (04) ◽  
pp. 321-321
Keyword(s):  
1999 ◽  
Vol 34 (11) ◽  
pp. 1610-1614 ◽  
Author(s):  
Jeffrey R Avansino ◽  
Mary L Lorenz ◽  
Margo Hendrickson ◽  
Stephen G Jolley
Keyword(s):  

1979 ◽  
Vol 349 (1) ◽  
pp. 582-582
Author(s):  
B. Ulrich ◽  
H. Mahmud ◽  
K. Kremer

2016 ◽  
Vol 84 (1) ◽  
pp. 48-50 ◽  
Author(s):  
Farzaneh Sharifiaghdas ◽  
Nastaran Mahmoudnejad ◽  
Amir H. Kashi ◽  
Mehdi H. Ramezani ◽  
Behzad Narouie

Background Open trigonoplasty antireflux operation has been associated with promising results. However, its success in controlling reflux has not been evaluated in the long term. Methods All patients who underwent trigonoplasty for vesicoureteral reflux by one surgeon from 2004 to 2014 were included. Pre-Operative evaluations included direct radionuclide cystography (DRNC) or voiding cystourethrography, urine analysis and culture and abdominal sonography. Urodynamic study and cystoscopy was performed in selected patients. Trigonoplasty was done by a modified Gil-Verent method. The latest available patients’ DRNCs were used to judge for reflux relapse. Results Ninety-one patients, 142 refluxing units; median (range) age, 10.5 (1-45) years; M/F, (11/80) were followed for 18 to 135 months. Reflux resolution rate was 73.6% for patients and 75.4% for refluxing units. Relapse was associated with reflux grade (67% in grade V), ureteral orifice appearance (40% in golf hole/stadium), and patients with a history of pyelonephritis. Multivariable model based on the above variables had less than 10% sensitivity in predicting relapse. Conclusions Trigonoplasty success rate can decrease with long-term follow-up.


1980 ◽  
Vol 140 (6) ◽  
pp. 764-767 ◽  
Author(s):  
Arlo S. Hermreck ◽  
Nancy R. Coates

Author(s):  
V. I. Dubrov ◽  
S. G. Bondarenko ◽  
I. M. Kagantsov

Introduction. Laparoscopic techniques have been applied to ensure surgical treatment of the vesicoureteral reflux (VUR) in children during the last decades. We present the experience of using the laparoscopic extravesical antireflux standard and ureter-fixed modified surgery.Materials and methods. A multi-center prospective experimental clinical historical cohort two-group study of patients with III–V stage primary VUR. The basic group consisted of 48 children who had a unilateral laparoscopic extravesical surgery when the ureter was fixed according to the developed technique. 44 children who had a surgery according to the standard technique were included into the control group.Results. Complete VUR removal was noted in 100% of patients from the basic group and 81.2% of patients from the control group (р <0.01). Preservation of the megaureter with complete reflux resolution was seen in 1 child only (2.1%) from the basic group who had V stage VUR (p=0.2).Conclusions. Laparoscopic extravesical antireflux is a safe and effective surgery. Distal ureter fixation reduces the rate of VUR recurrences.


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