scholarly journals Surgical Treatment for Patients with Aspiration Pneumonia due to Reflux Esophagitis or Hiatal Hernia: The Usefulness of Laparoscopic Antireflux Surgery

2014 ◽  
Vol 10 (4) ◽  
pp. 182-185
Author(s):  
Tsutomu Nomura ◽  
Katsuhiko Iwakiri ◽  
Takeshi Matsutani ◽  
Nobutoshi Hagiwara ◽  
Itsuo Fujita ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hiatal Hernia ◽  
Aspiration Pneumonia ◽  
Reflux Esophagitis ◽  
Antireflux Surgery ◽  
Laparoscopic Antireflux Surgery

scholarly journals Correction of gastrocardial syndrome in patients with hernias of the esophageal orifice of the diaphragm during antireflux operations

2022 ◽  
pp. 62-71
Author(s):  
T. V. Khorobrykh ◽  
A. A. Voevodina ◽  
D. A. Efremov ◽  
V. I. Korotkiy ◽  
N. R. Khusainova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Angina Pectoris ◽  
Hiatal Hernia ◽  
Reflux Esophagitis ◽  
Antireflux Surgery ◽  
Pain Syndrome ◽  
Ecg Monitoring ◽  
Younger Age ◽  
Before And After ◽  
Antireflux Operations

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.

Laparoscopic antireflux surgery improves esophageal body motility in patients with severe reflux esophagitis

Surgery Today ◽  
2013 ◽  
Vol 44 (4) ◽  
pp. 740-747 ◽  
Author(s):  
Natsuya Katada ◽  
Hiromitsu Moriya ◽  
Keishi Yamashita ◽  
Kei Hosoda ◽  
Shinichi Sakuramoto ◽  
...  
Keyword(s):  
Reflux Esophagitis ◽  
Antireflux Surgery ◽  
Laparoscopic Antireflux Surgery ◽  
Esophageal Body ◽  
Body Motility ◽  
Esophageal Body Motility

Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparoscopic antireflux surgery

2006 ◽  
Vol 20 (3) ◽  
pp. 367-379 ◽  
Author(s):  
F. A. Granderath ◽  
M. A. Carlson ◽  
J. K. Champion ◽  
A. Szold ◽  
N. Basso ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Laparoscopic Antireflux Surgery ◽  
Esophageal Hiatus ◽  
Hiatal Hernia Repair ◽  
Large Hiatal Hernia

REDO LAPAROSCOPIC ANTIREFLUX SURGERY IN PATIENTS WITH HIATAL HERNIA

2020 ◽  
pp. 36-39
Author(s):  
V. V. Grubnik ◽  
V. V. Grubnik ◽  
M. R. Paranyak
Keyword(s):  
Quality Of Life ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Laparoscopic Antireflux Surgery ◽  
Long Term Results ◽  
Long Term Follow Up ◽  
Antireflux Operations

Summary. The purpose was to study the features and results of redo laparoscopic antireflux surgery in our clinic. Materials and methods. For the period from 2008 to 2019, in our clinic, laparoscopic antireflux operations were performed in 1164 patients. 54 patients underwent laparoscopic reoperation during the study period based on the following indications: recurrence of hiatal hernia (n = 38), recurrent reflux (n = 4), dysphagia (n = 8), severe pain (n = 5). All patients underwent repeated examinations in our clinic, telephone interviews, mailing of special questionnaires. All complaints were recorded, the quality of life was determined according to the GERD-HRQL questionnaire. Results. All redo operations were performed laparoscopically without conversion to laparotomy. Intraoperative complications were observed in 11.11 % of patients. Long-term follow up from 6 months to 6 years was observed in 90.74 % of patients. The quality of life of patients according to the GERD-HRQL questionnaire significantly improved in long-term follow-up (p <0.001). Good results were observed in 91.84 % of patients after redo operations. The third operation was needed in 5.6 % of patients. Conclusion. Redo laparoscopic antireflux operations are technically difficult surgical interventions, and should be performed by surgeons with big experience in the antireflux surgery. Laparoscopic antireflux surgery provide good long-term results in 90 % of patients.

Laparoscopic antireflux surgery with routine hiatoplasty in the treatment of gastroesophageal reflux disease

2001 ◽  
Vol 120 (5) ◽  
pp. A480-A480
Author(s):  
F GRANDERATH ◽  
U SCHWEIGER ◽  
T KAMOLZ ◽  
T BAMMER ◽  
M PASIUT ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Antireflux Surgery ◽  
Laparoscopic Antireflux Surgery

Quality of life after anti-reflux surgical interventions: possible solutions to the problem

2020 ◽  
pp. 3-25
Author(s):  
D. Lukanin ◽  
G. Rodoman ◽  
M. Klimenko ◽  
A. Sokolov ◽  
A. Sokolov
Keyword(s):  
Quality Of Life ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Partial Fundoplication ◽  
Surgical Interventions ◽  
Number Of Patients ◽  
Laparoscopic Nissen

The article presents the results of a prospective controlled parallel clinical study of a new modification of laparoscopic antireflux surgery in the treatment of gastroesophageal reflux disease in combination with a hiatal hernia compared with laparoscopic Nissen fundoplication in terms of assessing quality of life after surgery. Clinical and instrumental examination of patients was carried out a year after surgical interventions. In accordance with the results of instrumental examination after surgery, the proposed modification of laparoscopic partial fundoplication is not inferior to laparoscopic Nissen fundoplication both, in terms of relief of reflux esophagitis symptoms and in relation to the recurrence of hiatal hernia. Clinical monitoring indicates a significantly higher quality of life for patients after the modified antireflux surgery, which is associated with a number of factors. The implementation of this fundoplication led to a decrease in the number of patients with complaints of dysphagia, the development of which is directly related to the surgery performance, as well as to a statistically significant reduction of bloating in the upper abdomen. Another advantage of the modified surgery is a significantly smaller number of cases of gas-bloat syndrome. In addition, the disorders developing in the framework of the gas bloat syndrome after laparoscopic Nissen fundoplication are more severe.

Sign in / Sign up

Export Citation Format

Share Document