Dilatation rupture of the stomach in the setting of acute mechanical intestinal obstruction in a patient after surgical treatment of hiatal hernia (on the issue of surgical management of gastroesophageal reflux disease)

2015 ◽  
Vol 21 (3) ◽  
pp. 70
Author(s):  
V. G. Petrov ◽  
E. D. Vydrina ◽  
I. A. Broder ◽  
A. M. Mashkin ◽  
E. E. Romanova
Keyword(s):  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Intestinal Obstruction ◽  
Hiatal Hernia ◽  
Surgical Management ◽  
Reflux Disease ◽  
Mechanical Intestinal Obstruction

scholarly journals АЛГОРИТМ ДИАГНОСТИКИ И ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ БОЛЬНЫХ ЖКБ, СОЧЕТАННОЙ С ГАСТРОЭЗОФАГЕАЛЬНОЙ РЕФЛЮКСНОЙ БОЛЕЗНЬЮ И ГРЫЖЕЙ ПИЩЕВОДНОГО ОТВЕРСТИЯ ДИАФРАГМЫ

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. ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Calculation Method ◽  
Long Term Results ◽  
Original Formula

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.

scholarly journals Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease

2019 ◽  
Vol 10 (3) ◽  
pp. 5-12
Author(s):  
A. G. Grintcov ◽  
R. V. Ishenko ◽  
Igor V. Sovpel ◽  
O. V. Sovpel ◽  
Ju. A. Shapovalova
Keyword(s):  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Hiatal Hernia Repair ◽  
Toupet Fundoplication ◽  
Short Term

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.

scholarly journals Surgical Therapy of Esophagus Reflux Disease

2020 ◽  
Vol 20 (2) ◽  
pp. 56-63
Author(s):  
M Smolar ◽  
I Dedinska ◽  
A Bobulova ◽  
M Hosala ◽  
M Adamik ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Surgical Therapy ◽  
Reflux Disease ◽  
Surgical Complications ◽  
Surgical Wound ◽  
Perioperative Mortality ◽  
Post Surgery

AbstractIntroduction: Fundoplication is the most frequently used action in the surgical treatment of gastroesophageal reflux disease (GERD). There are several types of fundoplication. The objective of our study was to identify complications after surgical treatment of GERD.Material and Methods: We determined several parameters of the monitored and we recorded complications related to surgery: occurrence of surgical, early and late post-surgical complications.Results: 52 patients (24 men and 28 women) with an average age of 53.3 years were included. The most frequently chosen type of fundoplication was Nissen-Rossetti. The most frequently occurring subjective post-surgery difficulties were temporal dysphagia (11.5%), sensation of nausea and vomiting after eating (3.8 %), pain in the surgical wound, and dyspnoea occurring in all patients after thoracotomy. Early post-surgery complication developed in 6 patients (11.5 %)Conclusion: Occurrence of complications in the group monitored by us was up to 11.5 % and perioperative mortality was 0 %. Hiatal hernia is frequently found in patients with GERD and it is considered to be one of the major causes for the development of this disease.

scholarly journals Anatomical landmarks in laparoscopic surgical treatment of hiatal hernia

2016 ◽  
Vol 63 (4) ◽  
pp. 280-285
Author(s):  
Matei Răzvan Bratu ◽  
◽  
Bogdan I. Diaconescu ◽  
Alexandru Th. Ispas ◽  
Mircea Beuran ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Gastroesophageal Junction ◽  
Deep Understanding ◽  
Abdominal Hernia ◽  
Anatomical Landmarks ◽  
Regional Anatomy

Hiatal hernia of the adult is a benign pathology of the abdominal esophagus and has an increasing incidence because of the association with obesity. Hiatal hernia becomes clinical manifest when it presents gastroesophageal reflux disease, when it is voluminous or is incarcerated. If for gastroesophageal reflux disease there is an endoscopic treatment, for hiatal hernia the treatment is purely surgical. Open or laparoscopic, the objectives of the surgical treatment are the same as for any abdominal hernia. The local anatomy plays an important role for fulfilling the objectives. This study provides a detailed description of the regional anatomy of the gastroesophageal junction and of the esophageal hiatus of the diaphragm based on the laparoscopic procedures performed in the Emergency Clinical Hospital of Bucharest. There were evaluated the aspects and the relations of the anatomical structures and also the consistency (because the manipulation and traction is made with the help of the instruments). In conclusion, a deep understanding of the regional anatomy and variations facilitates a safe laparoscopic dissection of diaphragmatic hiatus and abdominal esophagus and helps the surgeon to avoid intraoperative accidents.

scholarly journals Surgical treatment of recalcitrant gastroesophageal reflux disease in patients with systemic sclerosis: a systematic review

2021 ◽  
Author(s):  
Alberto Aiolfi ◽  
Mario Nosotti ◽  
Kazuhide Matsushima ◽  
Carolina Perali ◽  
Cristina Ogliari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Systemic Sclerosis ◽  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Current Data ◽  
Current Evidence ◽  
Increased Risk

Abstract Introduction Gastroesophageal reflux disease (GERD) is frequently seen in patients with systemic sclerosis (SSc). Long-standing GERD may cause esophagitis, long-segment strictures, and Barrett’s esophagus and may worsen pre-existing pulmonary fibrosis with an increased risk of end-stage lung disease. Surgical treatment of recalcitrant GERD remains controversial. The purpose of this systematic review was to summarize the current data on surgical treatment of recalcitrant GERD in SSc patients. Materials and methods A systematic literature review according to PRISMA and MOOSE guidelines. PubMed, EMBASE, and Web of Science databases were consulted. Results A total of 101 patients were included from 7 studies. The age ranged from 34 to 61 years and the majority were females (73.5%). Commonly reported symptoms were heartburn (92%), regurgitation (77%), and dysphagia (74%). Concurrent pulmonary disease was diagnosed in 58% of patients. Overall, 63 patients (62.4%) underwent open fundoplication, 17 (16.8%) laparoscopic fundoplication, 15 (14.9%) Roux en-Y gastric bypass (RYGB), and 6 (5.9%) esophagectomy. The postoperative follow-up ranged from 12 to 65 months. Recurrent symptoms were described in up to 70% and 30% of patients undergoing fundoplication and RYGB, respectively. Various symptoms were reported postoperatively depending on the type of surgical procedures, anatomy of the valve, need for esophageal lengthening, and follow-up. Conclusions The treatment of recalcitrant GERD in SSc patients is challenging. Esophagectomy should be reserved to selected patients. Minimally invasive RYGB appears feasible and safe with promising preliminary short-term results. Current evidence is scarce while a definitive indication about the most appropriate surgical treatment is lacking.

scholarly journals POSTOPERATIVE DYSPHAGIA AFTER LAPAROSCOPIC FUNDOPLICATION AS A TREATMENT FOR GASTROESOPHAGEAL REFLUX DISEASE

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
B Carrasco Aguilera ◽  
S Amoza Pais ◽  
T Diaz Vico ◽  
E O Turienzo Santos ◽  
M Moreno Gijon ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Surgical Technique ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Laparoscopic Fundoplication ◽  
Descriptive Study ◽  
Postoperative Dysphagia

Abstract INTRODUCTION Laparoscopic Fundoplication (LF) as a treatment for gastroesophageal reflux disease (GERD) has positive clinical outcomes. However, postoperative dysphagia (PD) may appear as a side effect. Our objective is to analyze PD in patients operated on for LF in our center. MATERIAL AND METHODS Retrospective and descriptive study of patients operated on for GERD from September 1997 to February 2019. RESULTS 248 patients (60.5% men), with a mean age of 49.7 (21-82), were operated. 66.1% of the patients presented associated comorbidities, highlighting obesity (19.8%). 75% manifested typical symptoms, 19% presenting with Barrett’s esophagus. Sliding hiatal, paraesophageal, mixed and complex hernia were diagnosed in 151 (60.9%), 23 (9.3%), 12 (4.8%), and 4 (1.6%) patients, respectively. The LF Nissen was the most frequent technique (91.5%), using a caliper in 46% of the cases. PD was the most frequent symptom, present in 57 (23%) patients. It was resolved with dilation in 9 patients, requiring 6 patients surgical reintervention. In those PD cases, a caliper was used in 28 (49.1%) patients, without finding significant differences between them (P = .586). Nor were there significant differences between PD and obesity (P = .510), type of hiatal hernia (P = .326), or surgical technique (P = .428). After a median follow-up of 50.5 months, quality of life was classified as Visick I-II, III, and IV in 76.6%, 6.9% and 1.2% of the cases, respectively. CONCLUSION No association between PD and the use of calipers, surgical technique or type of hiatal hernia was found in our series.

Sign in / Sign up

Export Citation Format

Share Document