Reflux Disease
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2021 ◽  
Vol 27 (4) ◽  
pp. 453-481
Author(s):  
Hye-Kyung Jung ◽  
Chung Hyun Tae ◽  
Kyung Ho Song ◽  
Seung Joo Kang ◽  
Jong Kyu Park ◽  
...  

2021 ◽  
Vol 27 (4) ◽  
pp. 525-532
Author(s):  
Yan Wang ◽  
Bixing Ye ◽  
Meifeng Wang ◽  
Lin Lin ◽  
Liuqin Jiang

Esophagus ◽  
2021 ◽  
Author(s):  
Noriyuki Kawami ◽  
Shintaro Hoshino ◽  
Yoshimasa Hoshikawa ◽  
Tomohide Tanabe ◽  
Mai Koeda ◽  
...  

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhi Zheng ◽  
Xiaoye Liu ◽  
Chenglin Xin ◽  
Weitao Zhang ◽  
Yan Gao ◽  
...  

Abstract Introduction Although the traditional bilateral surgical approach to treat hiatal hernia (HH) with gastroesophageal reflux disease (GERD) can provide local protection of the vagus nerve, the integrity of the entire vagus nerve cannot be evaluated. Therefore, we developed and described the total left-side surgical approach (TLSA), which theoretically reduces injury to the vagus nerve, and described the detailed surgical procedure. Methods Initially, we performed a cadaver study to explore the characteristics of the vagus nerve. Then, we prospectively evaluated the TLSA in 5 patients with HH and GERD between June 2020 and September 2020. Demographic characteristics, surgical parameters, perioperative outcomes, and follow-up findings were analyzed. Results The TLSA was successfully used in five patients (40–64 years old), and no major complications were noted. The median total operative time was 114 min, median blood loss was 50 mL, and median postoperative hospital stay was 3.8 days. Gastrointestinal function recovered within 4 days of surgery in all the patients. The 6-month follow-up gastroscopy examination showed well-established gastroesophageal flap valves. Compared with the baseline results, the 6-month follow-up results showed lower values for the total GerdQ score (12.4 vs. 6.2) and the total esophageal acid exposure time (3.48% vs. 0.38%). Based on the European Organization for Research and Treatment of Cancer quality of life questionnaire-stomach module 52 results, the incidence of dysphagia and flatulence decreased over time after the TLSA. Conclusions The TLSA provides a clear and broad surgical field, less trauma, and rapid recovery; moreover, it is technically simple. Although our results suggest that the TLSA provides safety and short-term efficacy and is feasible for patients with HH and GERD, long-term results from a larger clinical trial are needed to validate these findings. Trial registration ChiCTR2000034028, registration date is June 21, 2020. The study was registered prospectively


Author(s):  
Jin‐soo Park ◽  
Hans Van der Wall ◽  
Gregory L Falk

2021 ◽  
Author(s):  
Samer Elkassem

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A1238
Author(s):  
Thomas Ng ◽  
Konstantinos Damiris ◽  
Emily Seltzer ◽  
Melissa Wing ◽  
Andrew Berman

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A88-A89
Author(s):  
Daniel Ospina-Delgado ◽  
Brian Li ◽  
Mihir Parikh ◽  
Sidhu Gangadharan ◽  
Fayez Kheir ◽  
...  

Author(s):  
Andreas Lynen ◽  
Meike Schömitz ◽  
Maik Vahle ◽  
Anne Jäkel ◽  
Michaela Rütz ◽  
...  

2021 ◽  
pp. 16-24
Author(s):  
Oleg Vladimirovich Galimov ◽  
Vladislav Olegovich Khanov ◽  
Ramil Ravilevich Sagitdinov ◽  
Ksenya Vladilenovna Nasyrova ◽  
Telman Ramiz ogly Ibragimov ◽  
...  

The aim of the study was to study the advantages and disadvantages of laparoscopic gastric plication with the prevention and treatment of gastroesophageal reflux disease in the treatment of patients with overweight and obesity. From 2018 to the present, 24 patients have been observed who underwent laparoscopic gastric plication with the prevention and treatment of gastroesophageal reflux disease, of which 19 (79.2 %) women and 5 (20.8 %) men. The average age of patients is 41 ± 3.5 years. Indication for surgery: BMI > 35 kg/m² and the presence of GERD with unsuccessful conservative treatment or BMI > 35 kg/m² and the presence of HH with symptoms of GERD. The experience of surgical treatment of these 24 patients allows us to speak about the effectiveness of the use of gastroplication surgery with the prevention and treatment of gastroesophageal reflux disease with a combination of obesity and GERD. Dyspeptic symptoms are expected in some patients and are stopped in the early postoperative period with medication. The return of BMI to baseline in 3 (12.5 %) patients requires further study.


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