Funduplicatura de Nissen por laparoscopia como técnica de elección para el tratamiento de la enfermedad por reflujo gastroesofágico. Laparoscopic nissen. Fatal portal thrombosis after laparoscopic Nissen fundoplication realiza una funduplicatura de Nissen laparoscópica, administrándose 20 mg de enoxaparina . asociación pacientes esófago de Barrett. Reconociendo los síntomas de reflujo gastroesofágico en bebés. No hay nada como Funduplicatura de Nissen.
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Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. CS1 German-language sources de CS1 maint: Comparison of medical and surgical therapy for complicated gastroesophageal reflux disease in veterans.
Colonoscopy Anoscopy Capsule endoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal series Small-bowel follow-through Transrectal ultrasonography Virtual colonoscopy.
Am J Surg,pp. October Pages We studied 72 patients who consecutively underwent surgery for GERD. Portal and mesenteric vein thrombosis is a very uncommon complication of laparoscopic surgery, especially after anti-reflux procedures. Nissen fundoplication for gastroesophageal reflux disease: The procedure is now routinely performed laparoscopically. Cocaine provokes severe splanchnic vasoconstriction due to its sympathetic action, thus blocking the reuptake and removal of funduplicatuga.
Surg Endosc, 7pp. All patients presented symptomatology of GERD with a mean evolution of 5 years and all had received appropriate medical therapy for a mean of 24 months. The relationship between cocaine consumption and thrombotic and cardiovascular events is well documented, including digestive complications: Introduction and objectives The aim of this study was to determine, through our results and comparison of pre- and postoperative manometric and pH monitoring data, whether Nissen fundoplication is the technique of choice in the treatment of gastroesophageal reflux disease GERD and whether it provides similar results to those of conventional surgery.
Initially, vomiting is impossible; however, small amounts of vomit may be produced after the wrap settles over time, and in extreme cases such as alcohol poisoning or food poisoningthe patient may be able to vomit freely with some amount of pain. Full text is only aviable in PDF. There were 54 men and 18 women with a mean age of 42 years. Nissen fundoplication Diagram of a Nissen fundoplication. The patient was operated on with the following findings: Healing and relapse of severe peptic esophagitis after treatment with omeprazole.
Postoperative pH monitoring showed a mean DeMeester index of 6. If postoperative gas-bloat syndrome does not resolve with time, dietary restrictions, counselling regarding aerophagia, and correction — either by endoscopic balloon dilatation [ citation needed ] or repeat surgery to revise the Nissen fundoplication to a partial fundoplication — may be necessary. Portal and mesenteric vein is a very uncommon complication of laparoscopic surgery.
It also promotes platelet aggregation and erythrocitosis, and therefore predisposes to arteriolar obstruction. Postoperative manometry revealed a mean EEI longitude of 3. Retrieved from ” https: N Engl J Med, bissen, pp. On the seventh postoperative day the patient ingested excessive amounts of alcohol and food, and suddenly developed a clinical picture consisting of severe back pain, hyperpyrexia, abdominal swelling and hemodynamic instability.
This is not known and remains speculative. Cocaine also has a direct toxic effect on the gastric mucosa and delays gastric emptying due to its anticholinergic effect and action on medullary centers 5.
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The esophageal hiatus is also narrowed down by sutures to prevent or treat concurrent hiatal hernia, in which the fundus slides up through the enlarged esophageal hiatus of the diaphragm. Rudolph Nissen — first performed the procedure in and published the results of two cases in a Swiss Medical Weekly. Positive intraabdominal pressure due to pneumoperitoneum may predispose to portal vein occlusion. Funduplicaatura J Surg, 83pp. The offending gas may also come from dietary sources especially carbonated beveragesor involuntary swallowing of air aerophagia.
Chir Gastroenterol, 11pp.
Trombosis mesentérica y portal tras funduplicatura de Nissen lasparoscópica
High pressure causes collapse and, therefore, blood flow resistance increases 2. We report the case of a twenty-year-old man having a severe gastroesophageal reflux disease, uncontrolled with omeprazol 60 mg daily, and with a history of alcohol and cocaine consumption.
Laparoscopic nissen fundoplication as the technique of choice in the treatment of gastroesophageal reflux disease. The procedure has borne his name since it gained popularity in the s.
The American Journal of Digestive Diseases. CiteScore measures average citations received per document published.
The impact of omeprazole and laparoscopy upon hiatal hernia and reflux esophagitis. Multicenter prospective evaluation of laparoscopic anti-reflux surgery. In a fundoplicationthe gastric fundus upper part of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter. Cir Esp, 59pp.