Dazil It is characterised by lower oesophageal sphincter LOS relaxation failure during swallowing and absence of wavelike contractions along the oesophagus. Previous diagnostic tests, duration of symptoms, previous non-surgical treatment, surgical approach, associated antireflux intervention, surgical time, and perioperative complications were analysed. Subjective outcome at 12 months demonstrated no significant differences in control of reflux or post- fundoplication symptoms. A lingual mass 4-cm in diameter with calcification was incidentally detected by computed tomography at medical check-up. Ultrasound examination showed bilateral multiple lymphadenopathies. No statistically significant differences in clinical 5.

Author:Tulkree Mezijinn
Country:Trinidad & Tobago
Language:English (Spanish)
Published (Last):13 January 2019
PDF File Size:17.25 Mb
ePub File Size:1.71 Mb
Price:Free* [*Free Regsitration Required]

El tiempo promedio de estancia intrahospitalaria fue de 2. Los resultados posoperatorios escala de Visick fueron: grado I, seis pacientes Methods: Fourteen patients with diagnosis of achalasia were included. We analyzed age, sex, symptoms, endoscopy, radiology and manometry results, pre- and postoperative treatment, fundoplication technique, surgical time and Visick Score. Results: Heller myotomy with an antireflux technique was carried out in 14 patients: Dor was performed in eight patients, Toupet in four patients, and Nissen in two patients.

Average surgical time was min, which decreased to min in those patients who underwent Dor fundoplication. Oral feeding was started 1. Visick Score was as follows: grade I, six patients Conclusions: Heller myotomy is currently the gold standard in the treatment of achalasia and should be performed with an antireflux procedure.

In our series, we have found that there are fewer complications with Dor fundoplication, the procedure is easier implying shorter surgical time , and it offers the best results as compared with other antireflux techniques Disciplines:.



This prevents the reflux of gastric acid in GERD. Diagram of a Nissen fundoplication. Laparoscopic repair of paraeophageal hernia. During follow-up we analyzed all other 84 patients Service of General Surgery and Digestive Diseases. Postoperative complications emerged in 5 cases The literature defines an optimal follow-up time of about 2 years for relapse control 12but in our case we found one recurrence that showed up after 5 years. We have placed mesh in 10 patients and 5 reinterventions with no recurrences to date. Paraesophageal hiatus hernia, which has progressed over 8 years: Views Read Edit View history.



Miran We suggest more attention should be paid on quality of life among different fundoplications. Ten funduplicatuta were included with patients: Laparoscopic Nissen fundoplication in situs inversus totalis: Endoscopic and surgical treatments for achalasia: This study examined 46 children years mean 6. The primary outcome was recurrence of GERD following surgery. It enables the surgeon to strictly inspect the velopharyngeal valve during the procedure with better determination of the adenoidal part that may contribute in velopharyngeal closure.



Shakasar Elective neck dissection in this. Image of the operating field showing the completed myotomy, which has preserved the anterior vagal trunk. We performed intraoperative ultrasound-guided endoscopic transoral surgery for metastatic RPN from papillary thyroid cancer and achieved complete resection as well as preservation of swallowing function. Subjective outcome at 12 months demonstrated no significant differences in control of reflux or post- fundoplication symptoms. The use of minimally invasive surgical techniques has certainly contributed to the good result rate of the surgery; beyond any debate, laparoscopy has come to be the approach of choice for treating achalasia, above open surgery and thoracoscopy. Prospective analysis of convalescence and early pain after uncomplicated laparoscopic fundoplication. Funduplicautra Wallstents appear to be safe and may be a reasonable alternative in the restoration of airway patency in select patients with tracheal stenosis or tracheomalacia.

Related Articles