Funduplicatura de Nissen por laparoscopia como técnica de elección para el tratamiento de la enfermedad por reflujo gastroesofágicoLaparoscopic nissen. TIPOS DE FUNDUPLICATURAS. Arantxa [Medicina]. Funduplicatura. Edgar Duran. Tecnicas plastia inguinal. Consultorios Medicos Nealtican. Many translated example sentences containing “funduplicatura de Nissen” – English-Spanish dictionary and search engine for English translations.
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Also, hypercapnia due to CO2 absorption brings about a decrease in mesenteric blood flow as a result of vasoconstriction. Portal and mesenteric vein thrombosis funduplicatjra a very uncommon complication of laparoscopic surgery, especially after anti-reflux procedures.
In GERD, it is usually performed when medical therapy has failed; but, with a Type II paraesophageal hiatus herniait is the first-line procedure. Appendicectomy Colectomy Colonic polypectomy Colostomy Hartmann’s operation. A pneumoperitoneum was carried out with CO2 at a controlled maximum pressure of 14 mmHg.
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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.
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.
Nisssn insufflation of the abdomen reduces portal venous flow. It also promotes platelet aggregation and erythrocitosis, and therefore predisposes to arteriolar obstruction. CT findings were small-intestine dilatation, ascites, liver edema, and suspicion of both mesenteric and portal thrombosis.
Laparoscopic Nissen fundoplication technique and preliminary results. Are you a health professional able to prescribe or dispense drugs?
Could this complication be related to cocaine consumption? Hypovolemic, hemorrhagic shock due to portal and mesenteric thrombosis was established as the cause of death. Nissen fundoplication Diagram of a Nissen fundoplication. Surgical findings were confirmed at necropsy. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Would the fatal outcome have been prevented with a longer heparin regimen, with higher doses?
We report the fourth case to our knowledge after laparoscopic Nissen fundoplication. The effect of all these factors increases with surgery time and is aggravated with the patient’s position on the surgery table 4.
Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice. Vomiting is sometimes impossible or, if not, very painful after a fundoplication, with the likelihood of this complication typically decreasing in the months after surgery.
The Impact Factor measures the average number of citations received in a particular year by papers published in the funnduplicatura during the two receding years. A prospective study of 61 cases. Views Read Edit View history. The esophageal hiatus is also narrowed down by sutures to nissn or treat concurrent hiatal hernia, in which the fundus slides up through the enlarged esophageal hiatus of the diaphragm.
Despite anticoagulant therapy, the patient died 24 hours later. We thus believe that there may be another factor playing a central role in its pathogenesis.
From Bowditch to Laparoscopy”. The onset of the funduplicayura thrombosis clinical picture may vary from insidious, consisting of mild pain with scanty physical findings, to one of sudden onset with fever, tachycardia and hypotension, later evolving to a shock, as was the case with our patient.
Fundupliatura Laparosc Endosc, 1pp.
FUNDUPLICATURA DE NISSEN PDF
Manometry revealed a mean basal EEI pressure of High pressure causes collapse and, therefore, blood flow resistance increases 2.
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.
The procedure has borne his name since it gained popularity in the s.
Rudolph Nissen — first performed the procedure in and published the results of two cases in a Swiss Medical Weekly. Urine cocaine detection was not possible, since no sample from the first hours after admission was available. An antireflux procedure was indicated. Anal sphincterotomy Anorectal manometry Lateral internal fundhplicatura Rubber band d Transanal hemorrhoidal dearterialization.
We report the fourth case ever published in the literature to our knowledge, and the first with a fatal outcome. Would a different regimen have diminished the severity of the clinical picture? Portal thrombosis has been reported after laparoscopic surgery of the colon, spleen and vunduplicatura, but very infrequently after Nissen fundoplication, all having a favorable outcome Liver Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure.
However, when its purpose is to reduce gastric reflux, difficulty in vomiting may be an undesired outcome. The American Journal of Digestive Diseases.