...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Short-term outcome of routine use of EndoFLIP during hiatal hernia repair
【24h】

Short-term outcome of routine use of EndoFLIP during hiatal hernia repair

机译：常规用途的常规使用腹膜疝修复期间的短期结果

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Endoluminal functional lumen imaging probe (EndoFLIP) technology is a tool that can be used to provide intraoperative objective real-time feedback during hiatal hernia repair. We wanted to determine the implication of initial distensibility index (DI) after mobilization of hiatus and final DI after creation of barrier in short-term clinical outcomes. Methods We performed a retrospective analysis of prospectively collected data on the intraoperative use of EndoFLIP during hiatal hernia repair at a single institution from 2017 to 2019. We analyzed the initial DI and final DI with the short-term clinical outcomes. Results There were 163 patients who had Nissen (n = 16), Toupet (n = 79) or magnetic sphincter augmentation (n = 68) with (n = 158) or without (n = 5) hiatal hernia repair with median initial DI was 3.2 mm(2)/mmHg. We used 3 mm(2)/mmHg as the cutoff for low (n = 84) vs. high (n = 79) initial DI group. There was no difference in DeMeester score (p = 0.76), the peristalsis on manometry (p = 0.13), type of hiatal hernia (p = 0.98), and GERD-HRQL score prior to surgery (p = 0.73) between the groups. There was significantly higher final DI in the high initial DI group compared to low initial DI group; however, there was no significant difference in the GERD-HRQL score at 1-3 months (p = 0.28). All of the patients had a final DI > 0.5 mm(2)/mmHg at the end of the case with median final DI of 1.6 mm(2/)mmHg. None of these patients required steroids (0%) and only one patient (0.6%) required EGD and dilatation as well as re-operation for dysphagia within 3 months. Conclusions The initial DI was associated with final DI, but it did not correlate with improvement in short-term GERD-HRQL score. Final DI maintained above the cutoff value led to most of the patients not to require intervention for dysphagia. Use of the EndoFLIP can provide objective data during the operation and prevent severe dysphagia after repair.
机译：背景：腔内功能性内腔成像探头（EndoFLIP）技术是一种在裂孔疝修补术中提供术中客观实时反馈的工具。我们想确定裂孔松动后的初始扩张指数（DI）和屏障形成后的最终DI对短期临床结果的影响。方法回顾性分析2017年至2019年间单个机构在裂孔疝修补术中使用EndoFLIP的前瞻性数据。我们分析了初始DI和最终DI的短期临床结果。结果共有163例患者接受了Nissen（n=16）、Toupet（n=79）或磁性括约肌增强术（n=68），并进行了（n=158）或未进行（n=5）食管裂孔疝修补术，中位初始DI为3.2mm（2）/mmHg。我们使用3mm（2）/mmHg作为低（n=84）和高（n=79）初始DI组的临界值。两组在Demester评分（p=0.76）、测压蠕动（p=0.13）、食管裂孔疝类型（p=0.98）和术前GERD-HRQL评分（p=0.73）方面无差异。高初始DI组的最终DI显著高于低初始DI组；然而，在1-3个月时，GERD-HRQL评分没有显著差异（p=0.28）。所有患者在病例结束时的最终DI>0.5 mm（2）/mmHg，中位最终DI为1.6 mm（2）/mmHg。这些患者均不需要类固醇（0%），只有一名患者（0.6%）需要EGD和扩张术，并在3个月内因吞咽困难再次手术。结论初始DI与最终DI相关，但与短期GERD-HRQL评分的改善无关。最终DI维持在临界值以上，导致大多数患者不需要对吞咽困难进行干预。使用EndoFLIP可以在手术中提供客观数据，防止修复后出现严重吞咽困难。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号