...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopic management of symptomatic achalasia associated with epiphrenic diverticulum.
【24h】

Laparoscopic management of symptomatic achalasia associated with epiphrenic diverticulum.

机译：腹腔镜治疗伴有epi憩室的症状性门失弛缓症。

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: We evaluated outcome after laparoscopic esophageal diverticulectomy, myotomy, and partial fundoplication. Methods: Patients with symptomatic achalasia and epiphrenic diverticula underwent laparoscopic diverticulectomy, Heller myotomy, and partial fundoplication. Intraoperative endoscopy and postoperative esophagography were performed in all patients. Patients graded preoperative and postoperative dysphagia and heartburn on a Likert scale. Results: Anterior fundoplication was performed in five patients and posterior fundoplication in one. Mean follow-up was 9 months (range, 1-17 months). One intraoperative complication occurred-an esophagotomy that was laparoscopically repaired. There were no postoperative leaks. Patient-reported dysphagia decreased from 4.5 +/- 0.8 (mean +/- SD) to 1.8 +/- 1.7 ( p < 0.05 matched pair analysis). Heartburn decreased from 4.3 +/- 0.8 to 1.3 +/- 1.3 ( p < 0.05). All patients reported improvement in symptoms after operation. Conclusion: Laparoscopic esophageal diverticulectomy, Heller myotomy, and partial fundoplication with intraoperative endoscopy safely reduce dysphagia associated with achalasia and esophageal diverticula while limiting symptoms of gastroesophageal reflux.
机译：背景：我们评估了腹腔镜食管憩室切除术，肌切开术和部分胃底折叠术的结果。方法：对有症状性门失弛缓性上睑憩室的患者行腹腔镜憩室切除术，Heller肌切开术和部分胃底折叠术。所有患者均进行了术中内窥镜检查和术后食道造影。患者用李克特量表对术前和术后吞咽困难和烧心进行分级。结果：5例患者进行了前胃底折叠术，1例进行了后眼底折叠术。平均随访9个月（范围1-17个月）。发生一个术中并发症-经腹腔镜修补的食管切开术。术后无渗漏。患者报告的吞咽困难从4.5 +/- 0.8（平均+/- SD）降低到1.8 +/- 1.7（p <0.05配对分析）。胃灼热从4.3 +/- 0.8降低至1.3 +/- 1.3（p <0.05）。所有患者术后均出现症状改善。结论：腹腔镜食管憩室切除术，Heller肌切开术和术中内镜下部分胃底折叠术可以安全地减轻与asia门失弛缓症和食管憩室相关的吞咽困难，同时限制胃食管反流的症状。

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