• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >A further modification of fundoplication. 90 degrees anterior fundoplication.
【24h】

A further modification of fundoplication. 90 degrees anterior fundoplication.

机译：胃底折叠术的进一步修改。前胃底折叠90度。

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: Laparoscopic Nissen fundoplication is the most widely applied procedure for the surgical treatment of gastroesophageal reflux. However, it can be followed by adverse outcomes, including dysphagia and wind-related progressively modified this procedure to an anterior 90 degrees partial fundoplication. METHODS: The procedure entails posterior hiatal repair, posterior esophagopexy, accentuation of the angle of His, and construction of a 90 degrees anterior partial fundoplication. Clinical follow-up was performed prospectively using a standardized questionnaire. RESULTS: From February 1999 to June 2001, 83 patients underwent 90 degrees anterior fundoplication for gastroesophageal reflux disease. In 45 the procedure was chosen because of specific patient or surgeon preference, and in 38 it was performed within the context of an ongoing randomized trial. Operating time ranged from 20 to 140 minutes (median, 52 min), and all but one of the procedures were completed laparoscopically. One patient experienced a major postoperative complication--small bowel injury from Veress needle. Follow-up extends up to 2 years (median, 1 year). Two patients have undergone further surgery, both for recurrent reflux. Control of reflux has been acceptable, with a reduction in heartburn symptom scores and high overall satisfaction. Postoperative dysphagia measured using a visual analog scale was less following surgery compared with preoperative scores. Eighty-two percent of patients could belch normally 3 and 12 months after surgery. CONCLUSIONS: Ninety-degree anterior fundoplication achieves good control of reflux and a low incidence of side effects. To further evaluate its potential, we are currently undertaking a prospective randomized trial.
机译：背景：腹腔镜尼森胃底折叠术是胃食管反流手术治疗中应用最广泛的方法。然而，它可能伴随着不良后果，包括吞咽困难和与风有关的方法，使该过程逐渐改变为前90度部分胃底折叠术。方法：该手术需要进行后部裂孔修复，后方食管切除，强调His角和构建90度前部部分胃底折叠术。使用标准调查表进行前瞻性临床随访。结果：从1999年2月至2001年6月，有83例因胃食管反流病而接受90度眼底折叠术。在45中，由于特定患者或外科医生的偏爱而选择了该手术，而在38中，该手术是在正在进行的随机试验的背景下进行的。手术时间为20至140分钟（中位数为52分钟），除其中一项手术外，其他所有手术均通过腹腔镜完成。一名患者经历了严重的术后并发症-Veress针引起的小肠损伤。随访期最长为2年（中位数为1年）。两名患者接受了进一步的手术，均因复发性反流。返流控制已被接受，胃灼热症状评分降低，总体满意度较高。与手术前评分相比，使用视觉模拟量表测量的术后吞咽困难较少。百分之八十二的患者可以在手术后3个月和12个月正常收腹。结论：90度前胃底折叠术可以很好地控制反流，且副作用发生率低。为了进一步评估其潜力，我们目前正在进行一项前瞻性随机试验。

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