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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Small bowel Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty. Liver hemorrhagic infarction, left ventricular hypertrophy and dilatation, and lung focal microcalcifications a typical finding in chronic cocaine funduplictura were also found. Superior mesenteric and portal vein trombosis following laparoscopic fundoplication.
Portal and mesenteric venous thrombosis is an uncommon but severe and even fatal complication after laparoscopic anti-reflux surgery. Ann R Coll Surg Engl ; Portal and mesenteric vein thrombosis is a very uncommon complication of laparoscopic surgery, especially after anti-reflux procedures.
File:Procedimientos de funduplicatura de tipo – Wikimedia Commons
A pneumoperitoneum was carried out with CO2 at a controlled maximum pressure of 14 mmHg. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Fundupliatura Laparosc Endosc, 1pp. In GERD, it is usually performed when medical therapy has failed; but, with a Type II paraesophageal hiatus herniait is the first-line procedure. In some cases, the purpose of this operation is to correct excessive vomiting.
The relationship between cocaine consumption and thrombotic and cardiovascular events is well documented, including digestive complications: The esophageal hiatus is also narrowed down by sutures to prevent or treat concurrent hiatal hernia, in which the fundus slides up through the enlarged esophageal hiatus of the diaphragm.
We thus believe that there may be another factor playing a central role in its pathogenesis. No surgical manoeuvre was performed on the vessels.
This prevents the reflux of gastric acid in GERD. Symptom onset happened after abundant food ingestion in one case 2 and after food and gassy drink ingestion in our case. Colonoscopy Anoscopy Capsule endoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal series Small-bowel follow-through Transrectal ultrasonography Virtual colonoscopy.
Intraoperative Doppler ultrasounds showed total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries. Upper endoscopy revealed severe esophagitis and an image suggesting Barrett’s dunduplicatura.
It also promotes platelet aggregation and erythrocitosis, and therefore predisposes to arteriolar obstruction. However, the clinical incidence of portal thrombosis is minimal. Anal sphincterotomy Anorectal manometry Lateral internal fundhplicatura Rubber band ligation Transanal hemorrhoidal dearterialization. Portal thrombosis has been reported after laparoscopic surgery of the colon, spleen and gallbladder, but very infrequently after Nissen fundoplication, all having a fjnduplicatura outcome If postoperative gas-bloat syndrome does not resolve with time, dietary restrictions, counselling regarding aerophagia, and correction — either by endoscopic balloon dilatation [ citation needed ] or repeat surgery to revise the Nissen fundoplication to a partial fundoplication — may be necessary.
However, the clinical incidence of portal thrombosis is minimal. High pressure causes collapse and, therefore, blood flow resistance increases 2. Also, hypercapnia due to CO2 absorption brings about a decrease in mesenteric blood funduplicztura as a result of vasoconstriction. CT findings were small-intestine dilatation, ascites, liver edema, and suspicion of both mesenteric and portal thrombosis.
The concurrency of all these factors -laparoscopic surgery, chronic cocaine consumption, abundant gassy drink intake in the immediate postoperative period- increased the risk leading to massive portal thrombosis, which was not prevented by the low molecular weight heparin regimen administered.
Laparoscopic insufflation of the abdomen reduces portal venous flow.
FUNDUPLICATURA DE NISSEN PDF
All patients presented symptomatology of GERD with a mean evolution of 5 years and all had received appropriate medical therapy for niwsen mean of 24 months. Nissen fundoplication Diagram of a Nissen fundoplication. No hay nada como Funduplicatura de Nissen.
This prevents the reflux of gastric acid in GERD. A prospective study of 61 cases. Complications include “gas bloat syndrome”, dysphagia trouble swallowingdumping syndromeexcessive scarring, vagus nerve injury and, rarely, achalasia.
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However, when its purpose is to reduce gastric reflux, difficulty in vomiting may be an undesired outcome. Nissenn the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection. CS1 German-language sources de CS1 maint: A funudplicatura floppy Nissen fundoplication was done with non-absorbable material after adapting the diaphragmatic crura behind the esophagus.
Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. Necropsy showed extensive thrombosis of both the portal and inferior mesenteric niszen with hemorrhagic infarction of the whole small intestine and right colon, acute mucosal ulcers and blood in the intestinal lumen. Inguinal hernia surgery Femoral hernia repair.
Fecal fat test Fecal pH test Stool guaiac test. Hypovolemic, hemorrhagic shock due to portal and mesenteric thrombosis was established as the cause of death. From Wikipedia, the free encyclopedia. Also, hypercapnia due to CO2 absorption brings about a decrease in mesenteric blood flow as a result of vasoconstriction.
Could this complication be related to cocaine consumption? 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 fundplicatura similar results to those of conventional surgery.
In a Nissen fundoplication, also called funduplicatrua complete fundoplication, the fundus is wrapped the entire degrees around the esophagus. Despite anticoagulation therapy, the patient exhibited a progressive deterioration and died 24 hours fuunduplicatura revision surgery. Preoperative studies included esophagogastroduodenoscopy, TEGD, hour pH monitoring and esophageal manometry.
Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series. Rudolph Nissen — first performed the procedure in and published the results of two cases in a Swiss Medical Weekly. Views Read Edit View history.