keyword
https://read.qxmd.com/read/37842218/evaluation-and-management-of-achalasia-cardia-in-children-a-retrospective-observational-study
#21
JOURNAL ARTICLE
Nitin Kumar, Bahubali Deepak Gadgade, Achyuth Ananth Shivapur, Veerabhadra Radhakrishna, Raghunath Bangalore Vasudev
BACKGROUND: Achalasia cardia is a neuromuscular disorder of unknown etiology characterized by aperistalsis of the body of the esophagus and failure of relaxation of the lower esophageal sphincter. The diagnosis of achalasia cardia is delayed due to the rarity and the ability to mimic other common conditions in children. Hence, a study was conducted to evaluate the clinical presentation and the management of achalasia cardia in children. MATERIALS AND METHODS: A retrospective observational study was conducted in the department of pediatric surgery at a tertiary center...
2023: Journal of Indian Association of Pediatric Surgeons
https://read.qxmd.com/read/37831175/endoscopic-management-of-esophageal-mucosal-bridges-in-children-with-esophageal-atresia
#22
JOURNAL ARTICLE
Matthieu Antoine, Usha Krishnan, Michael Manfredi, Julija Cervinskiene, Jérôme Viala, Julia Brendel, Christos Tzivinikos, Audrey Vanrenterghem, Georges Dimitrov, Bruno Hauser, Noémie Laverdure, Barbara Rohmer, Hélène Behal, Audrey Nicolas, Frédéric Gottrand
BACKGROUND AND STUDY AIMS: Esophageal mucosal bridge (EMB) may be diagnosed at the anastomotic site in children operated on for esophageal atresia (EA) but so far only a few cases (n = 4) have been reported. This study aimed to characterize EMB in children with EA, risk factors, and treatment. PATIENTS AND METHODS: This retrospective multicenter study recorded patient's characteristics, EMB diagnosis circumstances, endoscopic management, follow-up, and EMB recurrence in children with EA aged less than 18 years, compared with paired EA patients without EMB...
October 13, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37822063/role-of-endoscopy-in-gastroesophageal-reflux-disease
#23
REVIEW
Daniel Martin Simadibrata, Elvira Lesmana, Ronnie Fass
In general, gastroesophageal reflux disease (GERD) is diagnosed clinically based on typical symptoms and/or response to proton pump inhibitor treatment. Upper gastrointestinal endoscopy is reserved for patients presenting with alarm symptoms, such as dysphagia, odynophagia, significant weight loss, gastrointestinal bleeding, or anorexia; those who meet the criteria for Barrett's esophagus screening; those who report a lack or partial response to proton pump inhibitor treatment; and those with prior endoscopic or surgical anti-reflux interventions...
October 12, 2023: Clinical Endoscopy
https://read.qxmd.com/read/37811938/technical-considerations-and-approach-to-redo-foregut-surgery
#24
JOURNAL ARTICLE
David J Leishman, Divinemercy Bakare, Madhuri Rao
Foregut surgical techniques have advanced significantly over the years and have become increasingly popular. However, new challenges and technical considerations have arisen when dealing with reoperation for complications or surgical failure. This study focuses on the technical considerations and approach when dealing with reoperative foregut surgery, particularly redo hiatal hernia repair. We describe our approach starting from the preoperative workup to the procedural steps of the surgery. The present study describes the main steps for robotic reoperative hiatal hernia repair in a patient who had previously undergone laparoscopic hiatal hernia repair with Nissen fundoplication but did not present a recurrence of reflux and dysphagia symptoms...
September 22, 2023: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/37794654/atrial-flutter-after-radiofrequency-ablation-for-barrett-s-esophagus-a-case-report
#25
JOURNAL ARTICLE
Alessia Fassari, Vito De Blasi, Marco Basile, Silvana Perretta
BACKGROUND Barrett's esophagus (BE) is a metaplastic change in the normal esophageal squamous epithelium and is a well-recognized precursor of esophageal adenocarcinoma (EAC). Nowadays, focal radiofrequency ablation is a valid technique for BE treatment by inducing a superficial and focal thermic destruction of metaplastic tissues. According to the literature, the most frequent patient-related adverse events of this procedure are esophageal iatrogenic stenosis, mucosal laceration or perforation of the esophagus, chest pain, and odynophagia/dysphagia...
October 5, 2023: American Journal of Case Reports
https://read.qxmd.com/read/37737866/lap-nissen-fundoplication-leads-to-better-respiratory-symptom-control-than-toupet-in-the-long-term-of-20-years
#26
JOURNAL ARTICLE
Philipp Gehwolf, Teresa Agerer, Nadine Stacul, Katrin Kienzl-Wagner, Aline Schäfer, Valeria Berchtold, Fergül Cakar-Beck, Gasser Elisabeth, Heinz Wykypiel
INTRODUCTION: Having performed anti-reflux surgery for thirty years, it was important to reexamine our patients in the long term to enlarge the body of evidence concerning classical and extraesophageal symptoms that are differently controlled by Nissen or Toupet fundoplication. OBJECTIVES: We report a cohort of 155 GERD patients who underwent fundoplication within a tailored approach between 1994 and 2000. Changes in the perioperative functional outcome, GERD symptoms, and quality of life are being analyzed 10 and 20 years after the operation...
September 22, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/37697999/laparoscopic-treatment-of-gastroesophageal-reflux-disease-outcomes-and-quality-of-life-a-long-term-follow-up-study
#27
JOURNAL ARTICLE
Stefano Olmi, Alberto Oldani, Matteo Uccelli, Francesca Ciccarese, Adelinda Zanoni, Stefano De Carli, Riccardo Giorgi, Roberta Villa, Marta Bonaldi, Giovanni Cesana
Background: This study evaluates the feasibility, efficacy, the complications rate, and the long-term results of laparoscopic treatment of gastroesophageal reflux disease (GERD) at a dedicated center. Materials and Methods: From 01/11/1993 to 01/12/2019, we performed 620 fundoplication surgeries by laparoscopic approach according to Rossetti technique and 160 according to Toupet technique, totally 780 procedures for gastroesophageal reflux disease. The average duration of surgery was 40 minutes (range 19 - 160) for Rossetti fundoplication, 50 (range 30 - 180), and for Toupet 60 (range 45 - 190)...
August 2023: Chirurgia
https://read.qxmd.com/read/37566907/intraoperative-endomanometric-laparoscopic-nissen-fundoplication-improves-postoperative-outcomes-in-large-sliding-hiatus-hernia-with-severe-gastroesophageal-reflux-disease-a-retrospective-cohort-study
#28
JOURNAL ARTICLE
Tamer A A M Habeeb, Abdulzahra Hussain, Mauro Podda, Alberto Aiolfi, Igor A Kryvoruchko, Abd-Elfattah Kalmoush, Mohamed Fathy Labib, Fawzy M Mustafa, Hamdi Elbelkasi, Ahmed Hamdy, Mohamed Ibrahim Abo Alsaad, Ahmed M Sallam, Mohamed Abdallah Zaitoun, Mohamed Negm, Abdelshafy Mostafa, Mahmoud Abdou Yassin, Tamer Mohamed Elshahidy, Ashraf Abdelmonem Elsayed, Mohamed Ibrahim Mansour, Mostafa M Elaidy, Adel Mahmoud Moursi, Ahmed M Yehia, Hassan Ashour, Abd-Elrahman M Metwalli, Waleed A Abdelhady, Amr Abdelghani, Ehab Shehata AbdAllah, Alaaedin Ramadan, Tamer Rushdy
BACKGROUND: Laparoscopic Nissen Fundoplication (LNF) is the gold standard surgical intervention for gastroesophageal reflux disease (GERD). LNF can be followed by recurrent symptoms or complications affecting patient satisfaction. The aim of this study is to assess the value of the intraoperative endomanometric evaluation of esophagogastric competence and pressure combined with LNF in patients with large sliding hiatus hernia (> 5 cm) with severe GERD (DeMeester score >100)...
August 10, 2023: International Journal of Surgery
https://read.qxmd.com/read/37547508/the-role-of-fundoplication-after-laparoscopic-heller-myotomy-in-reducing-postoperative-symptoms-in-patients-with-achalasia-a-controlled-clinical-trial
#29
JOURNAL ARTICLE
Fezzeh Elyasinia, Ehsan Sadeghian, Reza Gapeleh, Reza Eslamian, Khosrow Najjari, Ahmadreza Soroush
Background : Laparoscopic Heller myotomy (LHM) is considered the standard surgical approach in patients newly diagnosed with achalasia worldwide. However, proceeding to fundoplication after LHM remains controversial due to the observed postoperative symptoms, including dysphagia and regurgitation. This study was conducted to compare the postoperatively experienced regurgitation and dysphagia between those undergoing LHM with fundoplication and those with mere LHM. Methods : This four-year controlled clinical trial was performed on adult patients with esophageal type two achalasia, referring to the Shariati Hospital, who gave their written informed consent to enroll...
October 2022: Middle East Journal of Digestive Diseases
https://read.qxmd.com/read/37527948/peroral-endoscopic-myotomy-poem-in-the-treatment-of-severe-postfundoplication-dysphagia
#30
JOURNAL ARTICLE
M Vašátko, K Hugová, J Jarošová, J Špičák, J Martínek
Although uncommon, chronic postfundoplication dysphagia (PFD) is a serious complication of antireflux surgery. Currently, reoperation is the only possible solution as endoscopic pneumatic or hydraulic dilation are not effective. At present, POEM represents a standard method for the treatment of esophageal achalasia; however, in patients with PFD it is an experimental approach whose clinical effectiveness is unknown. Our case report describes a female patient who suffered from severe PFD after two surgeries (fundoplication and subsequent reoperation)...
2023: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/37500920/target-distensibility-index-on-impedance-planimetry-during-fundoplication-by-choice-of-wrap-and-choice-of-bougie
#31
JOURNAL ARTICLE
Julia R Amundson, Kristine Kuchta, Christopher J Zimmermann, Vanessa N VanDruff, Stephanie Joseph, Simon Che, Shun Ishii, H Mason Hedberg, Michael B Ujiki
INTRODUCTION: Impedance planimetry (FLIP) provides objective feedback to optimize fundoplication outcomes. Ideal FLIP ranges for differing wraps and bougies have not yet been established. We report FLIP measurements during fundoplication grouped by choice of wrap and bougie with associated outcomes. METHODS: A retrospective review of a prospective gastroesophageal database was performed for all Nissen or Toupet fundoplication with intraoperative FLIP using an 8-cm catheter, 30-mL and/or 40-mL fill and/or 16-cm catheter, 60-mL fill...
July 27, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37496109/management-of-acute-sloughing-of-the-esophageal-lining-in-patients-with-dystrophic-epidermolysis-bullosa-a-series-of-six-pediatric-patients
#32
JOURNAL ARTICLE
Maria Laura Bageta, Natalie Yerlett, Anna Rybak, Pablo Lopez Balboa, Gabriela Petrof, Anna E Martinez
BACKGROUND: Dystrophic epidermolysis bullosa (DEB) is a subtype of an inherited skin disorder characterized by skin and mucosal fragility due to collagen VII (COL7A1) gene mutations. Esophageal strictures leading to chronic dysphagia and acute episodes are well recognized complications within this subtype. Sloughing of esophageal mucosa and the treatment of this emergency have heretofore received limited attention in the EB literature. METHODS: We retrospectively reviewed the electronic medical records of the patients who had an acute episode of sloughing of the esophageal lining between 2008 and 2021 and extracted the information regarding their clinical presentation and management...
July 26, 2023: Pediatric Dermatology
https://read.qxmd.com/read/37494890/the-role-of-biologic-mesh-and-fundoplication-in-the-surgical-management-of-hiatal-hernias-a-multicenter-evaluation
#33
MULTICENTER STUDY
Cassandra Mohr, Hailie Ciomperlik, Naila Dhanani, Oscar A Olavarria, Craig Hannon, William Hope, Scott Roth, Mike K Liang, Julie L Holihan
INTRODUCTION: Hiatal hernia repair is associated with substantial recurrence of both hiatal hernia and symptoms of gastroesophageal reflux (GER). While small randomized controlled trials demonstrate limited differences in outcomes with use of mesh or fundoplication type, uncertainty remains. METHODS: A multicenter, retrospective review of patients undergoing surgical treatment of hiatal hernias between 2015 and 2020 was performed. Patients with mesh and with suture-only repair were compared, and partial versus complete fundoplication was compared...
2023: Digestive Surgery
https://read.qxmd.com/read/37486190/long-term-patient-reported-outcomes-after-anti-reflux-surgery-for-gastroesophageal-reflux-disease-and-hiatal-hernia-repair-a-single-center-experience
#34
JOURNAL ARTICLE
Roberto Peltrini, Filippo Carannante, Gennaro Giovine, Tommasangelo Petitti, Vincenzo LA Vaccara, Marco Caricato, Gabriella T Capolupo, Domenico Borzomati
BACKGROUND: Patients with gastroesophageal reflux disease (GERD) and hiatal hernia who are candidates for surgery should be treated with minimally invasive partial or total fundoplication. As data on long-term clinical and functional outcomes after laparoscopic surgery for GERD are limited, the aim of this study was to evaluate the long-term effectiveness of fundoplication in terms of patient-reported symptoms and proton pump inhibitor (PPI) use. METHODS: The data of 88 patients who underwent laparoscopic anti-reflux surgery for GERD between January 2007 and September 2020 were retrospectively reviewed...
July 24, 2023: Minerva surgery
https://read.qxmd.com/read/37438480/laparoscopic-toupet-fundoplication-a-safe-and-effective-anti-reflux-option-in-lung-transplant-recipients
#35
JOURNAL ARTICLE
Celeste G Yergin, Kelly M Herremans, Sheetal Patel, Andres Pelaez, Tiago N Machuca, Alexander L Ayzengart, Manuel A Amaris
BACKGROUND: Fundoplication is known to improve allograft outcomes in lung transplant recipients by reducing retrograde aspiration secondary to gastroesophageal reflux disease, a modifiable risk factor for chronic allograft dysfunction. Laparoscopic Nissen fundoplication has historically been the anti-reflux procedure of choice, but the procedure is associated with discernable rates of postoperative dysphagia and gas-bloat syndrome. Laparoscopic Toupet fundoplication, an alternate anti-reflux surgery with lower rates of foregut complications in the general population, is the procedure of choice on our institution's lung transplant protocol...
July 12, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37436210/laparoscopic-antireflux-surgery-were-old-questions-answered-partial-or-total-fundoplication
#36
JOURNAL ARTICLE
Marco Ettore Allaix, Fabrizio Rebecchi, Alex Bellocchia, Mario Morino, Marco Giuseppe Patti
Laparoscopic total fundoplication is currently considered the gold standard for the surgical treatment of gastroesophageal reflux disease. Short-term outcomes after laparoscopic total fundoplication are excellent, with fast recovery and minimal perioperative morbidity. The symptom relief and reflux control are achieved in about 80 to 90% of patients 10 years after surgery. However, a small but clinically relevant incidence of postoperative dysphagia and gas-related symptoms is reported. Debate still exists about the best antireflux operation; during the last three decades, the surgical outcome of laparoscopic partial fundoplication (anterior or posterior) were compared to those achieved after a laparoscopic total fundoplication...
2023: Brazilian Archives of Digestive Surgery: ABCD
https://read.qxmd.com/read/37385551/peroral-endoscopic-myotomy-and-valve-section-for-treatment-of-persistent-and-disabling-dysphagia-after-laparoscopic-fundoplication
#37
JOURNAL ARTICLE
Jean-Michel Gonzalez, Marc Barthet, Antoine Debourdeau, Laurent Monino, Véronique Vitton
BACKGROUND AND AIMS: Laparoscopic fundoplication (LF), treating refractory gastro-esophageal reflux (GERD), may induce refractory dysphagia (5-10%). The management is complex, and POEM including valve incision is a new therapeutic option. METHODS: Retrospective study involving patients with post-fundoplication refractory dysphagia treated by POEM associated with complete wrap incision. Patients were evaluated with Eckardt and Dysphagia scores. The objectives were to evaluate the clinical and technical outcomes, complications, and GERD recurrence...
June 27, 2023: Gastrointestinal Endoscopy
https://read.qxmd.com/read/37326320/5-year-collis-nissen-gastroplasty-outcomes-for-type-iii-iv-hiatal-hernia-with-short-esophagus-a-prospective-observational-study
#38
JOURNAL ARTICLE
Blanca Montcusí, Sofia Jaume-Bottcher, Idoia Álvarez, José M Ramón, Juan Sánchez-Parrilla, Luis Grande, Manuel Pera
BACKGROUND: To assess the 5-year outcomes of patients undergoing Collis-Nissen gastroplasty for type III-IV hiatal hernia with short esophagus. STUDY DESIGN: From a prospective observational cohort of patients who underwent antireflux surgery for type III-IV hiatal hernia between 2009 and 2020, those with short esophagus (abdominal length <2.5 cm) in whom a Collis-Nissen procedure was performed and reached at least 5 years of follow-up were identified...
October 1, 2023: Journal of the American College of Surgeons
https://read.qxmd.com/read/37317932/reoperative-surgery-after-magnetic-sphincter-augmentation
#39
JOURNAL ARTICLE
Ashwini S Poola, Prakash Gatta
Reoperative surgery following magnetic sphincter augmentation (MSA) is rare. The clinical indications include the removal of MSA for dysphagia, the recurrence of reflux, or the issues of erosion. Diagnostic evaluation follows that of patients with recurrent reflux and dysphagia following surgical fundoplication. Procedures following the complications of MSA can be performed in a minimally invasive fashion, either endoscopically or robotic/laparoscopically, with good clinical outcomes.
June 15, 2023: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/37314527/laparoscopic-heller-myotomy-and-dor-fundoplication-following-an-unsuccessful-peroral-endoscopic-myotomy
#40
JOURNAL ARTICLE
Takuma Aoki, Soji Ozawa, Koki Hayashi, Tomofumi Ando, Yusuke Uchi, Motohide Shimazu, Hiroharu Shinozaki, Kenji Matsumoto, Nobuo Omura
BACKGROUND: Achalasia is an esophageal motility disorder that presents as dysphagia and severely affects quality of life. An esophageal myotomy has been the golden standard for treatment. Peroral endoscopic myotomy (POEM) as a first-line therapy has an acceptable outcome. However, after the clinical failure of POEM, appropriate second-line therapy is rather controversial. Here, we present the first published case in English of a patient who was successfully treated using laparoscopic Heller myotomy (LHM) with Dor fundoplication following an unsuccessful POEM...
June 14, 2023: Surgical Case Reports
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