keyword
https://read.qxmd.com/read/38493409/laparoscopic-total-nissen-versus-posterior-toupet-fundoplication-for-gastroesophageal-reflux-disease-a-propensity-score-matched-comparison-of-the-perioperative-and-1-year-follow-up-outcome
#1
JOURNAL ARTICLE
F Köckerling, D Jacob, D Adolf, V Zherdyev, H Riediger, H Scheuerlein
INTRODUCTION: The debate continues as to whether laparoscopic total Nissen (LNF) versus partial posterior Toupet fundoplication (LTF) leads to better outcomes in the surgical treatment of axial hiatal hernia with gastroesophageal reflux disease. In the most recent meta-analysis including 13 RCTs with 1564 patients, no significant difference was found between the two procedures in terms of perioperative complications and recurrent reflux rates. Further comparative analyses are urgently needed...
March 17, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/38432066/successful-treatment-of-dumping-syndrome-with-diazoxide-in-an-infant-with-hypoplastic-left-heart-syndrome
#2
JOURNAL ARTICLE
Khalifah A Aldawsari, Claudia Mattos, Danyal M Khan, Omar Beckett, Pedro Pagan
SUMMARY: Dumping syndrome is a rare but potentially serious condition that causes inappropriate postprandial hyperinsulinemia leading to hypoglycemia in children following gastrointestinal surgeries. While dietary modifications are often the first line of treatment, severe cases may require pharmacological intervention to prevent severe hypoglycemia. We present a case of successful treatment of dumping syndrome with diazoxide. A 2-month-old infant with left hypoplastic heart syndrome who underwent single ventricle palliation pathway and developed feeding intolerance that required Nissen fundoplication...
January 1, 2024: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38409901/manometric-identikit-of-a-functioning-and-effective-fundoplication-for-gastroesophageal-reflux-disease-in-the-high-resolution-manometry-era
#3
JOURNAL ARTICLE
Renato Salvador, Giovanni Capovilla, Matteo Santangelo, Arianna Vittori, Francesca Forattini, Luca Provenzano, Loredana Nicoletti, Andrea Costantini, Lucia Moletta, Michele Valmasoni, Mario Costantini, Edoardo V Savarino
BACKGROUND: The pathophysiological and clinical value of performing High-Resolution Manometry (HRM) after laparoscopic fundoplication (LF) for gastroesophageal reflux disease (GERD) is still unclear and debated. OBJECTIVE: We sought to establish the HRM parameters indicative of functioning fundoplications, and whether HRM could distinguish them from tight or defective ones. METHODS: The study involved patients with GERD who underwent laparoscopic Nissen (LN) or Toupet (LT) fundoplication between 2010 and 2022...
February 26, 2024: United European Gastroenterology Journal
https://read.qxmd.com/read/38383688/validity-and-reliability-evidence-support-task-specific-metrics-for-laparoscopic-fundoplication
#4
JOURNAL ARTICLE
Alexis Desir, Carolina Marques, Emile Farah, Shruti R Hegde, Carla Holcomb, Daniel J Scott, Ganesh Sankaranarayanan
BACKGROUND: Laparoscopic hiatal hernia repair (LHHR) is a complex operation requiring advanced surgical training. Surgical simulation offers a potential solution for learning complex operations without the need for high surgical volume. Our goal is to develop a virtual reality (VR) simulator for LHHR; however, data supporting task-specific metrics for this procedure are lacking. The purpose of this study was to develop and assess validity and reliability evidence of task-specific metrics for the fundoplication phase of LHHR...
February 21, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38329096/a-commentary-on-intraoperative-endomanometric-laparoscopic-nissen-fundoplication-improves-postoperative-outcomes-in-large-sliding-hiatus-hernias-with-severe-gastroesophageal-reflux-disease-a-retrospective-cohort-study
#5
JOURNAL ARTICLE
https://read.qxmd.com/read/38322163/clinical-outcome-and-recurrence-of-open-versus-laparoscopic-nissen-fundoplication-in-the-republic-of-kazakhstan-during-2010-2021
#6
JOURNAL ARTICLE
Bolatbek Baimakhanov, Shakir Zhurayev, Adil Shokebaev, Nurbol Orynbassar, Nurmakhan Imammyrzayev, Khozybek Kazakhstan, Kuanysh Kanatov, Yevgene Yenin, Gulziya Ismailova
BACKGROUND: Surgical treatment of recurrent gastroesophageal reflux disease (GERD) negatively affects patients' quality of life (QoL). Determination of risk factors is essential when considering a surgical approach. The present study aimed to evaluate short-term and long-term outcomes of primary laparoscopic Nissen fundoplication (LNF) and open Nissen fundoplication (ONF), as well as the risks of laparoscopic redo fundoplication. METHODS: A retrospective cohort observational study was conducted from 2010 to 2021 at the National Research Center of Surgery (Almaty, Kazakhstan)...
January 2024: Iranian Journal of Medical Sciences
https://read.qxmd.com/read/38310148/nissen-sleeve-as-a-redo-surgery-post-gastric-banding-for-non-responders-to-weight-loss-and-therapy-resistant-reflux
#7
JOURNAL ARTICLE
Aiman Ismaeil, Bruno Dillemans
Roux-en-Y gastric bypass (LRYGB) would be the procedure of choice for non-responders of weight loss and patients with reflux symptoms (GERD). However, not every patient is a candidate for RYGB, and sometimes, the patient can insist only on alternatives other than malabsorption procedures, as was the case with our patient. We report a case with symptomatic GERD who underwent a successful Nissen sleeve gastrectomy after band removal. To our knowledge, this is the first case using Nissen sleeve as a redo surgery after a previous bariatric procedure...
February 3, 2024: Obesity Surgery
https://read.qxmd.com/read/38264182/thoracic-erector-spinae-plane-t-esp-block-together-with-intertransverse-process-itp-block-for-laparoscopic-abdominal-surgery-a-case-report
#8
Carmine Pullano, Francesco Marrone, Saverio Paventi, Lorenzo Forasassi, Roberto Starnari
Laparoscopy has become a milestone with reduced surgical stress and postoperative pain. Evidence promotes erector spinae block for laparoscopic abdominal surgery, in particular for cholecystectomy. The thoracic paravertebral space block is the administration of local anesthetic into a wedge-shaped space on the antero-lateral thoracic spine and provides abdominal analgesia. We hypothesized that a combination of two paravertebral by proxy blocks (erector spinae and intertransverse process (ITP)) with multi-dermatomeric coverage and visceral pain control, with evidence for intra- and postoperative analgesia in thoracic and abdominal surgeries, may be a surgical anesthesia option for laparoscopy...
January 2024: Curēus
https://read.qxmd.com/read/38255425/robotic-assisted-nissen-fundoplication-in-pediatric-patients-a-matched-cohort-study
#9
JOURNAL ARTICLE
Rianne E M Killaars, Omar Mollema, Hamit Cakir, Ruben G J Visschers, Wim G van Gemert
BACKGROUND: Nissen Fundoplication (NF) is a frequently performed procedure in children. Robotic-assisted Nissen Fundoplication (RNF), with the utilization of the Senhance® Surgical System (SSS® ) (Asensus Surgical® Inc., Durham, NC, USA) featuring 3 mm instruments, aims to improve precision and safety in pediatric surgery. This matched cohort study assesses the safety and feasibility of RNF in children using the SSS® , comparing it with Laparoscopic Nissen Fundoplication (LNF)...
January 17, 2024: Children
https://read.qxmd.com/read/38251459/esophageal-body-adaptation-to-nissen-fundoplication-increased-esophagogastric-outflow-resistance-yields-delayed-and-sustained-peristaltic-contractions-without-increased-amplitude
#10
JOURNAL ARTICLE
Lubomyr Boris, Sven E Eriksson, Inanc S Sarici, Ping Zheng, Jacob Kuzy, Sarah Scott, Blair A Jobe, Shahin Ayazi
BACKGROUND: Improvement in lower esophageal sphincter (LES) competency after laparoscopic Nissen fundoplication (LNF) is well established, yet esophageal body physiology data are limited. We aimed to describe the impact of LNF on whole esophagus physiology using standard and novel manometric characteristics. METHODS: A cohort of patients with an intact fundoplication without herniation and no postoperative dysphagia were selected and underwent esophageal manometry at one-year after surgery...
January 22, 2024: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://read.qxmd.com/read/38222857/budget-impact-of-refluxstop%C3%A2-as-a-treatment-for-patients-with-refractory-gastro-oesophageal-reflux-disease-in-the-united-kingdom
#11
JOURNAL ARTICLE
Sam Harper, Lukasz Grodzicki, Stuart Mealing, Elizabeth Gemmill, Paul Goldsmith, Ahmed Ahmed
Background: Gastro-oesophageal reflux disease (GORD) is a common condition associated with heartburn and regurgitation. Standard of care for GORD patients in the UK involves initial treatment with proton pump inhibitors (PPIs) and laparoscopic antireflux surgery in patients unwilling to continue or intolerant of long-term PPI treatment. Recently, RefluxStop™, a novel, implantable medical device, has proven to be an efficacious and cost-effective treatment for patients with GORD. The current analysis aimed to describe the budget impact of introducing RefluxStop™ within National Health Service (NHS) England and Wales...
2024: Journal of health economics and outcomes research
https://read.qxmd.com/read/38183594/efficacy-of-nissen-sleeve-gastrectomy-on-mid-term-barrett-s-esophagus-regression
#12
JOURNAL ARTICLE
Pierre Brinas, Saadeddine Joumaa, Andrew Currie, Mégane Boixière, Jean Christophe Valat, Marius Nedelcu, Ion Donici, Thomas Gautier, David Nocca
INTRODUCTION: Sleeve gastrectomy is the most commonly performed bariatric operation globally. The main complication is GERD. In the medium term, it can increase the incidence of Barrett's esophagus (BE), which is a risk factor for esophageal adenocarcinoma. Following conventional sleeve gastrectomy, BE is noted in up to 16% of patients postoperatively. Recently, Nissen sleeve gastrectomy (NSG) has been shown to reduce the frequency of postoperative GERD compared to conventional sleeve gastrectomy...
February 2024: Obesity Surgery
https://read.qxmd.com/read/38154482/thoracoscopic-stage-internal-traction-repair-reduces-time-to-achieve-oesophageal-continuity-in-long-gap-oesophageal-atresia
#13
JOURNAL ARTICLE
Dominika Borselle, Joseph Davidson, Stavros Loukogeorgakis, Paolo De Coppi, Dariusz Patkowski
AIM OF THE STUDY: Management of long gap oesophageal atresia (LGOA) is controversial. This study aims at comparing the management of LGOA between two high-volume centers. METHODS: We included patients with LGOA (type A and B) between 2008 and 2022. Demographics, surgical methods and outcomes were collected and compared. RESULTS: The study population involved 28 patients-Centre A and 24 patients-Centre B. A surgical approach was thoracoscopic in the Centre A, only for one patient was open for final procedure...
December 28, 2023: European Journal of Pediatric Surgery
https://read.qxmd.com/read/38109011/gastroesophageal-reflux-disease-and-weight-loss-after-fundoplication-sleeve-gastrectomy-a-systematic-review-and-meta-analysis
#14
JOURNAL ARTICLE
Scott Z Mu, Alan A Saber
INTRODUCTION: Fundoplication sleeve gastrectomy (FSG) is a novel bariatric procedure that combines anti-reflux fundoplication with sleeve gastrectomy (SG) to simultaneously address gastroesophageal reflux disease (GERD) and obesity. We performed a systematic review and meta-analysis to quantify the prevalence of postoperative GERD and amount of weight loss after FSG. METHODS: We searched PubMed, Embase, and Web of Science Core Collection in May 2023 for full-text reports of case series, registries, cohort studies, and randomized clinical trials that reported postoperative GERD and percent excess weight loss (%EWL) after FSG for patients with preoperative GERD and obesity, excluding reports including patients with previous history of bariatric procedures...
December 18, 2023: Obesity Surgery
https://read.qxmd.com/read/38070073/how-i-do-it-robotic-hiatal-hernia-repair-with-stapled-conversion-from-nissen-to-toupet-fundoplication
#15
JOURNAL ARTICLE
Maysen E Calzon, Bilal Koussayer, Joseph Sujka
The purpose of this paper is to describe a robotic surgical technique for converting a slipped Nissen fundoplication to a Toupet fundoplication. Our technique utilizes four 8 mm robotic ports placed in a horizontal pattern above the umbilicus. The robotic tools we used are a vessel sealer, bipolar forceps, and Cadière forceps. In addition, an esophagogastroduodenoscopy (EGD) is placed through the esophagus into the stomach to be used as a bougie. If a hernia is present, we dissect it from the mediastinum until the posterior confluence is identified...
December 9, 2023: Updates in Surgery
https://read.qxmd.com/read/37968898/ball-valve-syndrome-mimicking-gastric-perforation-in-a-toddler-with-gastrostomy
#16
JOURNAL ARTICLE
Yasuyuki Fuseda, Takashi Tagaya, Satoshi Tsuji, Shunsuke Nosaka, Akihiro Fujino, Mitsuru Kubota, Akira Ishiguro
No abstract text is available yet for this article.
2023: Pediatrics International: Official Journal of the Japan Pediatric Society
https://read.qxmd.com/read/37960826/a-single-center-experience-of-using-milk-scintigraphy-in-251-pediatric-patients-a-retrospective-study
#17
JOURNAL ARTICLE
Hosokawa Takahiro, Mayuki Uchiyama, Yutaka Tanami, Yumiko Sato, Yasuharu Wakabayashi, Eiji Oguma
To report our experience with milk gastroesophageal scintigraphy and the management of gastroesophageal reflux (GER) in children. In 251 pediatric patients we recorded age, underlying disease, central nervous system (CNS) disorders, and GER management. GER management was classified based on treatment plans: grade 0, non-pharmacological treatment; grade 1, non-pharmacological but using a nasogastric tube; grade 2, pharmacological treatment; grade 3, transpyloric feeding; and grade 4, Nissen fundoplication surgery...
November 10, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37852232/fantastic-needles-and-where-to-find-them-during-a-laparoscopic-nissen-fundoplication-review-of-safety-measures-to-avoid-needle-loss-during-minimally-invasive-surgery
#18
JOURNAL ARTICLE
Claudia Di Mento, Annalisa Chiodi, Mariapina Cerulo, Fulvia Del Conte, Vincenzo Coppola, Roberto Carulli, Benedetta Lepore, Maria Escolino, Ciro Esposito
BACKGROUND: Losing a needle during laparoscopic surgery may be a dramatic moment for the surgeon and potentially have clinical and medico-legal consequences. This case report aims to describe an unusual case of needle loss that occurred during laparoscopic Nissen fundoplication and how to prevent its further occurrence. METHODS: The patient is an 11-year-old boy with a body mass index of 32.4 kg/m2. He suffered from severe gastroesophageal reflux disease not responding to medical therapy and hiatal hernia...
October 6, 2023: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/37843095/long-term-efficacy-of-total-versus-posterior-partial-fundoplication-in-patients-with-gastro-oesophageal-reflux-disease-a-systematic-review-and-meta-analysis
#19
REVIEW
D V Peristeri, H Room, D Tsironis, G Vasilikostas, A Wan
INTRODUCTION: Laparoscopic fundoplication remains the standard treatment for patients with severe gastro-oesophageal reflux disease (GORD). Multiple randomised controlled trials (RCTs) have compared the two most commonly performed surgical techniques, total and posterior partial fundoplication (Nissen [NF] and Toupet [TF]), in terms of symptom control and treatment failure in patients without subsequent dysmotility disorders. We aimed to conduct a systematic review and meta-analysis of these two techniques with regard to the long-term effect on reflux control and associated dysphagia...
October 16, 2023: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/37811938/technical-considerations-and-approach-to-redo-foregut-surgery
#20
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
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