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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A short floppy Nissen fundoplication was done with non-absorbable material after adapting the diaphragmatic crura behind the esophagus. Then, a cost-effective prophylactic heparin regimen must be defined. On the seventh postoperative day the patient had a portal and mesenteric venous thrombosis, which was confirmed at laparotomy, with both extensive small-intestine necrosis and partial colon necrosis. High pressure causes collapse and, therefore, blood flow resistance increases 2.
Also, hypercapnia due to CO2 absorption brings about a decrease in mesenteric blood flow as a result of vasoconstriction. Studies have shown that after 10 years, Reflux esophagitis, sliding hiatal hernia, and the anatomy of repair. In GERD, it is usually performed when medical therapy has failed; but, with a Type II paraesophageal hiatus herniait is the first-line procedure.
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.
Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. Dig Surg ; The onset of the portal thrombosis clinical picture may vary from insidious, consisting of funduplivatura pain with scanty physical findings, to one of sudden onset with fever, tachycardia and hypotension, later evolving to a shock, as was the case with our patient.
Trombosis mesentérica y portal tras funduplicatura de Nissen lasparoscópica
Intraoperative Doppler ultrasounds showed total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries.
Portal niwsen has been reported after laparoscopic surgery of the colon, spleen and gallbladder, but very infrequently after Nissen fundoplication, all having a favorable outcome Fatal portal thrombosis after laparoscopic Nissen fundoplication.
Fubduplicatura Barium swallow Upper gastrointestinal series. No hay nada como Funduplicatura de Nissen. However, when its purpose is funduplicafura reduce gastric reflux, difficulty in vomiting may be an undesired outcome.
Also, hypercapnia due to CO2 absorption brings about a decrease in mesenteric blood flow as a result of vasoconstriction. Symptom onset happened after abundant food ingestion in one case 2 and after food and gassy drink ingestion in our case. We thus believe that there may be another factor playing a central role in its pathogenesis. Surgery time was minutes, with no incidents. Fundupliicatura procedure is now routinely performed laparoscopically.
Two cases also showed additional predisposing conditions to thrombosis: We report the case of a twenty-year-old man having a severe gastroesophageal reflux disease, uncontrolled with omeprazol 60 mg daily, and with a history of alcohol and cocaine consumption.
If the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection. Intraoperative Doppler ultrasounds fundupilcatura total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries.
No data suggesting hypercoagulability was found. Preoperative studies included esophagogastroduodenoscopy, TEGD, hour pH monitoring and esophageal manometry. These may be associated with both acute and chronic consumption. We report the fourth case to our knowledge after laparoscopic Nissen fundoplication.
Fecal fat test Fecal pH test Stool guaiac test. Necropsy showed extensive thrombosis of both fundu;licatura portal and inferior mesenteric veins with hemorrhagic infarction of the whole small intestine and right colon, acute mucosal ulcers and blood in the intestinal lumen.
Schweizerische Medizinische Wochenschrift in German.
File:Procedimientos de funduplicatura de tipo – Wikimedia Commons
Retrieved from ” https: Views Read Edit View history. On the seventh postoperative day the patient ingested excessive amounts of alcohol and food, and suddenly developed a clinical picture consisting of severe back pain, hyperpyrexia, abdominal swelling and hemodynamic instability. The procedure has borne his name since it gained popularity in the s. Comparison of medical and surgical therapy for complicated gastroesophageal reflux disease in veterans. Nissen fundoplication Diagram of a Nissen fundoplication.
The American Journal of Digestive Diseases. Intraoperative complications nissdn in 11 patients and the rate of conversion to open surgery was 1.
In a fundoplicationthe gastric fundus upper part of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter.
Portal and mesenteric venous thrombosis is an uncommon but severe and even fatal complication after laparoscopic anti-reflux surgery.
Surgical findings were confirmed at necropsy. Fatal portal thrombosis after laparoscopic Nissen fundoplication. Superior mesenteric and portal vein trombosis following laparoscopic fundoplication.
However, the clinical incidence of portal thrombosis is minimal. Rev Esp Enferm Dig ; A pneumoperitoneum was carried out with CO2 at a controlled maximum pressure of 14 mmHg.
Fundupliatura Laparosc Endosc, 1pp. It also promotes platelet aggregation and erythrocitosis, and therefore predisposes to arteriolar obstruction. This is not known and remains speculative. CS1 German-language sources de CS1 maint: Laparoscopic insufflation of the abdomen reduces portal venous flow. Outcomes have improved in recent years, especially at the most skilled and successful clinics [ citation needed ].
Inguinal hernia surgery Femoral hernia repair.
CT findings were small-intestine dilatation, ascites, liver edema, and suspicion of both mesenteric and portal thrombosis.