The effect of narrowed segment length on the degree of early postoperative dysphagia in laparoscopic Nissen fundoplication.

作者: Hasan ALTUN , Umit AKYUZ , Oktay BANLI , Rojbin KARAKOYUN , Ender ONUR

DOI: 10.4318/TJG.2012.0487

关键词: Postoperative dysphagiaRefluxSegment lengthNissen fundoplicationBody mass indexSurgeryMedicineGold standardDysphagia scoreDysphagia

摘要: BACKGROUND/AIMS Although laparoscopic Nissen fundoplication is the gold standard in surgical treatment of gastroesophageal reflux disease, it may cause troublesome complications like dysphagia. In this study, we demonstrated effect narrowed segment length on early dysphagia patients. MATERIALS AND METHODS Forty-one patients who underwent by a single surgeon between January 2007 and November 2008 were reviewed. Dysphagia scores assessed question Gastrointestinal Quality Life Index questionnaire recorded preoperatively at 1 month 6 months. Barium esophagogram was performed for all month. Narrowed measured esophagogram. Patients divided into two groups (Group 1, ≤30 mm; Group 2, >30 mm). months compared groups. RESULTS The homogeneous age, gender, body mass index, preoperative score. We unable to demonstrate any difference postoperative CONCLUSIONS used subjective data grade wrap instead manometric data. our opinion, there no degree undergoing fundoplication.

参考文章(18)
Neal W Wilkinson, Kurt Edwards, Eric D. Adams, Splenic infarction following laparoscopic Nissen fundoplication: management strategies. Jsls-journal of The Society of Laparoendoscopic Surgeons. ,vol. 7, pp. 359- 365 ,(2003)
Markiewicz S, Dallemagne B, Weerts Jm, Jehaes C, Lombard R, Laparoscopic Nissen fundoplication: preliminary report. Surgical laparoscopy & endoscopy. ,vol. 1, pp. 138- 143 ,(1991)
D. Oleynikov, T. R. Eubanks, B. K. Oelschlager, C. A. Pellegrini, Total fundoplication is the operation of choice for patients with gastroesophageal reflux and defective peristalsis. Surgical Endoscopy and Other Interventional Techniques. ,vol. 16, pp. 909- 913 ,(2002) , 10.1007/S00464-001-8327-Z
Rodney Mason, Tom R DeMeester, Richard J Lund, Jeffrey H Peters, Peter Crookes, Manfred Ritter, Michael Gadenstätter, Jeffery A Hagen, Nissen Fundoplication Prevents Shortening of the Sphincter During Gastric Distention Archives of Surgery. ,vol. 132, pp. 719- 726 ,(1997) , 10.1001/ARCHSURG.1997.01430310033006
Marco Catarci, Paolo Gentileschi, Claudio Papi, Alessandro Carrara, Renato Marrese, Achille Lucio Gaspari, Giovanni Battista Grassi, Evidence-based appraisal of antireflux fundoplication Annals of Surgery. ,vol. 239, pp. 325- 337 ,(2004) , 10.1097/01.SLA.0000114225.46280.FE
Jeffrey H. Peters, Tom R. DeMeester, Peter Crookes, Stefan Oberg, Michaela de Vos Shoop, Jeffrey A. Hagen, Cedric G. Bremner, The treatment of gastroesophageal reflux disease with laparoscopic Nissen fundoplication: prospective evaluation of 100 patients with "typical" symptoms. Annals of Surgery. ,vol. 228, pp. 40- 50 ,(1998) , 10.1097/00000658-199807000-00007
Karen D Horvath, Blair A Jobe, Daniel M Herron, Lee L Swanstrom, Laparoscopic Toupet fundoplication is an inadequate procedure for patients with severe reflux disease Journal of Gastrointestinal Surgery. ,vol. 3, pp. 583- 591 ,(1999) , 10.1016/S1091-255X(99)80079-1
F. A. M. Herbella, P. Tedesco, I. Nipomnick, P. M. Fisichella, M. G. Patti, Effect of partial and total laparoscopic fundoplication on esophageal body motility. Surgical Endoscopy and Other Interventional Techniques. ,vol. 21, pp. 285- 288 ,(2007) , 10.1007/S00464-006-0108-2
Denzil Garteiz Martínez, Alejandro Weber Sánchez, Adolfo Pardo García, Splenic Abscess After Laparoscopic Nissen Fundoplication Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. ,vol. 18, pp. 82- 85 ,(2008) , 10.1097/SLE.0B013E318159E837
Huiqi Yang, David I. Watson, Carolyn J. Lally, Peter G. Devitt, Philip A. Game, Glyn G. Jamieson, Randomized trial of division versus nondivision of the short gastric vessels during laparoscopic Nissen fundoplication: 10-year outcomes Annals of Surgery. ,vol. 247, pp. 38- 42 ,(2008) , 10.1097/SLA.0B013E31814A693E