scholarly journals A CASE OF RECURRENT HIATAL HERNIA AFTER LAPAROSCOPIC NISSEN FUNDOPLICATION WITH SUCCESSFUL LAPAROSCOPIC SURGERY

2006 ◽  
Vol 67 (3) ◽  
pp. 602-605 ◽  
Author(s):  
Nobuo OMURA ◽  
Hideyuki KASHIWAGI ◽  
Yoshio ISHIBASHI ◽  
Fumiaki YANO ◽  
Kazuto TSUBOI ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Hiatal Hernia ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Laparoscopic Nissen ◽  
Recurrent Hiatal Hernia

Quality of life after anti-reflux surgical interventions: possible solutions to the problem

2020 ◽  
pp. 3-25
Author(s):  
D. Lukanin ◽  
G. Rodoman ◽  
M. Klimenko ◽  
A. Sokolov ◽  
A. Sokolov
Keyword(s):  
Quality Of Life ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Partial Fundoplication ◽  
Surgical Interventions ◽  
Number Of Patients ◽  
Laparoscopic Nissen

The article presents the results of a prospective controlled parallel clinical study of a new modification of laparoscopic antireflux surgery in the treatment of gastroesophageal reflux disease in combination with a hiatal hernia compared with laparoscopic Nissen fundoplication in terms of assessing quality of life after surgery. Clinical and instrumental examination of patients was carried out a year after surgical interventions. In accordance with the results of instrumental examination after surgery, the proposed modification of laparoscopic partial fundoplication is not inferior to laparoscopic Nissen fundoplication both, in terms of relief of reflux esophagitis symptoms and in relation to the recurrence of hiatal hernia. Clinical monitoring indicates a significantly higher quality of life for patients after the modified antireflux surgery, which is associated with a number of factors. The implementation of this fundoplication led to a decrease in the number of patients with complaints of dysphagia, the development of which is directly related to the surgery performance, as well as to a statistically significant reduction of bloating in the upper abdomen. Another advantage of the modified surgery is a significantly smaller number of cases of gas-bloat syndrome. In addition, the disorders developing in the framework of the gas bloat syndrome after laparoscopic Nissen fundoplication are more severe.

633 CONVERSION TO TOUPET FUNDOPLICATION WITH DISTAL GASTRECTOMY AND ROUX-EN-Y GASTROJEJUNOSTOMY AFTER FAILED NISSEN FUNDOPLICATION

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Italo Braghetto ◽  
Owen Korn ◽  
Manuel Figueroa ◽  
Carlos Mandiola ◽  
Ana Maria Burgos ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Distal Gastrectomy ◽  
Nissen Fundoplication ◽  
Acid Reflux ◽  
Laparoscopic Nissen Fundoplication ◽  
Barium Swallow ◽  
Toupet Fundoplication ◽  
Laparoscopic Toupet Fundoplication ◽  
Reflux Symptoms ◽  
Laparoscopic Nissen

Abstract   Laparoscopic Nissen Fundoplication fails in almost 15% of patients and most of them must be re-operated in order to improve reflux symptoms, esophagitis, or hiatal hernia. Surgical options are to redo LNF, distal gastrectomy alone or combination of both procedures. Redoing LNF, is associated with high rate of postoperative complications and re-failure. Purpose To present the early and medium-term postoperative outcomes of patients submitted to Laparoscopic Toupet Fundoplication combined with Distal Gastrectomy with Roux-en-Y gastrojejunostomy. Methods prospective study including 23 patients submitted to Laparoscopic Nissen Fundoplication who presented recurrence of gastroesophageal reflux after the operation. They were studied with endoscopy, barium swallow, manometry and 24 h pH monitoring in order to determine presence of esophagitis, anatomical deformities, defective Lower Esophageal Sphincter and pathologic acid reflux. Surgical process consisted on re-establishing the anatomy of the esophago-gastric junction, and then perform laparoscopic Toupet fundoplication combined with distal gastrecvtomy and Roux Y gastrojejunostomy. Results After surgery statistically significant improvement regarding heartburn (p < 0.0001), dysphagia (p < 0.0001) and retrosternal chest pain (p < 0.0001) as well as in the endoscopic esophagitis was observed. No significant LES pressure increase after the operation was observed. (from 7.88 + 2.7 to 10.5 + 3.36) (p = 0.15), but the abnormal acid reflux improved significantly after the reoperation, %time pH < 4 decreases from 12.00 + 6.62 to 4.3 + 4.04 (0.0004) and DeMeester score from 44.82 + 21.8 to 11.95 + 5.14 (0.0008) respectively. Conclusion The proposed procedure is safe option to treat successfully patients after failed Nissen fundoplication. Reflux symptoms, esophagitis, presence oh hiatal hernia and reflux score improved after the procedure.

scholarly journals A Case of Large Esophageal Hiatal Hernia Successfully Treated by Laparoscopic Nissen Fundoplication.

2001 ◽  
Vol 34 (3) ◽  
pp. 210-213 ◽  
Author(s):  
Akira Ishihara ◽  
Yoshihiro Fukoue ◽  
Masahiko Murakami ◽  
Atsushi Sato ◽  
Ugen Lee ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Esophageal Hiatal Hernia ◽  
Laparoscopic Nissen

Type IV Hiatal Hernia Post Laparoscopic Nissen Fundoplication: Report of a Case

Surgery Today ◽  
2001 ◽  
Vol 31 (2) ◽  
pp. 156-158 ◽  
Author(s):  
Ziad T. Awad ◽  
Declan J. Magee ◽  
Nashaat Wanis ◽  
Amir Firozvi
Keyword(s):  
Hiatal Hernia ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Type Iv ◽  
Laparoscopic Nissen
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