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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The esophageal hiatus is also narrowed down by sutures to prevent or treat concurrent hiatal hernia, in which the fundus slides inssen through the enlarged esophageal hiatus of the diaphragm.
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A short floppy Nissen fundoplication was done with non-absorbable material after adapting the diaphragmatic crura behind the esophagus. It is therefore useful to preoperatively find any nisden factors in laparoscopic surgery: Intraoperative Doppler ultrasounds showed total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries.
We report the fourth case to our knowledge after laparoscopic Nissen fundoplication.
Necropsy showed extensive thrombosis of both the 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. The first hour of postoperative period was uneventful, and the patient was discharged asymptomatic.
Trombosis mesentérica y portal tras funduplicatura de Nissen lasparoscópica
However, when its purpose is to reduce gastric reflux, difficulty in vomiting may be an undesired outcome. Despite anticoagulation therapy, the patient exhibited a progressive deterioration and died 24 hours after revision surgery. No surgical manoeuvre was performed on the vessels.
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. Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice.
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. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Despite anticoagulant therapy, the patient died 24 hours later. A prospective study of 61 cases. Outcomes have improved in recent years, especially at the most skilled and successful clinics [ citation needed ]. We report the fourth case ever published in the literature to our knowledge, and the first with a fatal outcome.
Nissen fundoplication – Wikipedia
CS1 German-language sources de CS1 maint: It also promotes platelet aggregation and erythrocitosis, and therefore predisposes to arteriolar obstruction. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. In GERD, it is usually performed when medical therapy has failed; but, with a Type II paraesophageal hiatus herniait is the first-line procedure.
This prevents the reflux of gastric acid in GERD. Manometry revealed a mean basal EEI pressure of High pressure causes collapse and, therefore, blood flow resistance increases 2. In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped the entire degrees around the esophagus. Two cases also showed additional predisposing conditions to thrombosis: As a result, both mucosal ulcers and submucosal hemorrhage appear in the short term, and pseudomembranes in the long term.
Small bowel Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty. Portal and mesenteric thrombosis after laparoscopic surgery is very uncommon. Intraoperative Doppler ultrasounds showed total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries. The finduplicatura gas may also come from dietary sources especially carbonated beveragesnisen involuntary swallowing of air aerophagia.
Despite anticoagulation therapy, the patient exhibited a progressive deterioration and died 24 hours after revision surgery. Nissen fundoplication Diagram of a Nissen fundoplication.
Lower esophageal sphincter pressure was 3 mmHg normal range, mmHg. Also, hypercapnia due to CO2 absorption brings about a decrease in mesenteric blood flow as a result of vasoconstriction.