FUNDUPLICATURA DE NISSEN PDF

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.

Author: Shataur Zulkitaxe
Country: Chad
Language: English (Spanish)
Genre: Art
Published (Last): 28 June 2005
Pages: 402
PDF File Size: 19.91 Mb
ePub File Size: 6.68 Mb
ISBN: 547-8-91201-583-3
Downloads: 58316
Price: Free* [*Free Regsitration Required]
Uploader: Kazrajinn

Despite anticoagulation therapy, the patient exhibited a progressive deterioration and died 24 hours after revision surgery. Fatal portal thrombosis after laparoscopic Nissen fundoplication.

The aim of this study was to determine, through our results and comparison of pre- and postoperative manometric and pH monitoring data, whether Nissen fundoplication is the technique of choice in the treatment of gastroesophageal reflux disease GERD and whether it provides similar results to those of conventional surgery.

Anal sphincterotomy Anorectal manometry Lateral internal fundhplicatura Rubber band ligation Transanal hemorrhoidal dearterialization. Preoperative studies included esophagogastroduodenoscopy, TEGD, hour pH monitoring and esophageal manometry. However, the clinical incidence of portal thrombosis is minimal.

An antireflux procedure was indicated. Rudolph Nissen — first performed the procedure in and published the results of two cases in a Swiss Medical Weekly.

Nissen fundoplication – Wikipedia

Vomiting is funduplicztura impossible or, if not, very painful after a fundoplication, with the likelihood of this complication typically decreasing in the months after surgery. Cocaine provokes severe splanchnic vasoconstriction due to its sympathetic action, thus blocking the reuptake and removal of cathecolamines.

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. Ann R Coll Surg Engl ; Despite anticoagulation therapy, the patient exhibited a progressive deterioration and died 24 hours after revision surgery.

En el control postoperatorio se realizaron: Hypovolemic, hemorrhagic shock due to portal and mesenteric thrombosis was established as the cause of death.

The offending gas may also come from dietary sources especially carbonated beveragesor involuntary swallowing of air aerophagia. The procedure is now routinely performed laparoscopically.

  ROLAND BAADER PDF

Dig Surg ; The patient was operated on with the following findings: CT findings were small-intestine dilatation, ascites, liver edema, and suspicion of both mesenteric and portal thrombosis. Despite anticoagulant therapy, the funduplictaura died 24 hours later.

File:Procedimientos de funduplicatura de tipo nissen.jpg

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. The onset of the portal thrombosis clinical picture may vary from insidious, consisting of mild 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.

In a Dor anterior fundoplication, the fundus is laid over the top of the esophagus; while in a Toupet posterior fundoplication, the fundus is wrapped around the back of the esophagus. No data suggesting hypercoagulability was found. All patients presented symptomatology of GERD with a mean evolution of 5 years and all had received appropriate medical therapy for niwsen mean of 24 months.

FUNDUPLICATURA DE NISSEN PDF

Complications include “gas bloat syndrome”, dysphagia trouble swallowingdumping syndromeexcessive scarring, vagus nerve injury and, rarely, achalasia. Liver Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure.

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.

A Nissen fundoplicationor laparoscopic Nissen fundoplication when performed via laparoscopic surgeryis a surgical procedure to treat gastroesophageal reflux disease GERD and hiatal hernia. A pneumoperitoneum was carried out with CO2 at a controlled maximum pressure of 14 mmHg.

A short floppy Nissen fundoplication was done with non-absorbable material after adapting the diaphragmatic crura behind the esophagus.

Portal thrombosis has been reported after laparoscopic surgery of the colon, nisseb and gallbladder, but very infrequently after Nissen fundoplication, all having a favorable outcome Surgical findings were confirmed at necropsy. Manometry revealed a mean basal EEI pressure of High pressure causes collapse and, therefore, blood flow resistance increases 2.

  EL PODER DEL DISCURSO MATERNO LAURA GUTMAN LIBRO PDF

It is therefore useful to preoperatively find any risk-increasing factors in laparoscopic surgery: When other pro-thrombotic, predisposing conditions such as laparoscopic surgery and cocaine consumption are present, the usual prophylactic doses of low molecular weight heparin might not be sufficient to protect against this life-threatening complication.

Nissenn the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection.

This is not known and remains speculative. Positive intraabdominal pressure due to pneumoperitoneum may predispose to portal vein occlusion. We thus believe that there may be another factor playing a central role in its pathogenesis.

These may be associated with both acute and chronic consumption.

By using this site, you agree to the Terms of Use and Privacy Policy. In contrast, surgery for achalasia is generally accompanied by either a Dor or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia. N Engl J Med,pp. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.

Initially, vomiting is impossible; however, small amounts of vomit may be produced after the wrap settles over time, and in extreme cases such as alcohol poisoning or food poisoningthe patient may be able to vomit funduplicztura with some amount of pain.

Ufnduplicatura onset happened after abundant food ingestion in one case 2 and after food and gassy drink ingestion in our case. This page was last edited on 2 Novemberat Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series. Portal thrombosis 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.