FUNDOPLICATURA DE NISSEN PDF

Fundoplication is one of the most common surgeries used to treat heartburn caused by gastroesophageal reflux disorder GERD. GERD is a chronic backup of stomach acid or contents into your esophagus , the tube that food goes down when you eat. GERD can weaken the muscles that help move food down into your stomach , including the sphincter that closes the opening between the esophagus and stomach. Fundoplication helps strengthen this opening to prevent food and acid from going back up.

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Background: Surgical treatment of GERD by Nissen fundoplication is effective and safe, providing good results in the control of the disease. However, some authors have questioned the efficacy of this procedure and few studies on the long-term outcomes are available in the literature, especially in Brazil. Aim: To evaluate patients operated for gastro-esophageal reflux disease, for at least 10 years, by Nissen fundoplication. Methods: Thirty-two patients were interviewed and underwent upper digestive endoscopy, esophageal manometry, 24 h pH monitoring and barium esophagogram, before and after Nissen fundoplication.

Results: Most patients were asymptomatic, satisfied with the result of surgery However, The manometry revealed lower esophageal sphincter with a mean pressure of The average DeMeester index in pH monitoring was The endoscopy revealed that most patients had a normal result Conclusion: After at least a decade, most patients were satisfied with the operation, asymptomatic or had milder symptoms of GERD, being better and with easier control, compared to the preoperative period.

Nevertheless, a considerable percentage still employed anti-reflux medications. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search. Advanced Clipboard. Create file Cancel. Email citation To:. Format: Summary Summary text Abstract Abstract text. Send email Cancel. Add to Collections Create a new collection Add to an existing collection.

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Full-text links Cite Favorites. Abstract in English , Portuguese , Portuguese. Conflict of interest statement none. Similar articles Hiatal hernia, lower esophageal sphincter incompetence, and effectiveness of Nissen fundoplication in the spectrum of gastroesophageal reflux disease. Lord RV, et al. J Gastrointest Surg. Epub Dec 3. PMID: Su F, et al. PMID: Chinese. Gastroesophageal reflux disease and antireflux surgery-what is the proper preoperative work-up?

Bello B, et al. Epub Oct Skubleny D, et al. Surg Endosc. Epub Dec PMID: Review. Effectiveness of laparoscopic fundoplication in relieving the symptoms of gastroesophageal reflux disease GERD and eliminating antireflux medical therapy.

Papasavas PK, et al. Epub May Show more similar articles See all similar articles. Vargas GP, et al. Arq Bras Cir Dig. Ivano FH, et al.

Association between persistent symptoms and long-term quality of life after laparoscopic total fundoplication. Am J Surg. Gastroesophageal reflux disease what is the effectiveness of diagnostic tests? Pseudoachalasia occurring after laparoscopic Nissen fundoplication and crural mesh repair. Langenbecks Arch Surg. Laparoscopic Nissen fundoplication preliminary report. Surg Laparosc Endosc. The evolution and long-term results of laparoscopic antireflux surgery for treatment of gastroesophageal reflux disease.

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LATE EVALUATION OF PATIENTS OPERATED FOR GASTROESOPHAGEAL REFLUX DISEASE BY NISSEN FUNDOPLICATION

Para as nominais, foi considerado o teste de Qui-quadrado ou o teste exato de Fisher. Descritores : Fundoplicatura. Os dados foram organizados em planilha Excel e analisados com o uso do programa computacional Statistica v. Na laparotomia, ela ocorreu mais frequentemente por ruptura da fundoplicatura.

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Fundoplicação de Nissen

A Nissen fundoplication , or laparoscopic Nissen fundoplication when performed via laparoscopic surgery , is a surgical procedure to treat gastroesophageal reflux disease GERD and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II paraesophageal hiatus hernia , it is the first-line procedure. Rudolph Nissen — first performed the procedure in and published the results of two cases in a Swiss Medical Weekly. The procedure has borne his name since it gained popularity in the s. In a fundoplication , the 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.

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Fundoplication for GERD and Other Conditions: What to Expect

Background: Surgical treatment of GERD by Nissen fundoplication is effective and safe, providing good results in the control of the disease. However, some authors have questioned the efficacy of this procedure and few studies on the long-term outcomes are available in the literature, especially in Brazil. Aim: To evaluate patients operated for gastro-esophageal reflux disease, for at least 10 years, by Nissen fundoplication. Methods: Thirty-two patients were interviewed and underwent upper digestive endoscopy, esophageal manometry, 24 h pH monitoring and barium esophagogram, before and after Nissen fundoplication.

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