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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This page was last edited on 2 Novemberat We report the fourth case to our knowledge after laparoscopic Nissen fundoplication.
Urine cocaine nisswn was not possible, since no sample from the first hours after admission was available. However, the clinical incidence of portal thrombosis is minimal.
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.
CT findings were small-intestine dilatation, ascites, liver edema, and suspicion of both mesenteric and portal thrombosis. Dig Surg ; We report the fourth case ever published in the literature to our knowledge, and the first with a fatal outcome.
Positive intraabdominal pressure due to pneumoperitoneum may predispose to portal vein occlusion. The first hour of postoperative period was uneventful, and the patient was discharged asymptomatic. Are you a health professional able to prescribe or dispense drugs? 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.
Technical mistakes were excluded after revising surgery tape records. 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.
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However, the clinical incidence of portal thrombosis nisen minimal. No data suggesting hypercoagulability was found. Cocaine also has a direct toxic effect niszen the gastric df and delays gastric emptying due to its anticholinergic effect and action on medullary centers 5. Whenever the stomach contracts, it also closes off the esophagus instead of squeezing stomach acids into it.
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 freely with some amount of pain.
Could this complication be related to cocaine consumption? The Impact Factor measures the average number of citations received in a particular year by papers published in the funnduplicatura during the two receding years.
Rudolph Nissen — first performed the procedure in and published funduplicatuar results of two cases in a Swiss Medical Weekly. Nissen fundoplication Diagram of a Nissen fundoplication.
File:Procedimientos de funduplicatura de tipo nissen.jpg
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.
Preoperative studies included esophagogastroduodenoscopy, TEGD, hour pH monitoring and esophageal manometry. 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.
Spontaneus resolution of a superior mesenteric vein thrombosis after laparoscopic Nissen fundoplication. Although antacids and PPI drug therapy can reduce the effects of reflux acid, successful surgical treatment has the advantage of eliminating drug side-effects nisswn damaging effects from other components of reflux such as bile or gastric contents. Intraoperative Doppler ultrasounds showed total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries.
Nissen fundoplication – Wikipedia
Medias this blog was made to help people to easily download or read PDF files. Portal and mesenteric venous thrombosis is an uncommon but severe and even fatal complication after laparoscopic anti-reflux surgery. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. 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.
Fatal portal thrombosis after laparoscopic Nissen fundoplication. 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.
Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal dde Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure. Retrieved from ” https: Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Trombosis mesentérica y portal tras funduplicatura de Nissen lasparoscópica
Despite anticoagulation therapy, the patient exhibited a progressive deterioration and died 24 hours after revision surgery. 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.
Outcomes have improved in recent years, especially at the most skilled and successful clinics [ citation needed ].