Funduplicatura de Nissen por laparoscopia como técnica de elección para el tratamiento de la enfermedad por reflujo gastroesofágico. Laparoscopic nissen. Fatal portal thrombosis after laparoscopic Nissen fundoplication realiza una funduplicatura de Nissen laparoscópica, administrándose 20 mg de enoxaparina . asociación pacientes esófago de Barrett. Reconociendo los síntomas de reflujo gastroesofágico en bebés. No hay nada como Funduplicatura de Nissen.

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A short floppy Nissen fundoplication was done with non-absorbable material after adapting the diaphragmatic crura behind the esophagus. Retrieved from ” https: Outcomes have improved in recent years, especially at the most skilled and successful clinics [ citation needed ]. Views Read Edit View history.

Nissen fundoplication

We report the fourth case to our knowledge after laparoscopic Nissen fundoplication. The relationship funduplicatur cocaine consumption and thrombotic and cardiovascular events is well documented, including digestive complications: Anal sphincterotomy Anorectal manometry Lateral internal sphincterotomy Rubber band ligation Transanal hemorrhoidal dearterialization. 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 njssen protect against this life-threatening complication.

Although antacids and PPI drug therapy can reduce the effects of reflux acid, successful surgical treatment has the advantage of eliminating drug side-effects and damaging effects from other components of reflux such as bile or gastric contents. A prospective study of 61 cases. An antireflux procedure was indicated. 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.


Dig Surg ; Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series.

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Laparoscopic insufflation of the abdomen reduces portal venous flow. Laparoscopic Nissen fundoplication technique and preliminary results. Would the fatal outcome have been prevented with a longer heparin regimen, with higher doses? Positive intraabdominal pressure due to pneumoperitoneum may predispose to portal vein occlusion.

You can change the settings or obtain more information by clicking here. There were 54 men and 18 women with a mean age of 42 years.

File:Procedimientos de funduplicatura de tipo – Wikimedia Commons

Comparison of total versus partial laparoscopic fundoplication in the management of gastroesophageal reflux disease. From Bowditch to Laparoscopy”.

Hypovolemic, hemorrhagic shock due to portal and mesenteric thrombosis was established as the cause of death.

Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. The impact of omeprazole and laparoscopy upon hiatal hernia and reflux esophagitis. nisssen

Mean operating time was Print Send to a friend Export reference Mendeley Statistics. Could this complication be related to cocaine consumption? Surg Gynecol Obstet, 92pp. Full text is only aviable in PDF.

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Preoperative studies included esophagogastroduodenoscopy, TEGD, hour pH monitoring and esophageal manometry. The patient was operated on with the following findings: Minimally invasive surgical techniques for the treatment of. In other projects Fundupllicatura Commons. Lower esophageal sphincter pressure was 3 mmHg normal range, mmHg.


Ann Surg,pp. Portal thrombosis has been reported after laparoscopic surgery of the colon, spleen and gallbladder, but very infrequently fundpulicatura Nissen fundoplication, all having a favorable outcome Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty.


Ann R Coll Surg Engl ; Manometry revealed a mean basal EEI pressure of 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.

CS1 German-language sources de CS1 maint: Complications include “gas bloat syndrome”, dysphagia trouble swallowingdumping syndromeexcessive scarring, vagus nerve injury and, rarely, achalasia.

Are you a health professional able to prescribe or dispense drugs? October Pages We report the fourth case ever published in the literature to our knowledge, and the first with a fatal outcome. Surg Endosc, 7pp. Postoperative pH monitoring showed a mean DeMeester index of 6.