Fundoplication
Mostrando 13-24 de 55 artigos, teses e dissertações.
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13. Refluxo gastroesofágico no paciente encefalopata
We intend to discuss the main controversies involved in the diagnosis of gastroesophageal reflux and the necessity of a special method to feed severe neurologically impaired children, considering the implications of those circumstances in Brazilian families. Modern literature was reviewed, relating to diagnostic methodologies and their limitations, surgical
Revista do Colégio Brasileiro de Cirurgiões. Publicado em: 2002-08
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14. Descoberta simultânea de carcinomatose disseminada e carcinoma de cólon, após colecistectomia laparoscópica
A particularly rapid and fatal outcome has been noted in cases of malignant soft-tissue metastases occurring after cancer surgery. Abdominal wall metastases occurring in scars after laparotomy for cancer resection show a similar poor outcome. On the other hand, neoplasm seeding at trocar sites after laparoscopy has been reported with an increasing frequency.
Revista do Colégio Brasileiro de Cirurgiões. Publicado em: 2000-08
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15. Eletrocauterização bipolar da mucosa de Barret apos cirurgia anti-refluxo
Background: The management of Barretl s esophagus requires reduction of gastric acid secretion and screening for the development of adenocarcinoma. However, the current therapeutic options are inneffective in reducing the Barrett s mucosa. The aim of this study was to evaluate the effectiveness of endoscopic thermal coagulation of the Barretl s mucosa as an
Publicado em: 1999
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16. Laparoscopic Nissen fundoplication.
OBJECTIVE: The authors laparoscopic approach for a Nissen fundoplication is presented. SUMMARY BACKGROUND DATA: The technique has been undertaken in 155 patients over 29 months, with 137 patients having been observed for more than 3 months. METHODS: Three hundred sixty degree fundoplication was undertaken using three or four sutures to secure the wrap. Short
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17. Laparoscopic Heller myotomy and fundoplication for achalasia.
OBJECTIVE: The goal of this study was to review the authors' results with laparoscopic cardiomyotomy and partial fundoplication for achalasia. SUMMARY BACKGROUND DATA: Pneumatic dilatation and botulinum toxin (BOTOX) injection of the lower esophageal sphincter largely have replaced cardiomyotomy for treatment of achalasia. After a brief experience with a tho
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18. A learning curve for laparoscopic fundoplication. Definable, avoidable, or a waste of time?
OBJECTIVE: The objective of this study was to determine whether a learning curve for laparoscopic fundoplication can be defined, and whether steps can be taken to avoid any difficulties associated with it. SUMMARY BACKGROUND DATA: Although early outcomes after laparoscopic fundoplication have been promising, complications unique to the procedure have been de
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19. Reoperation after Nissen fundoplication in children with gastroesophageal reflux: experience with 130 patients.
OBJECTIVE: The authors evaluate reoperation for recurrent gastroesophageal reflux (GER) after a failed Nissen fundoplication. SUMMARY BACKGROUND DATA: Nissen fundoplication is an accepted treatment for GER refractory to medical therapy. Wrap failure and recurrence of GER are noted in 8% to 12%. METHODS: Medical records of 130 children undergoing a second ant
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20. Nissen fundoplication for reflux esophagitis. Long-term clinical and endoscopic results in 109 of 127 consecutive patients.
OBJECTIVE: This study evaluates the clinical and endoscopic long-term results of Nissen fundoplication in reflux esophagitis. SUMMARY BACKGROUND DATA: Nissen fundoplication has been reported to give good results in the treatment of gastroesophageal reflux with success rates up to 78-97%. Most of the previous studies on long-term results of fundoplication hav
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21. Nissen fundoplication for gastroesophageal reflux disease. Evaluation of primary repair in 100 consecutive patients.
One hundred consecutive patients had a primary Nissen fundoplication for gastroesophageal reflux disease. None of the patients had previous gastric or esophageal surgery or evidence of esophageal stricture or motility disorder. The primary symptom was persistent heartburn in 89 patients and aspiration in 11. An abnormal pattern of esophageal acid exposure wa
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22. Prospective double-blind randomized trial of laparoscopic Nissen fundoplication with division and without division of short gastric vessels.
OBJECTIVE: To determine whether division of the short gastric vessels (SGVs) and full mobilization of the gastric fundus is necessary to reduce the incidence of postoperative dysphagia and other adverse sequelae of laparoscopic Nissen fundoplication. SUMMARY BACKGROUND DATA: Based on historical and uncontrolled studies, division of the SGVs has been advocate
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23. Outcome of laparoscopic Nissen fundoplication in patients with disordered preoperative peristalsis.
BACKGROUND: A 360 degrees or Nissen fundoplication remains controversial in patients with disordered peristalsis, some surgeons preferring a partial wrap to minimise postoperative dysphagia. AIM: To evaluate symptoms and manometric outcome in patients with disordered peristalsis after Nissen fundoplication. PATIENTS: In an initial series of 345 patients stud
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24. A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease.
OBJECTIVE: The authors examined indications, evaluations, and outcomes after laparoscopic fundoplication in patients with gastroesophageal reflux through this single-institution study. SUMMARY OF BACKGROUND DATA: Laparoscopic fundoplication has been performed for less than 5 years, yet the early and intermediate results suggest that this operation is safe an