Calidad de vida y resultados a largo plazo de las reintervenciones efectuadas por laparoscopia tras cirugía del hiato esofágico

Ortiz, Inmaculada; Targarona, Eduardo M.; Pallarès, Lluís Cases; Marinello, Franco; Balagué, Carmen; Trías, Manuel

doi:10.1016/j.ciresp.2009.02.005

Cited by 9 publications

(3 citation statements)

References 32 publications

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“…10 Los factores anatómicos que ameritan revisión quirúrgica son el deslizamiento de la funduplicatura, plicatura muy ajustada, dehiscencia de la misma o hernia hiatal recurrente, siendo la migración intratorácica el fallo más frecuente. 11,12 Entender qué es lo que lleva a la falla es crítico para el éxito de una posible reintervención.…”

Section: Introductionunclassified

“…El índice de recurrencia radiográfica se reporta en 12-16% con recurrencia sintomática que amerita una o más reintervenciones en 3-11% de los casos. 13 Las reintervenciones sobre el hiato esofágico son más complejas y no siempre se acompañan de respuesta clínica satisfactoria, tienen mayor riesgo de lesiones iatrogénicas y al mismo tiempo incrementan la posible necesidad de una nueva intervención en 3-16% de los pacientes, 11 por lo que es necesario establecer expectativas realistas en cuanto a los resultados funcionales esperados con los pacientes con una o más cirugías previas antirreflujo.…”

Section: Introductionunclassified

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ERGE persistente o recidivante luego de cirugía antirreflujo, síntomas que llevan a la reintervención en un hospital privado de la Ciudad de México

Ruiz¹,

Anzures²,

Romo³

2022

Acta Médica Grupo Ángeles

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The persistence or recurrence of symptoms after antireflux surgery is associated with poor study and initial approach, failures in surgical technique and risk factors specific to the patient. In order to describe the symptoms that lead to a new intervention, time since the first procedure, the technique used and the characteristics of the patients, a retrospective systematic review of 100 clinical records of cases undergoing reintervention of antirreflux surgery during the last four years was carried out in Angeles Pedregal Hospital in Mexico City. Cases with up to three previous surgeries were found, the results showed that heartburn (65%), regurgitation (58%) and epigastric pain (28%) were the most frequent symptoms. The most important isolated risk factor was obesity (23%). More than 50% underwent reoperation within the first 10 years, with slippage of the fundoplication being the most common failure mechanism (71%). Although the results largely coincide with the literature, the systematic comparison of cases with two or more surgeries as in our sample has been reported in few studies in the laparoscopic era, so the present work contributes to the analysis of cases with multiple anti-reflux surgical treatments.

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Section: Introductionunclassified

ERGE persistente o recidivante luego de cirugía antirreflujo, síntomas que llevan a la reintervención en un hospital privado de la Ciudad de México

Ruiz¹,

Anzures²,

Romo³

2022

Acta Médica Grupo Ángeles

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show abstract

“…Many studies have focused on the SF‐36 scale [5,7–11], on versions of the scale [10,11] and on comparisons with other instruments for measuring quality of life [5,7,12], but few have evaluated how patients diagnosed with a digestive tract neoplasia [13,14] awaiting surgery perceive their HRQL at the time at which they are diagnosed and how this perception evolves during the postoperative period. Some authors have also evaluated quality of life during the postoperative period for patients who have undergone abdominal surgery [15–17], and others have focused on evaluating quality of life in the postoperative period for certain non‐neoplastic pathologies [18–21]. Some studies have been published on the quality of life in patients who have undergone non‐digestive surgery [22], others have studied quality of life in patients who have lived for a long time with neoplasia [23], and yet others have evaluated the correlation between scores on quality of life questionnaires and neoplastic patient survival [13].…”

Section: Introductionmentioning

confidence: 99%