Fundoplication for Treatment of Hiatal Hernia

Rossetti, M; Allgöwer, M.

doi:10.1159/000394898

Cited by 32 publications

(8 citation statements)

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“…The diagnostic approach to patients suspected of having gastroesophageal reflux disease and being considered for antireflux surgery has 4 important goals: (1) establishing that GERD is the underlying cause of the patient's symptoms; (2) estimating the risk of progressive disease; (3) determining the presence or absence of esophageal shortening; and (4) evaluating esophageal body function, and occasionally, gastric emptying function.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

Current State, Techniques, and Results of Laparoscopic Antireflux Surgery

Bowrey

Peters

1999

Surgical Innovation

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The introduction of laparoscopic fundoplication has dramatically changed the face of antireflux surgery. Central to the success of laparoscopic fundoplication is careful preoperative patient evaluation and attention to surgical technique. Emerging evidence has questioned the long-term durability of laparoscopic partial fundoplications underscoring the place of laparoscopic Nissen fundoplication as the procedure of choice for most patients. The technique of laparoscopic Nissen fundoplication should incorporate crural closure, complete fundic mobilization by short gastric vessel division, and the creation of a short, loose fundoplication by enveloping the anterior and posterior fundic walls around the esophagus. Relief of typical reflux symptoms can be anticipated in over 90% of patients. The outcome of atypical reflux symptoms is less predictable, on average two thirds of patients benefiting. The cost of laparoscopic fundoplication compares favorably to long-term medical therapy and open fundoplication. Current trends indicate that laparoscopic fundoplication is being used increasingly as an alternative to long-term medical therapy.

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Section: Preoperative Evaluationmentioning

confidence: 99%

Current State, Techniques, and Results of Laparoscopic Antireflux Surgery

Bowrey

Peters

1999

Surgical Innovation

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“…One 10-mm port was placed in patients over 10 kg to allow for the use of the Harmonic scalpel (Ethicon Endosurgery Inc., Cincinnati, Ohio). Eighteen of the 56 patients had the Rosetti modification of the Nissen fundoplication [15].…”

Section: Surgical Endoscopymentioning

confidence: 99%

Laparoscopic fundoplication to enhance pulmonary function in children with severe reactive airway disease and gastroesopheagal reflux disease

et al. 1997

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“…Die Mehrjahresresultate haben die Dauerhaftigkeit dieser Therapie erwiesen [3]. In diesen F~illen hat sich uns die alleinige im Thoraxbereich notwendigerweise totale Vagotomie in Verbindung mit einer Drainageoperation bew~ihrt.…”

Section: Operation Bei Peptischer Stenoseunclassified

Refluxoesophagitis

Allgöwer

Siewert

1976

Langenbecks Arch Chiv

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The term "Refluxdisease" consider an esophageal response (either subjective or objective) to injury caused by gastrointestinal contents. Thickening of the basal layer of the esophageal mucosa, reflux esophagitis, endobrachyesophagus, acquired short esophagus and peptic stenosis are different stages of the objective esophageal response. The diagnosis of reflux disease must take account of these findings where appropriated. The various stages of reflux disease can only by recognized and adequately treated following an exact diagnosis that takes into account as may parameters as possible. For this reason fundoplication, which is at present the most effective procedure, should only be performed when the indications are particularly strong.

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Fundoplication for Treatment of Hiatal Hernia

Cited by 32 publications

References 0 publications

Current State, Techniques, and Results of Laparoscopic Antireflux Surgery

Current State, Techniques, and Results of Laparoscopic Antireflux Surgery

Laparoscopic fundoplication to enhance pulmonary function in children with severe reactive airway disease and gastroesopheagal reflux disease

Refluxoesophagitis

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