Incidência e fatores predisponentes da migração da fundoplicatura pela técnica de Nissen-Rossetti no tratamento da doença do refluxo Gastroesofágico

Abstract

The incidence of the fundoplication migration was 18.8%. The gender (female) and higher age influence the probability of migration. The degree of esophagitis, size of hernia and enlargement of the cardia were not risk factors for intrathoracic migration of the fundoplication.

Association of preoperative workup and comorbidities with risk of gastroesophageal surgery failure

“…Other studies have noted similar findings correlating BMI to failure rates [ 8 ]. Female and elderly patients have also been shown in 1 study to have a higher incidence of FO migration; however, sex and age have not correlated with failure rates in other investigations [ 9 ]. Interestingly, it has even been suggested that frequent belching and gagging may lead to higher rates of FO failure [ 10 ].…”

“…It is important to note that the prior literature has also been inconsistent regarding the correlation between age and failure rates. One study demonstrated that older patients had a greater chance of FO migration; however, this has not been successfully replicated [ 9 ]. Given the variation in our findings and the current literature, further investigation still needs to be carried out before a true correlation between age and surgical failure rates can be established.…”

Recurrence of dysphagia post-myotomy: etiologies and management

“…In this case, the most common symptoms / signs in the recent postoperative period are chest pain, dysphagia, and vomiting. Often such symptoms / signs are acute and there is strong association with increased intraabdominal pressure, which increases the risk of valve migration 6 . The investigation of the condition should be done through the esophagogram, visualizing the gastric fundus above the diaphragmatic crura, with narrowing of contrast passage 7 .…”