Pulmonary complications in benign esophageal disease

Iverson, Leigh I.G.; May, Ivan A.; Samson, Paul C.

doi:10.1016/s0002-9610(73)80156-4

Cited by 32 publications

(4 citation statements)

References 6 publications

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“…A number of trials have demonstrated remission of asthma following surgical therapy, and many patients who did not completely remit showed improvement. [16][17][18][27][28][29] This study provides data concerning the results of Thal hemifundoplication. Longterm results of surgical treatment and pulmonary outcome are reported and compared.…”

Section: Discussionmentioning

confidence: 99%

Antireflux surgery in children suffering from reflux-associated respiratory diseases

et al. 1999

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The aim of our study was to evaluate the success, complications, and morbidity following a modified Thal fundoplication in children with reflux‐associated respiratory disease (RARD). We used a procedure consisting of retroesophageal hiatal plasty, wrapping the gastric fundus around the gastroesophageal junction 180°, and fixation of the lesser curvature at the abdominal wall. Follow‐up by questionnaire of 128 (77 male, 51 females) out of 196 antireflux procedures between 1992 and 1995 was achieved. Surgical therapy was considered justified whenever there was gastroesophageal reflux resulting in severe recurrent respiratory symptoms. Eleven percent of the children suffered from bronchiectasis. The diagnosis of RARD was based on a high index of suspicion, barium swallow with fluoroscopy, 24‐hr two‐level pH‐monitoring, bronchoscopy, bronchoalveolar lavage and detection of lipid‐laden alveolar macrophages, esophago‐gastroscopy, and esophageal biopsy. Patients with bronchopulmonary diseases such as allergy, immunodeficiency, cystic fibrosis, primary ciliary dyskinesia, and malformation of the bronchial tree or vessels had been excluded. “Evident improvement” as a result of surgery was reported in 88%, “no change” in 10%, and a “change for the worse” in 2% of patients. Persistent mild difficulties in swallowing were observed in 11%. Paraesophageal hernia, gas‐bloat syndrome, and dumping syndrome were not observed. Two children needed a second operation because of relapse. The use of emergency steroidal medication for acute respiratory distress decreased impressively (219 single doses/year before surgery vs. 30 single doses/year after surgery). The need for more than 4 times/year of antibiotic therapy before surgery was reduced from 52.3% before to 14% after surgery. Most (90.6%) of the parents stated they would agree to have surgery done again if medically indicated. In conclusion, Thal fundoplication is sufficient, safe, and effective in the management of RARD. Complications of the procedure were minor and of little consequence to the patient. Pediatr Pulmonol. 1999; 28:89–93. © 1999 Wiley‐Liss, Inc.

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Section: Discussionmentioning

confidence: 99%

Antireflux surgery in children suffering from reflux-associated respiratory diseases

et al. 1999

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“…Во многих исследованиях показана связь между нарушением моторики пищевода и частотой разви тия аспирационной пневмонии: при гастроэзофаге альном рефлюксе и болезнях пищевода [37,38], со стояниях после гастроэктомии [39], при зондовом питании [40]. Нарушения глотания и моторики пи щевода часто могут сочетаться, что свидетельствует об общих патофизиологических механизмах этих на рушений [41,42].…”

Section: таблица 1 аспирационные синдромыunclassified

Аспирационная Пневмония: Современные Подходы К Диагностике И Терапии

Авдеев¹

2009

Pulʹmonologiâ (Mosk.)

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“…Gastrointestinal disorders have long been recognized as a contributing factor or cause of pulmonary disorders. [15][16][17] Gastroesophageal reflux and aspiration is the common mechanism and occurs because of alteration in normal gastrointestinal function with subsequent failure of normal airway protective mechanisms. These can be broadly classified as disorders that affect esophageal function, esophageal anatomy, and gastric and intestinal motility.…”

Section: Risk Factorsmentioning

confidence: 99%

“…Interstitial lung disease has long been recognized as a complication of repeated aspiration due to an underlying swallowing disorder. [15][16][17]79 This association may not be readily apparent because of the frequent independent occurrence of both disorders. Many interstitial pulmonary diseases have a basal predominance which is also a common location for aspirated contents.…”

Section: Interstitial Lung Diseasementioning

confidence: 99%