دورية أكاديمية
Intraoperative endomanometric laparoscopic Nissen fundoplication improves postoperative outcomes in large sliding hiatus hernia with severe gastroesophageal reflux disease. A retrospective cohort study
| العنوان: | Intraoperative endomanometric laparoscopic Nissen fundoplication improves postoperative outcomes in large sliding hiatus hernia with severe gastroesophageal reflux disease. A retrospective cohort study |
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| المؤلفون: | Habeeb, Tamer A A M, Hussain, Abdulzahra, Podda, Mauro, Aiolfi, Alberto, Kryvoruchko, Igor A, Kalmoush, Abd-Elfattah, Labib, Mohamed Fathy, Mustafa, Fawzy M, Elbelkasi, Hamdi, Hamdy, Ahmed, Abo Alsaad, Mohamed Ibrahim, Sallam, Ahmed M, Zaitoun, Mohamed Abdallah, Negm, Mohamed, Mostafa, Abdelshafy, Abdou Yassin, Mahmoud, Elshahidy, Tamer Mohamed, Abdelmonem Elsayed, Ashraf, Mansour, Mohamed Ibrahim, Elaidy, Mostafa M, Moursi, Adel Mahmoud, Yehia, Ahmed M, Ashour, Hassan, Metwalli, Abd-Elrahman M, Abdelhady, Waleed A, Abdelghani, Amr, AbdAllah, Ehab Shehata, Ramadan, Alaaedin, Rushdy, Tamer |
| المساهمون: | Habeeb, Tamer A A M, Hussain, Abdulzahra, Podda, Mauro, Aiolfi, Alberto, Kryvoruchko, Igor A, Kalmoush, Abd-Elfattah, Labib, Mohamed Fathy, Mustafa, Fawzy M, Elbelkasi, Hamdi, Hamdy, Ahmed, Abo Alsaad, Mohamed Ibrahim, Sallam, Ahmed M, Zaitoun, Mohamed Abdallah, Negm, Mohamed, Mostafa, Abdelshafy, Abdou Yassin, Mahmoud, Elshahidy, Tamer Mohamed, Abdelmonem Elsayed, Ashraf, Mansour, Mohamed Ibrahim, Elaidy, Mostafa M, Moursi, Adel Mahmoud, Yehia, Ahmed M, Ashour, Hassan, Metwalli, Abd-Elrahman M, Abdelhady, Waleed A, Abdelghani, Amr, Abdallah, Ehab Shehata, Ramadan, Alaaedin, Rushdy, Tamer |
| سنة النشر: | 2023 |
| المجموعة: | Università degli Studi di Cagliari: UNICA IRIS |
| مصطلحات موضوعية: | Antireflux surgery, Fundoplication, Gastroesophageal reflux disease, Highresolution Manometry, Lower esophageal sphincter |
| الوصف: | Background: Laparoscopic Nissen Fundoplication (LNF) is the gold standard surgical intervention for gastroesophageal reflux disease (GERD). LNF can be followed by recurrent symptoms or complications affecting patient satisfaction. The aim of this study is to assess the value of the intraoperative endomanometric evaluation of esophagogastric competence and pressure combined with LNF in patients with large sliding hiatus hernia (> 5cm) with severe GERD (DeMeester score >100). Materials and methods: This is a retrospective, multicenter cohort study. Baseline characteristics, postoperative dysphagia and gas bloat syndrome, recurrent symptoms, and satisfaction were collected from a prospectively maintained database. Outcomes analyzed included recurrent reflux symptoms, postoperative side effects, and satisfaction with surgery. Results: 360 patients were stratified into endomanometric LNF (180 patients, LNF+) and LNF alone (180 patients, LNF). Recurrent heartburn (3.9% vs. 8.3%) and recurrent regurgitation (2.2% vs. 5%) showed a lower incidence in the LNF+ group (P=0.012). Postoperative score III recurrent heartburn and score III regurgitations occurred in 0% vs. 3.3% and 0% vs. 2.8% cases in the LNF+ and LNF groups, respectively (P=0.005). Postoperative persistent dysphagia and gas bloat syndrome occurred in 1.75% vs. 5.6% and 0% vs. 3.9% of patients (P=0.001). Score III postoperative persistent dysphagia was 0% vs. 2.8% in the two groups (P=0.007). There was no redo surgery for dysphagia after LNF+. Patient satisfaction at the end of the study was 93.3% vs. 86.7% in both cohorts, respectively (P=0.05). Conclusions: Intraoperative high-resolution manometry (HRM) and endoscopic were feasible in all patients, and the outcomes were favorable from an effectiveness and safety standpoint. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/37566907; journal:INTERNATIONAL JOURNAL OF SURGERY; https://hdl.handle.net/11584/372608Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85178544499 |
| DOI: | 10.1097/JS9.0000000000000659 |
| الإتاحة: | https://doi.org/10.1097/JS9.0000000000000659Test https://hdl.handle.net/11584/372608Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.58206D13 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/JS9.0000000000000659 |
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