Document Detail


[Antireflux operations: indications and techniques].
MedLine Citation:
PMID:  23532487     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In severe gastroesophageal reflux disease fundoplication is a sound therapeutic alternative if long-term treatment with proton pump inhibitors is not a viable option. However, careful patient selection is mandatory and reflux disease has to be proven objectively. Patients who are particularly prone to develop postoperative functional side effects should be excluded.For surgical treatment either a 360° wrap (Nissen) or a 270° wrap (Toupet) can be performed with more or less equivalent results. The common technical denominators are to achieve a loose, short wrap. In both instances the cuff has to be fixed securely with non-absorbable sutures and any damage to the vagal innervation has to be avoided.Long-term reflux prevention is excellent and superior to medical treatment; nonetheless, functional side effects still occur and to keep the incidence as low as possible preoperative selection of patients is essential.
Authors:
H Feussner; D Wilhelm
Publication Detail:
Type:  English Abstract; Journal Article; Review    
Journal Detail:
Title:  Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen     Volume:  84     ISSN:  1433-0385     ISO Abbreviation:  Chirurg     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-27     Completed Date:  2013-09-30     Revised Date:  2013-12-11    
Medline Journal Info:
Nlm Unique ID:  16140410R     Medline TA:  Chirurg     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  339-50     Citation Subset:  IM    
Vernacular Title:
Antirefluxoperationen : Indikation und Techniken.
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MeSH Terms
Descriptor/Qualifier:
Dissection / methods
Follow-Up Studies
Fundoplication / methods*
Gastroesophageal Reflux / diagnosis,  surgery*
Hernia, Hiatal / diagnosis,  surgery
Humans
Laparoscopy / methods*
Long-Term Care
Patient Selection
Postoperative Complications / etiology,  prevention & control
Proton Pump Inhibitors / therapeutic use
Surgical Mesh
Suture Techniques
Treatment Failure
Treatment Outcome
Chemical
Reg. No./Substance:
0/Proton Pump Inhibitors
Comments/Corrections
Comment In:
Chirurg. 2013 Oct;84(10):902-4   [PMID:  24071974 ]
Chirurg. 2013 Oct;84(10):904

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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