An Experimental Study of the Effectiveness of Various Antireflux Operations

Leonardi, Howard K.; Lee, Myles E.; El-Kurd, M. Fathi; Ellis, F. Henry

doi:10.1016/s0003-4975(10)63745-9

Cited by 27 publications

(5 citation statements)

References 10 publications

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“…For patients with severe GORD surgical treatment is an effective way to control the gastro-oesophageal re¯ux. The most commonly used surgical procedure is a 360°f undoplication 4,5 which has conventionally been performed via a midline upper abdominal laparotomy. The surgical treatment aims at constructing an effective mechanism capable of preventing re¯ux of gastric contents into the oesophagus while maintaining the ability to swallow and belch 6 .…”

Section: Introductionmentioning

confidence: 99%

Randomized clinical trial of laparoscopic versus open fundoplication: blind evaluation of recovery and discharge period

Nilsson

Larsson

Johnsson

2000

Journal of British Surgery

131

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Section: Introductionmentioning

confidence: 99%

Randomized clinical trial of laparoscopic versus open fundoplication: blind evaluation of recovery and discharge period

Nilsson

Larsson

Johnsson

2000

Journal of British Surgery

131

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“…Hiatal plication is necessary to reduce an excessively wide opening in the diaphragm for passage of the oesophagus; oesophagopexy is essential to avoid sliding of the oesophagus; gastropexy helps in maintaining the stomach in a correct position; the antireflux procedures prevent gastro-oesophageal reflux from increasing the pressure of the LES (Sivacolundhu et al 2002). Different techniques have been proposed to avoid gastro-oesophageal reflux (Leonardi et al 1977), but the Nissen fundoplication is the most frequent technique performed (Bright et al 1990;Sivacolundhu et al 2002). In the case reported here the Nissen fundoplication could be indicated but, with reference to the literature, we decided not to perform it (Callan et al 1993;White 1993;Lorinson and Bright 1998;Sivacolundhu et al 2002), to avoid the severe complications reported: dysphagia, inability to belch, "gas bloat" and recurrence of stomach herniation with possible strangulation (Gaskell et al 1974;Callan et al 1993).…”

Section: Discussionmentioning

confidence: 99%

Combined surgical and endoscopic approach for the reduction of a congenital hiatal hernia in a cat: a case report

Pisoni¹,

Magno²,

Cinti³

et al. 2014

Vet. Med. - Czech

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A case of surgical resolution of type I or "sliding" hiatal hernia is reported. A seven-month-old kitten was presented because of abdominal discomfort, accelerated breathing after eating and chronic vomiting. The clinical examination was unremarkable. Thoracic radiographs and gastroscopy led to the diagnosis of type I hiatal hernia. The surgical resolution consisted of hiatal plication, oesophagopexy and left-flank incisional gastropexy. All procedures were carried out using a 6 mm videoendoscope positioned in the stomach to evaluate the right oesophago-gastric junction reduction. One week after surgery there was a recurrence of symptoms and a second laparotomy was performed. During the second surgery additional hiatal plication was necessary and an oesophagopexy was repeated after dissection of the phrenico-oesophageal ligament. Moreover, a new incisional gastropexy was carried out after resolution of the first one. The cat recovered without complications and at oneyear follow-up did show no signs related to the hiatal hernia. This communication reports on possible additional surgical techniques in cases of type I hiatal hernia and contributes to an understanding of the importance of oesophagopexy in cases of hiatus malformation.

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“…The reflux evaluation occurrence by applying pressure on the stomach has been widely used in experimental studies and all showed an increase in intragastric pressure and stretching esophagus segment through the involved valve 16,24,28 . During surgery, the spontaneous reflux occurrence was observed with stomach compression through refluxed fluid collection into the esophagus and analysis with pH tape.…”

Section: Discussionmentioning

confidence: 99%

Gastroplastia a Collis associada à fundoplicatura parcial ou total: estudo experimental

Lopes¹,

Andreollo²

2011

ABCD, arq. bras. cir. dig.

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RACIONAL: A esofagite de refluxo complicada com estenose e encurtamento do órgão é doença de difícil tratamento cirúrgico com frequente insucesso. A gastroplastia a Collis associada à fundoplicatura parcial ou total pode ser empregada nesta situação. OBJETIVOS: Avaliar a técnica da gastroplastia a Collis com fundoplicatura parcial ou total em cães. MÉTODOS: Sete cães foram submetidos a Collis-Lind (Grupo A) e quatro a Collis-Nissen (Grupo B) após miotomia da junção esofagogástrica. O refluxo foi avaliado com medidas de pH e as pressões na transição esofagogástrica com microtransdutores. RESULTADOS: Após a miotomia ocorreu refluxo livremente em todos os animais. Entretanto, após a operação de Collis-Lind ou Collis-Nissen o refluxo espontâneo não ocorreu. A aplicação de pressão manual sobre o estômago, promoveu refluxo em 28,5 % dos animais do Grupo A. A avaliação das pressões na peça cirúrgica mostrou que não houve diferença na zona de alta pressão, nos dois grupos. CONCLUSÃO: A operação de Collis-Lind ou Collis-Nissen impediu o refluxo gastroesofágico. As medidas das pressões e a extensão da zona de alta pressão foram semelhantes nos dois grupos.

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An Experimental Study of the Effectiveness of Various Antireflux Operations

Cited by 27 publications

References 10 publications

Randomized clinical trial of laparoscopic versus open fundoplication: blind evaluation of recovery and discharge period

Randomized clinical trial of laparoscopic versus open fundoplication: blind evaluation of recovery and discharge period

Combined surgical and endoscopic approach for the reduction of a congenital hiatal hernia in a cat: a case report

Gastroplastia a Collis associada à fundoplicatura parcial ou total: estudo experimental

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