دورية أكاديمية
Feasibility, safety, and short-term efficacy of the laparoscopic Nissen-Hill hybrid repair.
| العنوان: | Feasibility, safety, and short-term efficacy of the laparoscopic Nissen-Hill hybrid repair. |
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| المؤلفون: | Aye RW; Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA, 98104, USA. Ralph.Aye@swedish.org., Qureshi AP; Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA, 98104, USA., Wilshire CL; Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA, 98104, USA., Farivar AS; Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA, 98104, USA., Vallières E; Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA, 98104, USA., Louie BE; Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA, 98104, USA. |
| المصدر: | Surgical endoscopy [Surg Endosc] 2016 Feb; Vol. 30 (2), pp. 551-558. Date of Electronic Publication: 2015 Jun 12. |
| نوع المنشور: | Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| مواضيع طبية MeSH: | Barrett Esophagus/*surgery , Fundoplication/*methods , Hernia, Hiatal/*surgery , Laparoscopy/*methods, Adult ; Aged ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Patient Safety ; Prospective Studies ; Quality of Life ; Recurrence ; Treatment Outcome |
| مستخلص: | Background: A novel antireflux procedure combining laparoscopic Nissen fundoplication and Hill repair components was tested in 50 patients with paraesophageal hernia (PEH) and/or Barrett's esophagus (BE) because these two groups have been found to have a high rate of recurrence with conventional repairs. Methods: Patients with symptomatic PEH and/or non-dysplastic BE underwent repair. Quality of life (QOL) metrics, manometry, EGD, and pH testing were administered pre- and postoperatively. Results: Fifty patients underwent repair. There was no mortality and four major complications. At 13-month follow-up, there was one (2%) clinical recurrence, and two (4%) asymptomatic fundus herniations. Mean DeMeester scores improved from 57.2 to 7.7 (p < 0.0001). Control of preoperative symptoms was achieved in 90% with 6% resumption of antisecretory medication. All QOL metrics improved significantly. Conclusions: The hybrid Nissen-Hill repair for patients with PEH and BE appears safe and clinically effective at short-term follow-up. It is hoped that the combined structural components may reduce the rate of recurrence compared to existing repairs. |
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| فهرسة مساهمة: | Keywords: Antireflux surgery; Barrett’s metaplasia; Laparoscopic; Minimally invasive; Paraesophageal hernia repair |
| تواريخ الأحداث: | Date Created: 20150613 Date Completed: 20161006 Latest Revision: 20190319 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s00464-015-4238-2 |
| PMID: | 26065538 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-2218 |
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| DOI: | 10.1007/s00464-015-4238-2 |