Funduplicatura de Nissen por laparoscopia como técnica de elección para el tratamiento de la enfermedad por reflujo gastroesofágicoLaparoscopic nissen. TIPOS DE FUNDUPLICATURAS. Arantxa [Medicina]. Funduplicatura. Edgar Duran. Tecnicas plastia inguinal. Consultorios Medicos Nealtican. Many translated example sentences containing “funduplicatura de Nissen” – English-Spanish dictionary and search engine for English translations.

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Urine cocaine detection was not possible, since no sample from the first hours after admission was available.

Nissen fundoplication

In a Dor anterior fundoplication, the fundus is laid over the top of the esophagus; while in a Toupet posterior fundoplication, the fundus is wrapped around the back of the esophagus. Outcomes have improved in recent years, especially at the most skilled and successful clinics [ citation needed ]. Also, hypercapnia due to CO2 absorption brings about a decrease in mesenteric blood flow as a result of vasoconstriction.

Appendicectomy Colectomy Colonic polypectomy Colostomy Hartmann’s operation. This is not known and remains speculative. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.

High pressure causes collapse and, therefore, blood flow resistance increases 2. Nissen fundoplication Diagram of a Nissen fundoplication. We thus believe that there may be another factor playing a central role in its pathogenesis.

Spontaneus resolution of a superior mesenteric vein thrombosis after laparoscopic Nissen fundoplication. The Impact Factor measures the average number of citations received in a particular year by papers published in the funnduplicatura during the two receding years. Lower esophageal sphincter pressure was 3 mmHg normal range, mmHg. Ann R Coll Surg Engl ; It also promotes platelet aggregation and erythrocitosis, and therefore predisposes to arteriolar obstruction.

In some cases, the purpose of this operation is to correct excessive vomiting. Despite anticoagulant therapy, the patient died 24 hours later.


Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty. Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice.

Would a different regimen have diminished the severity of the clinical picture?


The esophageal hiatus is also narrowed down by sutures to prevent or treat concurrent hiatal hernia, in which the fundus slides up through the enlarged esophageal hiatus of the diaphragm. Intraoperative Doppler ultrasounds showed total thrombosis and air in the portal vein, as well as patent mesenteric and hepatic arteries. The procedure has borne his name since it gained popularity in the s.

The patient was operated on with the following findings: The onset of the portal thrombosis clinical picture may vary from insidious, consisting of funduplivatura pain with scanty physical findings, to one of sudden onset with fever, tachycardia and hypotension, later evolving to a shock, as was the ee with our patient.

Colonoscopy Anoscopy Capsule endoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal funduplictura Small-bowel follow-through Transrectal ultrasonography Virtual colonoscopy. Are you a health professional able to prescribe or dispense drugs? Whenever the stomach contracts, it also closes off the esophagus instead of squeezing stomach acids into it.

This page was niswen edited on 2 Novemberat Despite anticoagulation therapy, the patient exhibited a progressive deterioration and died 24 hours after revision surgery. By using this site, you agree to the Terms of Use and Privacy Policy. Fundupliatura Laparosc Endosc, 1pp.

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Could this complication be related to cocaine consumption? A pneumoperitoneum was carried out with CO2 at a controlled maximum pressure of 14 mmHg. No data suggesting hypercoagulability was found. Manometry revealed a mean basal EEI nnissen of High pressure causes collapse and, therefore, blood flow resistance increases 2. However, when its purpose is to reduce gastric reflux, difficulty in vomiting may be funduplcatura undesired outcome.


However, the clinical incidence of portal thrombosis is minimal. Schweizerische Medizinische Wochenschrift in German. Upper endoscopy revealed severe esophagitis and an image suggesting Barrett’s esophagus.

However, the clinical incidence of portal thrombosis is minimal.

Trombosis mesentérica y portal tras funduplicatura de Nissen lasparoscópica

Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure. Studies have shown that after 10 funduplicautra, Dig Surg ; The effect of all these factors increases with surgery time and is aggravated with the patient’s position on the surgery table 4.

Despite anticoagulant funduplicqtura, the patient died 24 hours later. We report the fourth case to our knowledge after laparoscopic Nissen fundoplication.

File:Procedimientos de funduplicatura de tipo nissen.jpg

Then, a cost-effective prophylactic heparin regimen must be defined. CS1 German-language sources de CS1 maint: Surgery time was minutes, with no incidents. Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. Rudolph Nissen — first performed the procedure in and published the results of two cases in a Swiss Medical Weekly.

A prospective study of 61 cases. In “gas bloat syndrome”, fundoplication can alter the mechanical ability of the stomach to eliminate swallowed air by belchingleading to an fundduplicatura of gas in the stomach or small intestine.

It is therefore useful to preoperatively find any risk-increasing factors in laparoscopic surgery:

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