Abstract:
BACKGROUND AND STUDY AIMS:Surgical repair of paraesophageal hernia is mandatory, due to the risk of severe complications, and it can be accomplished via the laparoscopic route. This study presents the results of laparoscopic repair of paraesophageal hernia combined with anterior hemifundoplication. PATIENTS AND METHODS:During a two-year period, ten consecutive patients with paraesophageal hernia (six men, four women; mean age 73, range 55-82) underwent laparoscopic treatment. Five patients presented with symptoms of gastroesophageal reflux, while another four reported lower chest pain. There was one patient in whom the paraesophageal hernia was manifested with upper gastrointestinal bleeding. Six patients had type III hiatal hernia. They all underwent esophagography, upper gastrointestinal endoscopy, stationary manometry, and 24-hour ambulatory pH-metry, preoperatively and within three months postoperatively. At laparoscopy, the hernia content was completely reduced, the sac excised, and the diaphragmatic crura approximated. The operation was completed with an anterior hemifundoplication. In three cases, a prosthetic mesh was applied to close the hiatal defect securely. RESULTS:Operating times ranged from 75 min to 125 min (mean 90 min). There were no postoperative deaths. One patient developed atelectasis, and another had empyema of the left pleura, treated with drainage and antibiotics. All patients but one were discharged on the second or third postoperative day. At the three-month follow-up examination, none of the patients had symptoms related to the paraesophageal hernia, gastroesophageal reflux, or fundoplication. Esophagography demonstrated restoration of normal anatomy at the gastroesophageal region, while esophageal motility was improved, and esophageal pH-metry showed no gastroesophageal reflux. CONCLUSION:Laparoscopic repair of paraesophageal hernias is a safe, technically feasible, and well tolerated procedure, which offers rapid and total relief of symptoms. The addition of an anterior hemifundoplication not only cures preexisting gastroesophageal reflux, but also prevents the development of postoperative gastroesophageal reflux.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Athanasakis H,Tzortzinis A,Tsiaoussis J,Vassilakis JS,Xynos Edoi
10.1055/s-2001-15306subject
Has Abstractpub_date
2001-07-01 00:00:00pages
590-4issue
7eissn
0013-726Xissn
1438-8812journal_volume
33pub_type
杂志文章相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND STUDY AIMS:It is critical that the risk of lymph node metastasis (LNM) is evaluated for determining the suitability of endoscopic resection for T1 colorectal cancer (CRC). Reported risk factors for LNM in completely resected T1 CRC are deep submucosal invasion, grade 3, angiolymphatic invasion, and buddi...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0031-1291665
更新日期:2012-06-01 00:00:00
abstract::Eighty-eight endoscopists (mean age 41 years, range 29-76 years) and a control group of 100 persons of similar ages were investigated for the prevalence of antibodies (ABs) to Helicobacter pylori, using a quantitative enzyme-linked immunosorbent assay (ELISA) to IgG, two semiquantitative ELISAs to IgG and IgA, and a l...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1009067
更新日期:1994-10-01 00:00:00
abstract:BACKGROUND:Data on the long-term outcomes of gastric peroral endoscopic myotomy (G-POEM) for refractory gastroparesis are lacking. We report the results of a large multicenter long-term follow-up study of G-POEM for refractory gastroparesis. METHODS:This was a retrospective multicenter study of all G-POEM operations p...
journal_title:Endoscopy
pub_type: 临床试验
doi:10.1055/a-1205-5686
更新日期:2020-06-23 00:00:00
abstract::Eight-thousand-six-hundred-and-eighty patients were examined endoscopically over a period of six years. Significant pathological lesions were detected in 79.6% of the cases. While duodenal ulcers were seen at the same frequency as in the West, the number of gastric ulcers were considerably fewer, the ratio of gastric ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018321
更新日期:1986-03-01 00:00:00
abstract::The main problem with palliative treatment of extrahepatic cholestasis with an endoscopic biliary endoprosthesis is clogging. One of the factors thought to be of importance is the diameter of the stent. In order to avoid being limited by the size of the instrumentation channel of the endoscope, expandable stents have ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1012969
更新日期:1989-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Guidelines for antibiotic prophylaxis of infective endocarditis associated with gastrointestinal endoscopy are not uniform. Though based on weak scientific evidence, they do represent an attempt to unify the management of antibiotic prophylaxis. We investigated whether physicians who profess t...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2002-23634
更新日期:2002-04-01 00:00:00
abstract::Endoscopic biliary stenting is the most common method of treating obstructive jaundice. We present a new technique of biliary drainage using endoscopic ultrasound (EUS) and EUS-guided puncture of the common bile duct (CBD). A 56-year-old man with obstructive jaundice was referred for EUS and endoscopic retrograde chol...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2001-17324
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Post-colonoscopy colorectal cancers (PCCRCs) may account for up to 50% of all colorectal cancers (CRCs) diagnosed in patients with inflammatory bowel disease (IBD). This may reflect a high colonoscopy frequency; however evidence remains limited. PATIENT AND METHODS:We conducted a cohort study...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1322-6574
更新日期:2020-11-25 00:00:00
abstract::Report on a female patient withe intestinal obstruction which endoscopically showed two radiolucent gallstones visualized by radiological examination of the duodenum with barium and removed through a gastrotomy. ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098500
更新日期:1977-05-01 00:00:00
abstract::Following peptic ulcer hemorrhage, the ability to accurately determine those patients at highest risk of rebleeding relies on clinical and endoscopic criteria which are accurate in only a variable proportion of cases. In this study we have assessed prediction of rebleeding in peptic ulcers using a transendoscopic vasc...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1012795
更新日期:1990-03-01 00:00:00
abstract::ERCP was performed in 57 patients who had undergone Billroth II resection. Cannulation of the papilla of Vater was successfully accomplished in 31 cases (55%). The success rate of ERCP was clearly dependent on the type of Billroth II resection presenting. ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021476
更新日期:1983-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Although endoscopic resection for the treatment of gastric superficial neoplastic lesions is an established first-line treatment in Eastern countries, its role has yet to be considered in Western guidelines, mostly due to a lack of long-term studies. The aim of this study was to describe long-...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1377348
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Obesity is the pandemic disease of this century. Surgery is the only effective treatment but cannot be offered to every patient. Endoscopic sutured gastroplasty is a minimally invasive technique that may potentially fill the gap between surgery and behavioral therapy. In this study, we prospectively investig...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1055/a-0630-1224
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Failed biliary cannulation occurs in up to 10% of patients undergoing ERCP. There is some controversy as to the safety and efficacy of using precut techniques to achieve biliary cannulation in difficult cases. To date, no randomized trial has compared the success and complication rates of prec...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2004-826077
更新日期:2005-01-01 00:00:00
abstract::This article reviews a selection of 50 papers on inflammatory bowel disease published between April 2002 and August 2003. The new information and progress summarized here includes: the role of bacteria, their interaction with CARD15/NOD2 gene products and the modulating effects of probiotics; new imaging techniques, s...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2004-814180
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The use of endoscopic band ligation (EBL) is being extended to treat various causes of upper and lower gastrointestinal bleeding. The aim of this study was to evaluate the usefulness of EBL for control of acute peptic ulcer bleeding and to define the lesions that are most suitable for this tec...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2004-814121
更新日期:2004-01-01 00:00:00
abstract::Short cicatricial stenoses following surgery of the upper gastrointestinal tract are difficult to treat and have a high recurrence rate. A method of eliminating stenoses endoscopically with the aid of diathermy is described. This method has, to date, been employed in 51 patients, and only a single serious complication...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018571
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic obliteration of upper gastrointestinal tract varices using N-butyl-2-cyanoacrylate has been proposed by some authors. The aim of the present study was to evaluate prospectively the efficacy and safety of this technique, using the undiluted substance, in obtaining hemostasis of bleed...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005435
更新日期:1996-02-01 00:00:00
abstract::A survey of intra-uterine endoscopy over the last years is given showing the increased demand for hysteroscopy for diagnosis and therapy of intra-uterine diseases. Its indications include the search for unknown causes of uterine bleeding or sterility. It is also applied for various therapeutic reasons such as for exam...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098330
更新日期:1979-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The use of sedation in upper gastrointestinal endoscopy is widespread, mainly because of the belief that patients are likely to tolerate the procedure better. The aim of the present study was to assess patients' response to the policy of actively persuading them to accept a throat spray for up...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005453
更新日期:1996-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Gastrectomy with lymph node dissection is the gold standard curative treatment for clinical submucosal invasive early gastric cancer (cSM EGC), but a relatively small number of operable patients with cSM EGC have undergone endoscopic submucosal dissection (ESD) instead because they refused sur...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0032-1325929
更新日期:2013-01-01 00:00:00
abstract::Three cases of upper gastrointestinal vasculitis presenting as acute abdominal emergencies highlight an uncommon but often fatal presentation of systemic vasculitis. Although abdominal symptoms are common in such diseases, there may be a doubt during assessment of the patient as to whether the gastrointestinal tract i...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021541
更新日期:1983-09-01 00:00:00
abstract:BACKGROUND:Training in advanced endoscopic techniques such as endoscopic retrograde cholangiopancreatography (ERCP) should be driven by key performance measures and standardized competence assessment in order to provide safe and high-quality interventions. We aimed to determine whether the involvement of trainees influ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1049-0359
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:No previous studies have evaluated the ability of endoscopic ultrasonography to describe the anatomic location of lymph nodes on the basis of a node-to-node comparison. The aim of this study was to assess the feasibility and safety of a new endoscopic ultrasound (EUS)-guided fine-needle techni...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0029-1215378
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:It is not normally difficult to diagnose carcinoid tumors (well-differentiated endocrine neoplasms) of the rectum endoscopically, as they usually have a characteristic appearance. However, little is known about the atypical endoscopic findings in some rectal carcinoids and the present study wa...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2004-814202
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:In endoscopic nasobiliary drainage (ENBD), repositioning the catheter from the mouth to the nose is complicated. We devised a method using catheters with magnets and verified its utility and safety. PATIENTS AND METHODS:We prospectively enrolled 20 patients undergoing ENBD at Yokohama City Un...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0033-1344330
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Double-balloon enteroscopy (DBE) is the first choice endoscopic technique for small-bowel visualization. However, preparation and handling of the double-balloon enteroscope is complex. Recently, a single-balloon enteroscopy (SBE) system has been introduced as being a simplified, less-complex b...
journal_title:Endoscopy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1055/s-0030-1256247
更新日期:2011-06-01 00:00:00
abstract::Endoscopic sclerotherapy in active variceal bleeding stopped bleeding in 48 out of 67 patients (72%). Survival of the acute bleeding episode was related to liver function: 6% mortality in Child A patients vs. 48% mortality in Child C. Comparing two treatment modalities: 24 h Linton balloon tamponade followed by sclero...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018129
更新日期:1988-03-01 00:00:00
abstract::In 4 piglets the gallbladder was punctured under sonographic control threetimes during a period of 46 days. Each puncture was proved by X-ray controls after application of 2-4 ml of a water soluble contrast medium. One day after the third puncture all animals were killed in order to look for macroscopic or microscopic...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098511
更新日期:1977-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIM:Radiofrequency ablation (RFA) to treat Barrett's esophagus is increasingly accepted. Description of the etiology, natural history, and prevalence of buried Barrett's metaplasia (BBM) following RFA is limited, although BBM continues to pose a clinical dilemma. We aimed to assess the prevalence, ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0032-1325678
更新日期:2012-11-01 00:00:00