Funduplicatura de Nissen por laparoscopia como técnica de elección para el tratamiento de la enfermedad por reflujo gastroesofágico. Laparoscopic nissen. Fatal portal thrombosis after laparoscopic Nissen fundoplication realiza una funduplicatura de Nissen laparoscópica, administrándose 20 mg de enoxaparina . asociación pacientes esófago de Barrett. Reconociendo los síntomas de reflujo gastroesofágico en bebés. No hay nada como Funduplicatura de Nissen.

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A pneumoperitoneum was carried out with CO2 at a controlled maximum pressure of 14 mmHg. Surg Laparosc Endosc, 1pp. Studies have shown that after 10 fuunduplicatura, This is not known and remains speculative. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.

We report the fourth case ever published in the literature to our knowledge, and the first with a fatal outcome. You can change the settings or obtain more information by clicking here.

If postoperative gas-bloat syndrome does not resolve with time, dietary restrictions, counselling regarding funduplicwtura, and correction — either by endoscopic balloon dilatation [ citation needed ] or repeat surgery to revise the Nissen fundoplication to a partial fundoplication — may be necessary.

Initially, vomiting is impossible; however, small amounts of vomit may be produced after the wrap settles over time, and in extreme cases such as alcohol poisoning or food poisoningthe patient may be able to vomit freely with some amount of pain.

Subscribe to our Newsletter. Laparoscopic Nissen fundoplication technique and preliminary results. CS1 German-language sources de CS1 maint: The concurrency of all these factors -laparoscopic surgery, chronic cocaine consumption, abundant gassy drink intake in the immediate postoperative period- increased the risk leading to massive portal thrombosis, which was not prevented by the low molecular weight heparin regimen administered.

File:Procedimientos de funduplicatura de tipo – Wikimedia Commons

Technical fuunduplicatura were excluded after revising surgery tape records. Surg Endosc ; It is therefore useful to preoperatively find any risk-increasing factors in laparoscopic surgery: Portal and mesenteric vein thrombosis is a very uncommon complication of laparoscopic surgery, especially after anti-reflux procedures. Cocaine also has a direct toxic effect on the gastric mucosa and delays gastric emptying due to its anticholinergic effect and action on medullary centers 5.


Portal and mesenteric thrombosis after laparoscopic surgery is very uncommon. This page was last edited on 2 Novemberat When used to alleviate gastroesophageal reflux symptoms in patients with delayed gastric emptyingit is frequently combined with modification of the pylorus via pyloromyotomy or pyloroplasty. Manometry revealed a mean basal EEI pressure of Comparison of total versus partial laparoscopic fundoplication in the management of gastroesophageal reflux disease.

The modified Nissen fundoplication reflux prevention without xe. Multicenter prospective evaluation of laparoscopic anti-reflux surgery. Cocaine provokes severe splanchnic vasoconstriction due to its sympathetic action, thus blocking the reuptake and removal of cathecolamines.

Min Chir, 38pp. Upper endoscopy revealed severe esophagitis and an image suggesting Barrett’s esophagus.

Trombosis mesentérica y portal tras funduplicatura de Nissen lasparoscópica

An objective assessment of laparoscopic antireflux surgery. We report funduuplicatura fourth case to our knowledge after laparoscopic Nissen fundoplication. If the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection. Would the fatal outcome have been prevented with a longer heparin regimen, with higher doses?

Br J Surg, 83pp. In a fundoplicationthe gastric fundus upper part of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter. Br J Surg, 82pp. The patient was operated on with the following findings: Laparoscopic Nissen fundoplication is a satisfactory alternative to long-term omeprazole therapy.

File:Procedimientos de funduplicatura de tipo nissen.jpg

CiteScore measures average citations received per document published. A Nissen fundoplication was performed. In contrast, surgery for achalasia is generally accompanied by either a Nsisen or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia.


All patients presented symptomatology of GERD with a mean evolution of 5 years and all had received appropriate fundyplicatura therapy for a mean of 24 months. Complications include “gas bloat syndrome”, dysphagia trouble swallowingdumping syndromeexcessive scarring, vagus nerve injury and, rarely, achalasia.

Comparison of medical and surgical therapy for complicated gastroesophageal reflux disease in veterans. The offending gas may also come from dietary sources especially carbonated beveragesor involuntary swallowing of air aerophagia. By using this site, you agree to the Terms fundupliactura Use and Privacy Policy.

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

Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice.

However, the clinical incidence of portal thrombosis is minimal. In other projects Wikimedia Commons. Se continuar a navegar, consideramos que aceita o seu uso.

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.

Necropsy showed extensive thrombosis of both the portal and inferior mesenteric veins with hemorrhagic infarction of the whole small intestine and right colon, acute mucosal ulcers and blood in the intestinal lumen.

Portal and mesenteric venous thrombosis is an uncommon but severe and even fatal complication after laparoscopic anti-reflux surgery. Laparoscopic insufflation of the abdomen reduces portal venous flow.

The surgical technique was laparoscopic Nissen fundoplication.