Medical News
Published on December 9, 2001
Cierre del hiato en la fundoplicatura de Nissen laparoscópica
El cierre anterior del hiatus pareciera ser al menos igual de bueno que el cierre posterior , durante la fundoplicatura laparoscópica de Nissen.
Sobre un total de 102 pacientes con enfermedad por reflujo gastroesofágico, se seleccionaron 47 para realizar fundoplicatura con cierre del hiato por delante y 55 por detrás del esófago.
Se evaluaron distintos ítems (disfagia, acidez, satisfacción, etc.) al mes y a los 3 y 6 meses del postoperatorio. Además se determinó objetivamente la presión del esfínter esofágico inferior, el tiempo de vaciado esofágico, la exposición del esófago distal al ácido y - mediante endoscopía - el estado postoperatorio de la anatomía y de la mucosa esofágica. No hubo diferencias significativas entre las dos modalidades de cierre del hiato.
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Published on December 9, 2001
Hernia hiatal
Cierre del hiato en la fundoplicatura de Nissen laparoscópica
El cierre anterior del hiatus pareciera ser al menos igual de bueno que el cierre posterior , durante la fundoplicatura laparoscópica de Nissen.
Fuente: Arch Surg. 2001; 136: 745-751
Se evaluaron distintos ítems (disfagia, acidez, satisfacción, etc.) al mes y a los 3 y 6 meses del postoperatorio. Además se determinó objetivamente la presión del esfínter esofágico inferior, el tiempo de vaciado esofágico, la exposición del esófago distal al ácido y - mediante endoscopía - el estado postoperatorio de la anatomía y de la mucosa esofágica. No hubo diferencias significativas entre las dos modalidades de cierre del hiato.