食管反流病的外科治疗

M. Smolár, I. Dedinská, A. Bobulova, M. Hošala, M. Adámik, M. Grajciar, J. Janik, L. Laca
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引用次数: 0

摘要

摘要简介:胃底折叠术是胃食管反流病(GERD)外科治疗中最常用的手术方式。胃底折叠有几种类型。我们研究的目的是确定GERD手术治疗后的并发症。材料和方法:我们确定了监测的几个参数,并记录了与手术相关的并发症:手术并发症的发生率、术后早期和晚期并发症。结果:纳入52例患者(男24例,女28例),平均年龄53.3岁。最常选择的胃底折叠术类型是Nissen-Rossetti。最常见的主观术后困难是颞叶吞咽困难(11.5%)、进食后恶心和呕吐感(3.8%)、手术伤口疼痛和开胸术后出现的呼吸困难。6例(11.5%)患者出现术后早期并发症。结论:我们监测的组并发症发生率高达11.5%,围手术期死亡率为0%。先天性胃食管反流病患者常见先天性疝,它被认为是该疾病发展的主要原因之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Therapy of Esophagus Reflux Disease
Abstract Introduction: Fundoplication is the most frequently used action in the surgical treatment of gastroesophageal reflux disease (GERD). There are several types of fundoplication. The objective of our study was to identify complications after surgical treatment of GERD. Material and Methods: We determined several parameters of the monitored and we recorded complications related to surgery: occurrence of surgical, early and late post-surgical complications. Results: 52 patients (24 men and 28 women) with an average age of 53.3 years were included. The most frequently chosen type of fundoplication was Nissen-Rossetti. The most frequently occurring subjective post-surgery difficulties were temporal dysphagia (11.5%), sensation of nausea and vomiting after eating (3.8 %), pain in the surgical wound, and dyspnoea occurring in all patients after thoracotomy. Early post-surgery complication developed in 6 patients (11.5 %) Conclusion: Occurrence of complications in the group monitored by us was up to 11.5 % and perioperative mortality was 0 %. Hiatal hernia is frequently found in patients with GERD and it is considered to be one of the major causes for the development of this disease.
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来源期刊
自引率
0.00%
发文量
11
审稿时长
14 weeks
期刊介绍: Acta Medica Martiniana is a medical scientific journal, first published in print form in December 2001. It is a continuation of the journal / almanac Folia Medica Martiniana (1971 - 1996). The journal‘s owner is the Jessenius Faculty of Medicine, Comenius University, Slovakia. Dissemination of research results and scientific knowledge from all areas of medicine and nursing. Stimulation, facilitation and supporting of publication activity for the young medical research and clinical generation. The contributions of young novice authors (PhD students and post-doctorials) are particularly welcome. Acta Medica Martiniana is an open-access journal, with a periodicity of publishing three times per year (Apr/Aug/Dec). It covers a wide range of basic medical disciplines, such as anatomy, histology, biochemistry, human physiology, pharmacology, etc., as well as all clinical areas incl. preventive medicine, public health and nursing. Interdisciplinary and multidisciplinary manuscripts, including papers from all areas of biomedical research, are welcome.
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