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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1365_Библиотеки_им_академика_М_И_Перельмана.pdf
306
Index
Gastrooesophageal reux disease activity
index (GRACI), 283
Gastropericardial stula, 199
GERD symptom scale (GERSS), 284
Gore Bio-A mesh, 137
H
Half-Fourier-acquired single-shot turbo spin
echo (HASTE) sequence, 24
Health related quality of life (HRQoL),
282, 286
GERD, 282
Heartburn, 74
Herniation, 145
Hiatal hernia, 29, 63, 66, 67, 73, 155
antegrade endoscopic view, 108, 109
assessment, 108, 110
barium swallow, 202
clinical features
and fundoplication failures, 157–159
uoroscopy, 159
high-resolution impedance-manometry
(HRIM), 161–162
diagnostic workup, 34, 36, 62
paraesophageal hernias, 63, 66, 67
echocardiogram, 66
EGJ, 34
endoscopic ultrasound, 66
Hiatal hernia repair, 198
Hiatal/paraesophgeal hernias, 270
High-resolution esophageal manometry
(HREM), 95, 96, 108, 225
High-resolution impedance manometry
(HRIM), 33, 133, 161, 179, 182,
186–189
interpretation, 183
deglutitive LES relaxation, 186
distal latency, 186
EGJ and upper esophageal sphincter
assessment, 186
individual impedance based metrics,
188, 189
metrics, 186
peristaltic integrity, 187
peristaltic vigor, 187
pressure-ow parameters, 189
pressurization pattern, 187, 188
study protocol, 182, 183
topography, 185
High-resolution manometry (HRM), 30–32,
161, 182, 204
hiatus hernia, Chicago classication, 35
hypersensitivity testing, 154
pressure topography, 213
Hill fundoplication, 84
Hill’s endoscopic classication, 110
Hypotensive peristalsis, 33
I
Impedance-HRM, 43
Impedance-pH testing, 78
Incarceration/strangulation, 133
Ineffective esophageal motility (IEM), 33
Insufation, 203
Intact fundoplication, 198
Integrated relaxation pressure (IRP), 184
Intra- and postoperative variables, 143–144
Intrabolus pressure slope (IBP slope), 190
Intraoperative control, of GEJ position, 260
Intraoperative endoscopy, 227, 246
Intrathoracic migration, of valve, 261
Irritable bowel syndrome (IBS), 217
L
Laparoscopic anti-reux surgery (LARS),
73, 76, 85, 97, 105, 170–174,
255, 283
failure
fundoplication, 172–174
preoperative workup, 170–172
hiatal repair surgical aspects, 157
indications, 170
quality of life, 286–289
Laparoscopic approach, 127
Laparoscopic Collis gastroplasty, 227
Laparoscopic Collis-Nissen
gastroplasty, 247
Laparoscopic fundoplication, 86, 285
Laparoscopic hiatal hernia repair, 131
Laparoscopic Nissen fundoplication (LNF),
94, 100, 284, 287, 291
Laparoscopic partial anterior fundoplication
(LAF), 96, 100
vs. LNF, 101
Laparoscopic posterior partial fundoplication
(LPF), 98, 100
Laparoscopic pyloroplasty, 226
Laparoscopic reoperation, failed
anti-reux procedure
failure pattern, 256–258
intraoperative complications, 261
long-term outcomes, 262–264
paraesophageal hernia, 233
reoperation techniques, 258–261
surgical procedures, 256
Laparoscopic repair, of PHH, 142–145,
147–149
Index
307
basic principles, 135–137
diagnostic evaluation, 133–135
epidemiology, 132
mesh complications
dysphagia, 148–149
mesh erosion, 142
mesh related brosis, 142–145
reoperation, 147–148
patient selection and indications, 133
Laparoscopic Roux en Y Gastric Bypass
(LRYGB), 220
Laparoscopy, 223, 226
posterior suture cruroplasty, 136
retro-esophageal dissection, 125
Large incarcerated paraesophageal
hernias, 205
Large PHH, 132
Laryngeal symptoms, 74
Linx procedure, 124, 126, 127, 129
Liver retractor, 242
LOTUS trial, 284
Lower esophageal sphincter (LES), 30, 31, 34,
52, 55, 73, 76, 94, 108, 115, 153,
179, 184
Lower esophageal sphincter-fundoplication
(LES-F) complex, 216
Lumivision
®
, 21
M
Magnetic resonance imaging (MRI),
18–20, 23
Nissen fundoplication, 22
Magnetic sphincter augmentation
biomechanics of, 124
clinical experience synopsis, 126–128
operative technique, 124–126
perioperative management, 124
role, in Hiatus Hernia, 128–129
Manometry, 32, 37, 76, 205, 213, 240, 284
Medical management vs. surgery, 99
Mesh erosion, 142
Mesh related brosis, 142
Meshes, types of, 137
Metastatic emphysema, 201
MII. See Multichannel intraluminal
impedance (MII)
Morgagni hernias, 64
MRI. See Magnetic resonance imaging (MRI)
Mucosal breaks, 52
Multichannel intraluminal impedance (MII),
38, 59
pH therapy, 61
MUSE device, 118
MUSE™ endoscopic stapling system, 114, 118
N
Narrow gastric tube reconstruction (NGT), 24
Nasogastric tube (NGT) decompression, 205
Nathanson liver retractor, 227
Nissen fundoplication, 22, 79, 80, 83, 85, 87,
93, 136, 227, 247, 281, 284
Nissen-Hill hybrid repair, 248
Non-absorbable mesh, 132, 137
Non-erosive reux disease (NERD), 53, 286
Novel endoscopic anti-reux procedures, 105
ARMS, 119
EART, 114, 116, 118
GERD management, 106–108, 111, 113
O
Obesity, 29, 79, 113, 200
EGJ, 33
Oblique sling muscular bers, 155
Off-therapy pH testing, 57
On-therapy pH testing, 58
Operating room set-up, 276
Outcome and quality of life (QOL), 132
P
Paraesophageal hernias (PEH), 63, 65, 66, 77,
172, 223, 270
function evaluation, 65, 66
hernia diagnosis, 63
preoperative diagnostic workup, 63
Paraesophageal hiatus hernias (PHH), 131
Partial anterior fundoplication, 96, 173
Partial fundoplication, 84
Partial posterior fundoplication, 173
Patient body habitus, 219
Peristaltic vigor, 187
pH monitoring, 171
GERD, 75
Phreno-esophageal ligament, 124
Plain chest radiographs, 63, 201
Pneumothorax, intraoperative, 86
Polytetrauoroethylene (PTFE) mesh, 245
Posterior complete fundoplication
technique, 98
Posterior hiatoplasty, 126
Posterior vagus nerve, 243
Post-fundoplication dysphagia, 190, 287
Post-operative dysphagia, 99, 100, 179
Pressure at nadir impedance
(PNadImp), 190
Pressure inversion point (PIP), 182
Pressure-ow analysis paradigm, 190
Pressure-ow index (PFI), 190
Prolonged pH monitoring, 215
308
Index
Prosthetic material vs. PHH repair, sutures,
137–138
Proton pump inhibitors (PPI), 29, 33, 37, 41,
75, 94, 105, 281, 284, 285
Psychological general well-being (PGWB),
287
Psychological general well-being index
(PGWBI), 283, 284
Pyloromyotomy, 231
Q
Quality of life
anti-reux surgery, 286
laparoscopic anti-reux surgery, 286
laparoscopic fundoplication, 285
Quality-of-life in reux and dyspepsia
(QOLRAD), 283, 284
R
Randomized controlled trial (RCT), 138
Randomized single-arm trial, 127
Real-time MRI, 21
Recurrence
esophagogram, 145
herniation, 145
Recurrent hiatal hernia, 201
Recurrent paraesophageal hernias,
223, 228, 241
clinical presentation, 224
endoscopic view, 229
evaluation, 224, 225
post operative care, 228
surgical planning, 225, 226
technical considerations, 226, 227
upper GI, 230
Recurrent PHH, revision strategies, 234–238,
240–244, 246–250
failure causes
failure classication, 237–238
patient factors, 236
radial and axial tension, 234–236
technical issues, 236
recurrence identication
operation, 240
two-phase esophagography, 238
surgical strategies
crural closure, 244
exposure/dissection, 242–244
gastropexy/gastrostomy tube, 248
intra-operative endoscopy, 246
long-term post-operative care, 250
open conversion, 249
post-operative considerations, 249–250
preparation, 241–242
Roux-en-Y Bypass, 249
short esophagus, 246–248
Redo fundoplications, 290
Redo robot assisted laparoscopic
paraesophageal herina
repair, 275–277
Reux barrier, 154
Reux disease, 155
Reux esophagitis, 32
Reux hypersensitivity, 41
REFLUX trial, 284
Regurgitation, 74
Respiratory tract symptoms, 199
Retro-esophageal window, 124
Revisional PHH
classications, 270–271
operative treatment, 271
primary repair, failure, 273
Redo PEH, 273–274
surgical repair, 272–273
Right posterior dissection, 243
Robotic assisted laparoscopic (RAL), 272
Robotic patient side cart, 276
Robotic repair, of paraesophageal hernia, 277
Robotic revisional bariatric surgery, 274
Roux-en-y (RNY) gastrojejunostomy,
231, 274, 291
S
Safety prole analysis study, 128
Secondary achalasia, 22
Semicircular clasp muscular ber, 155
Short esophagus, 246
Single-center cohort study, 127, 128
Sleeve gastrectomy, 226
Slipped fundoplication, 257
Slipped Nissen, 237
Sound fundoplication, 215
Splenic injury/bleeding, 86
Squamocolumnar junction (SCJ), 56
Stenosis, 23
Stretta, 114, 115
Suture vs. mesh cruroplasty, 146
Swallow-induced LES relaxations, 32
Symptom Association Probability (SAP), 57
Symptom Index (SI), 57
Symptom reux probability (SAP), 40
Symptom-reux association, 39
T
T2w HASTE sequences, 22
TF. See Transoral fundoplication
Time from nadir impedance to peak pressure
(TNIPP), 190
Index
309
Total-EGJ-CI, 36
Toupet fundoplication, 79, 99
Transdiaphragmatic migration, 273
Transient lower esophageal sphincter
relaxations (TLESRs), 31, 32, 34,
42, 156, 219
Transoral fundoplication (TF), 108, 116
TrueFisp sequences, 24
24-h ambulatory pH study, 135
Twenty-four hour pH monitoring, 282, 284
Type I hiatal hernias, 62
U
Ultrafast MR sequences, 17
Upper endoscopy, 172
Upper esophageal sphincter (UES), 187
Upper gastrointestinal endoscopy, 203
Upper laparotomy, for peritonitis, 242
V
Vagal nerve injury, 224
Videoesophageal study, 201
Videouoroscopy, 18
Visual analog scale (VAS), 283, 284, 287
W
Water brash, 74
Wind-related side effects, 100
Wireless pH monitoring, 53, 55