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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1516_Библиотеки_им_академика_М_И_Перельмана.pdf
211
history, 77, 78
meta-analyses, 86, 88
operative technique
edema, 84
fundus, 81
hernia sac, 81, 82
hiatoplasty, 82
hiatus and cardia, 80, 81
pathway, 85
sandwich-technique, 80
shaping and creation, 83, 84
principle of action, 79, 80
Toupet-fundoplication, 78
Non-erosive reux disease (NERD), 51
O
Obesity, 167
P
Paraesophageal hernia (PEH)
Allison’s early classication system, 150
emergency procedures, 156, 157
endoscopic Hill classication, 152–154
hiatal hernia types, 150, 151
HSA, 155
LES, 154, 155
morphologic types, 149, 150
robotic repair (see Robotic hiatal
hernia repair)
short esophagus (see Short esophagus)
Skinner’s classication, 151, 152
surgical intervention, 162, 163
technical principles, 159–161
true paraesophageal hernia, 157, 158
upside-down stomach, 158, 159
Pathophysiology
histopathologic considerations, 10–12
LES, 7, 8, 13
ProGERD study, 13
surgical and mechanical thinking, 7
TLESR, 9, 10
Pneumothorax, 131
Proton pump inhibitor (PPI), 171
acute symptoms, 48
acute therapy, 41, 42
Barrett‘s esophagus, 49
development, 40
diagnostic workup, 48
epigastric and thoracic pain and
heartburn, 41
guideline, 47
initial treatment, 41
limitation, 42
long-term therapy, 41–43
overlapping symptoms, 48
risk of complications, 48
safety, 43
Q
Quality of life (QOL), 133, 162
R
Reux asthma syndrome, 22
Reux cough syndrome, 22
Reux dental erosion syndrome, 22
Reux laryngitis syndrome, 22
Robotic fundoplication, 134, 135
Robotic hiatal hernia repair
cost analysis, 134, 135
indication, 134
operative technique
anterior gastropexy, 131
crural closure, 128
docking, 124, 125
elective and emergency
settings, 122
esophageal lengthening, 127
fundoplication, 129, 130
hernia reduction, 125–127
mesh reinforcement, 130
operating room (OR) setup, 123
patient positioning, 123
posterior gastropexy, 131
relaxing incisions, 128
trocar placement, 124
outcomes, 133
peri-operative complications
dysphagia, 132, 133
esophageal perforation, 132
gastric perforation, 132
gastroesophageal reux, 133
intrathoracic bleeding, 132
pneumothorax, 131
vagal injury, 131, 132
preoperative evaluation, 121
acute volvulus, CT scan, 121
barium swallow, 122
HRM, 122
pH monitoring, 122
upper endoscopy, 121
reoperation, 133, 134
symptomatic patient, 120, 121
Roux-en-Y gastric bypass
(RYGB), 168
Index
212
S
Short esophagus
Collis gastroplasty, 145, 146
difcult situation, 203, 204
identication, 140
management of
Collis gastroplasty, 142
esophageal lengthening, 141
hiatal closure, 141
objective test results, 145
pneumoperitoneum, 141
preoperative symptoms, 145
staple lines, 142–144
toupet fundoplication, 144, 145
WFCG technique, 141, 142
Sleeve gastrectomy (SG)
bariatric surgery, 168
fundoplication failure, 168
intraoperative techniques, 170
LES, 167, 168
pathophysiology, 169
postoperative management, 170, 171
preoperative evaluation, 169, 170
Somatoform disorders, 23, 24
Stretta device, 60
Stretta system, 62
Surgical management
Belsey Mark IV fundoplication, 71
comparative outcomes, 72, 73
endoscopic methods, 72
gastric bypass, 72
indications, 69, 70
magnetic sphincter augmentation, 72
Nissen fundoplication, 71
operative procedures, 71
partial fundoplication, 71
preoperative evaluation, 70
Symptoms, 1, 2
chief complaints, 20, 21
diagnosis, 20
esophageal motility disorders, 23
extra-esophageal symptoms, 22
heartburn and regurgitation, 20–22
Montreal classication, 19
patient history, 22
somatoform disorders, 23, 24
T
Total number of postprandial transient LES
relaxations (TLESRs), 189
Toupet fundoplication, 78, 130, 144, 145
Toupet hemifundoplication
advantage, 98
clinical results, 96, 99, 100
dysphagia rate, 99
history, 95, 96
operative technique, 96–98
randomized trials, 98, 99
tailored approach, 98
Transient lower esophageal sphincter
relaxations (TLESRs), 9, 10
Transoral incisionless fundoplication (TIF), 72
W
Wedge fundectomy Collis gastroplasty
(WFCG) technique, 141, 142
Index