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  • Articles: DFG German National Licenses  (3)
  • Australia east coast  (1)
  • Key words: Dysphagia — Fundoplication — Laparoscopy — Peptic ulcer — Vagotomy  (1)
  • Key words: Laparoscopy — Short esophagus — Thoracoscopy treatment  (1)
Source
  • Articles: DFG German National Licenses  (3)
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  • 1
    Electronic Resource
    Electronic Resource
    Persistent dysphagia after laparoscopic vagotomy (2000)
    Springer
    Surgical endoscopy and other interventional techniques 14 (2000), S. 330-335 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Dysphagia — Fundoplication — Laparoscopy — Peptic ulcer — Vagotomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Laparoscopic vagotomy represents a new and less invasive treatment for peptic ulcer disease, but the problem of postvagotomy dysphagia has not been solved. The aim of this study was to determine the etiologic factors related to long-term laparoscopic postvagotomy dysphagia. Methods: Two female and 11 male patients with a mean age of 48.5 years who underwent laparoscopic vagotomy were investigated retrospectively. Preoperative diagnosis included duodenal ulcer resistant to medical treatment, gastric hypersecretion, gastric outlet obstruction, cholelithiasis, and gastroesophageal reflux disease (GERD). Ten patients underwent laparoscopic highly selective vagotomy, and three patients had laparoscopic truncal vagotomy with gastrojejunostomy or pyloroplasty. Nine of these patients had a Nissen fundoplication in conjunction with the vagotomy. Results: The median long-term follow-up period was 47 months. Two patients complained of severe dysphagia, one of moderate dysphagia, and two of mild dysphagia. Neither type of vagotomy nor an additional fundoplication was correlated with the severity of postoperative long-term dysphagia. Severity of postoperative dysphagia was associated with severity of preoperative dysphagia (r= 0.752, p= 0.003) but not with heartburn (r= 0.358, p= 0.531) or regurgitation (r= 0.024, p= 0.938). The cause of preoperative dysphagia varied; however, all of these patients had GERD and consequent esophageal lesions. Conclusion: Preexisting dysphagia appears to play an integral role in persistent postoperative dysphagia. Care must be taken to construct a loose fundoplication in patients with dysphagia.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004640020060
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Left side thoracoscopically assisted gastroplasty (2000)
    Springer
    Surgical endoscopy and other interventional techniques 14 (2000), S. 508 -512 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopy — Short esophagus — Thoracoscopy treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Laparoscopic antireflux surgery is the procedure of choice for gastroesophageal reflux disease (GERD). However, many clinicians have reservations about its application in patients with complicated GERD, notably those with esophageal shortening. In this report, we present our experience with the laparoscopic management of the shortened esophagus. A total of 235 patients with primary GERD underwent laparoscopic antireflux procedures, 38 of whom were suspected preoperatively to have a shortened esophagus. Of the 235 patients, 8 (3.4%) needed a left thoracoscopically assisted gastroplasty in addition to laparoscopic Toupet repair (n= 4) or Nissen fundoplication (n= 4). Complications included pleural effusion (n= 1), pneumothorax (n= 2), and minor atelectasis (n= 1). The average hospital stay was 3 days. Results were satisfactory in 7 of 8 patients, with a mean follow-up of 20.2 months (range, 9–34 months). The surgical management of the shortened esophagus is difficult. However, the role of minimally invasive techniques is justified. Early results are appealing, with less morbidity, satisfactory control of GERD related symptoms, and a shortened hospital stay.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004640000091
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Patterns of abundance of exoedicerotid amphipods on sandy beaches near Sydney, Australia (1991)
    Springer
    Hydrobiologia 223 (1991), S. 119-126 
    Details
    ISSN: 1573-5117
    Keywords: amphipods ; crustaceans ; sandy beaches ; population ecology ; Australia east coast
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract Spatial and temporal patterns of abundance of two species of exoedicerotid amphipod at several sandy beaches near Sydney, Australia are described and related to physicochemical factors. Replicate cores were taken at monthly intervals for one year from the swash zone and data were analysed by two-way (site × month), fixed-factor analysis of variance. Spatial and temporal differences in abundance were usually significant but inconsistent because of significant site × month interactions. Spatial differences in Exoediceroides maculosus sometimes occurred in the absence of obvious corresponding physicochemical differences although the density of stranded seagrass and algae may affect abundance. The abundance of Exoediceros fossor was often greater in lagoons than open beaches. Salinity, temperature and storms had no apparent effect on the temporal patterns of abundance of either species.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00047633
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    Paper (German National Licenses)
    Fulltext
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