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  • 1
    Electronic Resource
    Electronic Resource
    Laparoskopische Antirefluxverfahren (1998)
    Springer
    Der Chirurg 69 (1998), S. 148-157 
    Details
    ISSN: 1433-0385
    Keywords: Key words: Gastroesophageal reflux disease ; Antireflux procedures ; Methods ; Techniques. ; Schlüsselwörter: Gastrooesophageale Refluxkrankheit ; Antirefluxoperation ; Methoden ; Techniken.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Endoskopische Antirefluxchirurgie ersetzt zunehmend die traditionellen Operationsverfahren in der Behandlung der therapierefraktären gastrooesophagealen Refluxkrankheit. Diese laparoskopischen Verfahren sind jedoch technisch sehr anspruchsvoll. Komplikationen können aber durch eine sorgfältige Auswahl der Patienten sowie durch die geeignete chirurgische Technik minimiert werden. In jüngster Zeit wurden zahlreiche Nachuntersuchungen mit guten Langzeitergebnissen und geringen Nebenwirkungen publiziert.
    Notes: Summary. Laparoscopic antireflux surgery is rapidly replacing traditional operations for the treatment of medically refractory gastroesophageal reflux disease. These procedures are technically demanding. Troublesome side effects can be minimized by carefully selecting patients and using a meticulous and appropriate technique. Extensive follow-up data are now emerging and indicate that these procedures can offer long-term control of symptoms with few permanent side effects.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001040050389
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Mechanisms and avoidance of esophageal perforation by anesthesia personnel during laparoscopic foregut surgery (1996)
    Springer
    Surgical endoscopy and other interventional techniques 10 (1996), S. 979-982 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Esophageal perforation — Anesthesia personnel — Laparoscopic foregut surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: This study retrospectively assesses the mechanisms of 13 esophageal or gastric injuries resulting from dilator or nasogastric tube placement during laparoscopic foregut surgery and is intended to assist in determining methods of prevention. Methods: Information regarding esophageal or gastric injury during laparoscopic foregut surgery was obtained from six experienced laparoscopic surgeons. The specific mechanisms of injury were determined by discussion with the operating surgeon and review of the operative reports. Results: Eleven cases of esophageal or gastric perforation occurred during bougie insertion and two perforations occurred secondary to nasogastric tube placement during Nissen fundoplication or Heller myotomy. Five perforations required conversion to open operation for repair including two delayed thoracotomies. The 13 injuries occurred during the performance of 1,620 laparoscopic foregut operations for an overall incidence of 0.8%. Conclusion: Foregut injury resulting from esophagogastric intubation during laparoscopic surgery is more common than expected. Risk factors include esophageal anatomy, intrinsic pathologic changes of the esophagus, and inexperience. Prevention must focus on close communication between the surgeon and anethesiologist and safe techniques of dilator insertion.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900218
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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