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  • Key words: Gastroesophageal reflux disease — Esophagus — Short esophagus — Peptic stricture  (1)
  • Key words: Laparoscopy — Short esophagus — Thoracoscopy treatment  (1)
  • 1
    Electronic Resource
    Electronic Resource
    A combined laparoscopic-endoscopic method of assessment to prevent the complications of short esophagus (1999)
    Springer
    Surgical endoscopy and other interventional techniques 13 (1999), S. 626-627 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Gastroesophageal reflux disease — Esophagus — Short esophagus — Peptic stricture
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. As antireflux surgery has been used increasingly for gastroesophageal reflux disease (GERD), a need has arisen for an accurate method to assess esophageal length. There are a number of preoperative tests that can help surgeons to establish the presence of a short esophagus, but intraoperative assessment after esophageal mobilization is the standard method. In this era of laparoscopic surgery, the surgeon mobilizes the esophagus extensively from the abdomen and then determines if mobilization is sufficient. We report an intraoperative technique that combines laparoscopic with endoscopic methods to determine the position of the gastroesophageal junction. Because two physicians are required, there is additional operating room time, resulting in increased costs. However, these costs are offset by the assurance that the complications of the short esophagus can be avoided. With experience, modifications were made, resulting in the technique described herein.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649901056
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    Paper (German National Licenses)
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  • 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
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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