True Short Esophagus in Gastro-esophageal Reflux Disease: Old Controversies with New Perspectives
Autor: | Niccolò Daddi, L. Ferruzzi, Sandro Mattioli, Marialuisa Lugaresi, Francesco Bassi, V. Pilotti, Benedetta Mattioli |
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Přispěvatelé: | Lugaresi M., Mattioli B., Daddi N., Bassi F., Pilotti V., Ferruzzi L., Mattioli S. |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty hiatus hernia gastro-esophageal reflux disease medicine.medical_treatment Fundoplication Diaphragmatic breathing short esophagu Disease Nissen fundoplication 03 medical and health sciences Esophagus 0302 clinical medicine Humans Minimally Invasive Surgical Procedures Medicine Hernia Aged business.industry Stomach Reflux Middle Aged medicine.disease digestive system diseases Surgery Hernia Hiatal medicine.anatomical_structure Italy 030220 oncology & carcinogenesis Gastroesophageal Reflux GERD Female 030211 gastroenterology & hepatology surgical therapy business |
Popis: | Objective: To explore the true short esophagus (TSE) frequency and longterm results of patients undergoing gastro-esophageal reflux disease (GERD) or hiatus hernia (HH) surgery. Background: The existence and treatment of TSE during GERD/HH surgery is controversial. Satisfactory long-term results have been achieved with and without surgical techniques dedicated to TSE. Methods: In 311 consecutive patients undergoing minimally invasive surgery for GERD/HH, the distance between the endoscopically-localized gastroesophageal junction (GEJ) and the apex of the diaphragmatic hiatus after maximal thoracic esophagus mobilization was measured. A standard Nissen fundoplication (SN) was performed in cases with an abdominal length >1.5 cm; in cases of TSE (abdominal length |
Databáze: | OpenAIRE |
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