N-SLEEVE GASTRECTOMY: AN OPTION FOR OBESITY AND GERD
| Autor: | Guillermo Duza, Edgardo Serra, Mariano Palermo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Sleeve gastrectomy
medicine.medical_specialty RD1-811 medicine.medical_treatment Fundoplication RC799-869 Nissen fundoplication Original Article - Technique Hiatal hernia Gastrectomy medicine Humans Hernia Obesity Bariatric surgery medicine.diagnostic_test business.industry Cirurgia bariátrica Stomach Reflux General Medicine Gastrectomia vertical GERD Middle Aged Diseases of the digestive system. Gastroenterology medicine.disease digestive system diseases Surgery Endoscopy Obesity Morbid medicine.anatomical_structure Hernia Hiatal Treatment Outcome surgical procedures operative Doença do refluxo gastroesofágico Gastroesophageal Reflux Female business Tomography X-Ray Computed |
| Zdroj: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 32, Iss 4 (2019) Arquivos Brasileiros de Cirurgia Digestiva : ABCD ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.32 n.4 2019 ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD |
| ISSN: | 0102-6720 |
| Popis: | Background: Obesity represents a growing threat to population health all over the world. Laparoscopic sleeve gastrectomy induces alteration of the esophagogastric angle due to surgery itself, hypotony of the lower esophageal sphincter after division of muscular sling fibers, decrease of the gastric volume and, consequently, increase of intragastric pressure; that’s why some patients have reflux after sleeve. Aim: To describe a technique and preliminary results of sleeve gastrectomy with a Nissen fundoplication, in order to decrease reflux after sleeve. Method: In the current article we describe the technique step by step mostly focused on the creation of the wrap and it care. Results: This procedure was applied in a case of 45 BMI female of 53 years old, with GERD. An endoscopy was done demonstrating a hiatal hernia, and five benign polyps. A Nissen sleeve was performed due to its GERD, hiatal hernia and multiple polyps on the stomach. She tolerated well the procedure and was discharged home uneventfully 48 h after. Conclusion: N-sleeve is a feasible and safe alternative in obese patients with reflux and hiatal hernia when Roux-en-Y gastric bypass it is not indicated. |
| Databáze: | OpenAIRE |
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