Laparoscopic Surgery for Epiphrenic Esophageal Diverticulum
BACKGROUND AND OBJECTIVES: We wanted to assess our surgical results focusing on the patients' quality of life. We present our experience with laparoscopic surgery for epiphrenic esophageal diverticulum. Short- and long-term results of surgical therapy were analyzed. METHODS: Eight patients were...
Elmentve itt :
| Szerzők: | |
|---|---|
| Dokumentumtípus: | Cikk |
| Megjelent: |
2018
|
| Sorozat: | JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
22 No. 2 |
| doi: | 10.4293/JSLS.2017.00093 |
| mtmt: | 30317436 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/15673 |
| LEADER | 02888nab a2200265 i 4500 | ||
|---|---|---|---|
| 001 | publ15673 | ||
| 005 | 20190604114958.0 | ||
| 008 | 190604s2018 hu o 0|| angol d | ||
| 022 | |a 1086-8089 | ||
| 024 | 7 | |a 10.4293/JSLS.2017.00093 |2 doi | |
| 024 | 7 | |a 30317436 |2 mtmt | |
| 040 | |a SZTE Publicatio Repozitórium |b hun | ||
| 041 | |a angol | ||
| 100 | 1 | |a Andrási László | |
| 245 | 1 | 0 | |a Laparoscopic Surgery for Epiphrenic Esophageal Diverticulum |h [elektronikus dokumentum] / |c Andrási László |
| 260 | |c 2018 | ||
| 300 | |a Azonosító: e2017.00093-Terjedelem: 8 p | ||
| 490 | 0 | |a JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS |v 22 No. 2 | |
| 520 | 3 | |a BACKGROUND AND OBJECTIVES: We wanted to assess our surgical results focusing on the patients' quality of life. We present our experience with laparoscopic surgery for epiphrenic esophageal diverticulum. Short- and long-term results of surgical therapy were analyzed. METHODS: Eight patients were examined with a symptom-causing epiphrenic diverticulum. Patients underwent complex gastroenterologic examinations before and after surgery. Laparoscopic transhiatal epiphrenic diverticulectomy, Heller cardiomyotomy, and Dor anterior partial fundoplication were performed on 7 patients. One patient underwent only diverticulectomy, where no motility disorder was present. Results from surgical treatments and changes in patients' pre- and postoperative complaints were evaluated. RESULTS: In all cases except 1, the preoperative examination showed dysmotility of the esophagus. The average duration of the surgeries was 165 (130-195) minutes; blood loss was minimal. One patient developed bleeding in the early postoperative period, and a second laparoscopy was required. No other intraoperative complication was detected, and no mortality occurred. In one case, a staple line leak developed (1/8 [12.5%]), which was resolved with conservative therapy. Functional check-ups confirmed adequate esophageal function. The total symptom score for the patients was 6.3 points before surgery, and it decreased to 1.6 (P < .001) after surgery, an average of 74% subjective improvement. During the follow-up period (mean, 60 months; 10-138 months), proton pump inhibitor therapy was started in 4 patients to treat gastroesophageal reflux. In 3 cases, drug therapy was successful; in one case, Nissen antireflux surgery was performed. CONCLUSION: Laparoscopic transhiatal diverticulectomy and Heller-Dor surgery are effective interventions with low morbidity. Patient quality of life significantly improves in the long term, but gastroesophageal reflux disease may occur. | |
| 700 | 0 | 1 | |a Paszt Attila |e aut |
| 700 | 0 | 1 | |a Simonka Zsolt |e aut |
| 700 | 0 | 1 | |a Ábrahám Szabolcs |e aut |
| 700 | 0 | 1 | |a Rosztóczy András |e aut |
| 700 | 0 | 1 | |a Lázár György ifj |e aut |
| 856 | 4 | 0 | |u http://publicatio.bibl.u-szeged.hu/15673/1/e2017.00093.pdf |z Dokumentum-elérés |