reflux
Reflux
It is retreating of diet consumed from stomach to esophagus due to leakage or insufficiency of the lower esophageal sphincter. Risk factors: hiatal hernia, obesity, low voltage of lower esophageal sphincter, fatty foods, wine, spicy spices, sudden changes in body position, Zollinger-Ellison syndrome. The diagnosis for this disease: contrast X-ray, upper gastrointestinal tract endoscopy, pH-metry, manometry, omeprazole test . Untreated may lead to series of severe complications (gastrointestinal bleeding, adenocarcinoma).
Types
a) GERD (gastroesophageal reflux) - a group of clinical symptoms and / or changes in the esophageal mucosa which are caused by recurrent episodes of getting the gastric contents into the esophagus (endoscopic should be confirmed);
b) NERD (non erosive reflux disease) - 24 h pH-metry shows regurgitation into the esophagus, but there are no visible symptoms in endoscopy. Symptoms - esophageal symptoms (heartburn, retrosternal pain), associated with organ failure (esophagitis, Barrett's esophagus, adenocarcinoma) and others (cough, hoarseness, asthma, dental caries, chronic laryngitis). Quality of life is reduced due to complaints.
Treatment
Is several stages (depending on the severity of symptoms):
a) modification of lifestyle - avoiding stimulants (coffee, alcohol), reduction of body weight, regular consumption of meals;
b) pharmacotherapy - used proton pump inhibitors, antacids;
c) the operation - usually performed by laparoscopic Nissen fundoplication.
Other types of reflux
a) bile reflux into the stomach (pyloric sphincter insufficiency); ulcers may occur;
b) vesico-ureteral reflux - here is the reverse flow of urine from the bladder and ureters to the kidneys, can lead to serious complications;
c) reflux of duodeno-gastro-oesophageal reflux - regurgitation of duodenal contents into the stomach and esophagus; d) laryngo-pharyngeal reflux - stomach contents move to the larynx, pharynx, sinuses, oral cavity, nasopharynx, middle ear.
Gastric Sleeve to Gastric Bypass Conversion for...
Clinical case: gastric sleeve to gastric bypass conversion for reflux.
Laparoscopic Nissen Fundoplication
Although the standard Nissen fundoplication has been modified many times, laparoscopic Nissen fundoplication is now considered the standard surgical approach for treatment of severe gastroesophageal reflux...
Refluxstop Implant Procedure 4-year Results of...
Surgical lecture: Refluxstop implant procedure 4-year results of safety and clinical outcomes - treating acid reflux without compressing the food passageway was presented at the SS19: Surgical Technology...
Axial Hiatal Hernia. Gastroesophageal Reflux...
Axial hiatal hernia. Gastroesophageal reflux disease.
GERD Surgery: Laparoscopic Nissen Fundoplication
Laparoscopic Nissen fundoplication is currently the ‘gold-standard’ for treating GERD in patients who don’t respond completely to medications or can’t take medications for another...
Dor Fundoplication in Achalasia
Surgical video case: since reflux of gastric contents into the aperistaltic esophagus can cause esophagitis, peptic strictures, Barrett's esophagus, and even esophageal carcinoma, the addition of a partial...
How to Perform a Laparoscopic Sleeve Gastrectomy
The sleeve gastrectomy has become increasingly common in the last few years, yet it is still not technically standardized. Controversy exists over bougie size and pouch calibration, extent of antral resection,...
Nissen Fundoplication
Nissen fundoplication was performed on the patient who had been experiencing reflux symptoms for a long time. After the operation, the patient's symptoms completely regressed.
Redo Nissen After Valve Opening
Surgical video: here is the case of a patient who presented a hiatal hernia repair and a Nissen fundoplication a year ago. The hiatal closure was previously reinforced with a slowly resorbable mesh. The...
Mini Gastric Bypass + Nissen Fundoplication +...
Surgical video case: 37-year-old male patient, BMI of 35.The patient applied with complaints of overweight and severe reflux. Mini gastric bypass, hiatus hernia repair and Nissen fundoplication procedures...
TOUPET Type Posterior Anti Reflux Valve
Hiatal hernia - gastroesophageal reflux. TOUPET type anti-reflux valve - laparoscopic treatment.
Laparoscopic Fundoplication
This Video Demonstrates Laparoscopic Fundoplication performed at World Laparoscopy Hospital, Gurgaon. During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus...
Vesicoscopic Reimplant in Reflux with Diverticulum
This is a case scenario where there is a child with Gr 5 Reflux with paraureteric diverticulum. He underwent a vesicoscopic excision of diverticulum with cohens reimplantation.
Just One Step -Tunneling in Vesicoscopic Reimplantation
Small video demonstrating the crucial step of creating a submucosal tunnel during vesicoscopic reimplantation. This is being done in a 3 ys old child who had a previous deflux inj
Port Site Closure after Vesicoscopic Reimplantation
The video shows port site closure after vesicoscopic reimplantation.
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