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Upside-down stomach – results of mini-invasive surgical therapy

AIM: The authors evaluate the results of mini-invasive therapy in patients diagnosed with upside-down stomach. MATERIAL AND METHODS: From 1998 to 2008, a total of 27 patients diagnosed with upside-down stomach were surgically treated at the 1st Department of Surgery, University Hospital Olomouc. Bef...

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Autores principales: Vrba, Radek, Aujesky, Rene, Vomackova, Katherine, Zbrozkova, Lenka, Neoral, Cestmir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516952/
https://www.ncbi.nlm.nih.gov/pubmed/23255985
http://dx.doi.org/10.5114/wiitm.2011.26257
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author Vrba, Radek
Aujesky, Rene
Vomackova, Katherine
Zbrozkova, Lenka
Neoral, Cestmir
author_facet Vrba, Radek
Aujesky, Rene
Vomackova, Katherine
Zbrozkova, Lenka
Neoral, Cestmir
author_sort Vrba, Radek
collection PubMed
description AIM: The authors evaluate the results of mini-invasive therapy in patients diagnosed with upside-down stomach. MATERIAL AND METHODS: From 1998 to 2008, a total of 27 patients diagnosed with upside-down stomach were surgically treated at the 1st Department of Surgery, University Hospital Olomouc. Before the operation, patients were examined endoscopically and a barium swallow was performed. In all 27 patients (100%), the operation was performed electively laparoscopically. The principle of the operation in all cases was reposition of the stomach into the abdominal cavity, resection of the hernial sac and hiatoplasty. In addition, in 15 patients (56%) with reflux symptoms or endoscopic findings of reflux oesophagitis, fundoplication in Nissen's modification was also performed. Fundopexy was indicated in 12 patients (44%). RESULTS: In all patients (100%), the operation was performed mini-invasively; conversion to an open procedure was never necessary. In 3 cases (11%), the left pleural cavity was opened during the operation; this was treated by introducing a chest drain. The operation mortality in the patient set was zero; morbidity was 11%. A year after the operation, patients were re-examined, and follow-up endoscopy and barium swallow were performed. CONCLUSIONS: In all patients diagnosed with upside-down stomach, surgical treatment is indicated due to the risk of developing severe complications. Mini-invasive surgical therapy in the hands of an experienced surgeon is a safe procedure which offers patients all the benefits of mini-invasive therapy with promising short- and long-term results.
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spelling pubmed-35169522012-12-19 Upside-down stomach – results of mini-invasive surgical therapy Vrba, Radek Aujesky, Rene Vomackova, Katherine Zbrozkova, Lenka Neoral, Cestmir Wideochir Inne Tech Maloinwazyjne Original Paper AIM: The authors evaluate the results of mini-invasive therapy in patients diagnosed with upside-down stomach. MATERIAL AND METHODS: From 1998 to 2008, a total of 27 patients diagnosed with upside-down stomach were surgically treated at the 1st Department of Surgery, University Hospital Olomouc. Before the operation, patients were examined endoscopically and a barium swallow was performed. In all 27 patients (100%), the operation was performed electively laparoscopically. The principle of the operation in all cases was reposition of the stomach into the abdominal cavity, resection of the hernial sac and hiatoplasty. In addition, in 15 patients (56%) with reflux symptoms or endoscopic findings of reflux oesophagitis, fundoplication in Nissen's modification was also performed. Fundopexy was indicated in 12 patients (44%). RESULTS: In all patients (100%), the operation was performed mini-invasively; conversion to an open procedure was never necessary. In 3 cases (11%), the left pleural cavity was opened during the operation; this was treated by introducing a chest drain. The operation mortality in the patient set was zero; morbidity was 11%. A year after the operation, patients were re-examined, and follow-up endoscopy and barium swallow were performed. CONCLUSIONS: In all patients diagnosed with upside-down stomach, surgical treatment is indicated due to the risk of developing severe complications. Mini-invasive surgical therapy in the hands of an experienced surgeon is a safe procedure which offers patients all the benefits of mini-invasive therapy with promising short- and long-term results. Termedia Publishing House 2011-12-20 2011-12 /pmc/articles/PMC3516952/ /pubmed/23255985 http://dx.doi.org/10.5114/wiitm.2011.26257 Text en Copyright © 2011 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Vrba, Radek
Aujesky, Rene
Vomackova, Katherine
Zbrozkova, Lenka
Neoral, Cestmir
Upside-down stomach – results of mini-invasive surgical therapy
title Upside-down stomach – results of mini-invasive surgical therapy
title_full Upside-down stomach – results of mini-invasive surgical therapy
title_fullStr Upside-down stomach – results of mini-invasive surgical therapy
title_full_unstemmed Upside-down stomach – results of mini-invasive surgical therapy
title_short Upside-down stomach – results of mini-invasive surgical therapy
title_sort upside-down stomach – results of mini-invasive surgical therapy
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516952/
https://www.ncbi.nlm.nih.gov/pubmed/23255985
http://dx.doi.org/10.5114/wiitm.2011.26257
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