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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2011
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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. |
format | Online Article Text |
id | pubmed-3516952 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
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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