Gastrojejunostomy for the treatment of Gastro-Esophageal Reflux Problem following Anti-Reflux Surgery

Gastrojejunostomy for the treatment of Gastro-Esophageal Reflux Problem following Anti-Reflux Surgery

Grover and you can Kothari (2015) reported that diligent fulfillment that have no. 1 anti-reflux operations was highest, however, a small percentage regarding customers sense recurrent reflux and you may dysphagia, requiring re-process. The big anatomic factors behind failed fundoplication is actually tucked fundoplication, inability to understand an initial esophagus, and you may problems with the newest tie. Minimally intrusive functions has been usual for those methods. Choices for operations were redo fundoplication which have hiatal hernia resolve if called for, conversion process in order to RNY physiology, otherwise, because the a past hotel, esophagectomy. This remark failed to promote people logical research; although not, they did mention the research by the Awais et al (2008) and you will Makris ainsi que al (2012).

The brand new article authors mentioned that transformation to RNY anatomy had a high success rate, making it approach a significant option on safely picked patient

Awais and co-workers (2008) stated that intractable GERD after prior anti-reflux operation presents a difficult challenge. These investigators examined the role of Roux-en-Y near esophago-jejunostomy (RNYNEJ) in the management of intractable reflux symptoms after prior anti-reflux surgery. Between , a total of 25 patients with GERD after anti-reflux surgery underwent RNYNEJ. The end-points evaluated were improvement in GERD symptoms using the GERD-Health Related Quality of Life (HRQL) scale, overall patient satisfaction, overall patient weight loss, and improvement of co-morbid conditions. There were 4 men and 21 women (mean age of 51 years; range of 35 to 74); 72 % had a BMI of greater than 30; 44 % had more than 1 anti-reflux surgery and 40 % had a previous Collis gastroplasty. The peri-operative mortality was 0 %; 6 patients (24 %) developed major post-operative complications, including anastomotic leak chodit s nÄ›kým compatible partners (n = 2) and Roux-limb obstruction (n = 1). (more…)

Continue ReadingGastrojejunostomy for the treatment of Gastro-Esophageal Reflux Problem following Anti-Reflux Surgery

Gescheiterte Olympia-Bewerbung bei Tirol : Winterspiele schaffen keinen Bedeutung weitere!

Gescheiterte Olympia-Bewerbung bei Tirol : Winterspiele schaffen keinen Bedeutung weitere!

Garmisch-Partenkirchen & Inzell wollten wie Ehehalfte bei Tirol 2026 dieweil werden – gleichwohl jetzt scheiterte zweite Geige die Bewerbungsunterlage an dem Wahlervotum. Eres wird moglich welches Zweck Olympischer Winterspiele in Europa. Ihr Stellungnahme.

So gut wie hatte Deutschland bekanntlich nichtsdestotrotz noch seine Olympischen Spiele entgegennehmen. (more…)

Continue ReadingGescheiterte Olympia-Bewerbung bei Tirol : Winterspiele schaffen keinen Bedeutung weitere!