Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease
Introduction. Hiatal hernia occupies a third place in the structure of the gastrointestinal tract pathology. The association of hiatal hernia with gastroesophageal reflux disease can lead to severe complications and requires a surgical treatment. Objective. To analyze short-term and long-term res...
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| Format: | Article |
| Language: | English |
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Eco-vector
2019-11-01
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| Series: | Клиническая практика |
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| Online Access: | https://journals.eco-vector.com/clinpractice/article/viewFile/14541/12905 |
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| author | A. G. Grintcov R. V. Ishenko Igor V. Sovpel O. V. Sovpel Ju. A. Shapovalova |
| author_facet | A. G. Grintcov R. V. Ishenko Igor V. Sovpel O. V. Sovpel Ju. A. Shapovalova |
| author_sort | A. G. Grintcov |
| collection | DOAJ |
| description | Introduction. Hiatal hernia occupies a third place in the structure of the gastrointestinal tract pathology. The association of hiatal hernia with gastroesophageal reflux disease can lead to severe complications and requires a surgical treatment.
Objective. To analyze short-term and long-term results of a surgical treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease (GERD).
Methods. A retrospective analysis of the short-term and long-term treatment results of 62 patients suffering from hiatal hernia complicated by gastroesophageal reflux disease was performed. All the patients underwent a laparoscopic hiatal hernia repair supplemented by Toupet fundoplication.
Results. The hospital stay duration was 7.21.6 days. The postoperative complication rate was 6.5%. Mild functional dysphagia was noted in 8(12.9%). Persistent long-term dysphagia in the late postoperative period was observed in 2(3.2%) patients. The recurrences of hiatal hernia or GERD were noted in 15(24.2%) patients in 5 years after the surgery. The total GERD-HRQL questionnaire score 5 years after the surgery was 5.73.9.
Сonclusion. Laparoscopic interventions are safe, less traumatic, provide the possibility of early rehabilitation of patients, can achieve positive functional results in 85% of patients and should be used in the treatment of patients suffering from hiatal hernia complicated by GERD. |
| first_indexed | 2024-03-12T08:58:18Z |
| format | Article |
| id | doaj.art-f08d9d348104424da784fd73b2d678a2 |
| institution | Directory Open Access Journal |
| issn | 2220-3095 2618-8627 |
| language | English |
| last_indexed | 2024-03-12T08:58:18Z |
| publishDate | 2019-11-01 |
| publisher | Eco-vector |
| record_format | Article |
| series | Клиническая практика |
| spelling | doaj.art-f08d9d348104424da784fd73b2d678a22023-09-02T15:52:05ZengEco-vectorКлиническая практика2220-30952618-86272019-11-0110351210.17816/clinpract1035-1214038Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux diseaseA. G. Grintcov0R. V. Ishenko1Igor V. Sovpel2O. V. Sovpel3Ju. A. Shapovalova4M. Gorky Donetsk National Medical UniversityFederal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of RussiaM. Gorky Donetsk National Medical University; G.V. Bondar Republican Cancer CenterM. Gorky Donetsk National Medical University; G.V. Bondar Republican Cancer CenterG.V. Bondar Republican Cancer CenterIntroduction. Hiatal hernia occupies a third place in the structure of the gastrointestinal tract pathology. The association of hiatal hernia with gastroesophageal reflux disease can lead to severe complications and requires a surgical treatment. Objective. To analyze short-term and long-term results of a surgical treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease (GERD). Methods. A retrospective analysis of the short-term and long-term treatment results of 62 patients suffering from hiatal hernia complicated by gastroesophageal reflux disease was performed. All the patients underwent a laparoscopic hiatal hernia repair supplemented by Toupet fundoplication. Results. The hospital stay duration was 7.21.6 days. The postoperative complication rate was 6.5%. Mild functional dysphagia was noted in 8(12.9%). Persistent long-term dysphagia in the late postoperative period was observed in 2(3.2%) patients. The recurrences of hiatal hernia or GERD were noted in 15(24.2%) patients in 5 years after the surgery. The total GERD-HRQL questionnaire score 5 years after the surgery was 5.73.9. Сonclusion. Laparoscopic interventions are safe, less traumatic, provide the possibility of early rehabilitation of patients, can achieve positive functional results in 85% of patients and should be used in the treatment of patients suffering from hiatal hernia complicated by GERD.https://journals.eco-vector.com/clinpractice/article/viewFile/14541/12905hiatal herniagastroesophageal reflux diseaselaparoscopic repair |
| spellingShingle | A. G. Grintcov R. V. Ishenko Igor V. Sovpel O. V. Sovpel Ju. A. Shapovalova Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease Клиническая практика hiatal hernia gastroesophageal reflux disease laparoscopic repair |
| title | Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease |
| title_full | Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease |
| title_fullStr | Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease |
| title_full_unstemmed | Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease |
| title_short | Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease |
| title_sort | hiatal hernia repair with toupet fundoplication in surgical treatment of hiatal hernia complicated by gastroesophageal reflux disease |
| topic | hiatal hernia gastroesophageal reflux disease laparoscopic repair |
| url | https://journals.eco-vector.com/clinpractice/article/viewFile/14541/12905 |
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