Decanini TC, Vega JM, Arias GA

Language: Spanish
References: 19
Page: 57-61
PDF size: 112.53 Kb.

ABSTRACT

The surgery of esophageal hiatus has increased in the last decade, due to the excellent results reached with laparoscopic approach and low rates of morbidity. However 0.5-3.5% of these patients will require a reoperation because of dysfunction. Laparoscopic redo of esophageal hiatus surgery is a huge surgical deal, it requires longer surgical time, has an increased conversion rate and morbidity, comparing with the initial surgical procedure. Clinical reports until now published, show small series, with satisfactory results at a medium-term follow up. The most frequent mechanism of failure is proximal migration of fundoplication, and the most frequent symptom is dysphagia. Most surgical procedures are done in the first 2 years. Longest follow up is five years. The risk for a third surgical procedure is 6-7%. With current data available, Laparoscopic re-operation of esophageal hiatus, is feasible, safe and efficient.

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