Ortiz Peña RJ, Orozco OP, Teramoto MO, Goldberg DJ

Language: Spanish
References: 15
Page: 117-121
PDF size: 60.69 Kb.

ABSTRACT

There were 217 surgeries in 216 patients performed for the treatment of gastroesophageal reflux disease (GERD), between January 1994 and June 2005. Preoperative studies: 100% panendoscopies, 86% manometries (188 patients), 25.3% phmetries (65 patients) and 5.5% X-ray studies (12 patients). In 100% of the patients a posterior funduplication of 270 Toupet type was performed. Results: The average hospital stay was 30.30 hrs with a mortality of 0% and mayor morbility of 0.92% (2 patients), 1 patient with neumothorax and 1 patient with an incisional hernia who required surgery. A minor morbidity of 11.5% (n = 19): a) 7 patients with seroma of 1 surgical wound, b) 5 patients with infection of one surgical wound, c) 4 patients with hematoma of 1 surgical wound, d) bleeding of the abdominal wall of one surgical wound in 2 patients, e) bleeding of short vessels in an average of 100 mL in 2 patients. There were 16 multiple surgeries performed (7.34%), 5 patients were reoperated from whom 4 had been treated by another facultative and one because of failure of the surgical technique after 6 months of the first intervention. A diagnosis of Barrets disease was made in the preoperative in 21 patients (9.67%), and each of them is being followed postsurgery with panendoscopies and manometries, not registering until today any displasias or neoplasias. There had been 54 randomized panendoscopies and manometries performed between the 1st and 5th postoperative year finding that the EEI pressure is higher than 21 mm Hg in all the cases and the endoscopic interpretation is normal changes secondary to the funduplication.

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