Surgical approach after failed enteryx injection for GERD.
JSLS
; 11(1): 97-100, 2007.
Article
em En
| MEDLINE
| ID: mdl-17651566
ABSTRACT
OBJECTIVE:
We report on 3 patients who underwent laparoscopic antireflux procedures for persistent symptoms of GERD after biopolymer injection.METHODS:
Experienced laparoscopic surgeons completed all 3 procedures laparoscopically. In 2 patients, there was an extramural extravasation of the polymer outside and adherent to the esophageal wall. In these patients, a partial posterior fundoplication was used. The third patient, who had the polymer material deposits removed preoperatively by endoscopic mucosal resection, underwent a Nissen fundoplication.RESULTS:
Postoperative recovery was uneventful in all cases. At follow-up of 6 to 12 months, all patients were symptom free, off medical therapy, and experiencing no dysphagia.CONCLUSION:
Surgical therapy for patients after failed biopolymer injection is safe and effective. The choice of surgery may depend on whether the polymer mass can be removed preoperatively.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Polivinil
/
Refluxo Gastroesofágico
/
Laparoscopia
Limite:
Adult
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
JSLS
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
França