Asunto(s)
Cirugía General , Hospitales/historia , Cirugía General/historia , Historia del Siglo XX , Humanos , EspañaAsunto(s)
Neoplasias de las Glándulas Suprarrenales , Feocromocitoma , Adolescente , Neoplasias de las Glándulas Suprarrenales/complicaciones , Neoplasias de las Glándulas Suprarrenales/diagnóstico por imagen , Neoplasias de las Glándulas Suprarrenales/cirugía , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Feocromocitoma/complicaciones , Feocromocitoma/diagnóstico por imagen , Feocromocitoma/cirugía , Complicaciones Posoperatorias , Tomografía Computarizada por Rayos XAsunto(s)
Enteritis/cirugía , Traumatismos por Radiación/cirugía , Adulto , Anciano , Enteritis/etiología , Femenino , Humanos , Persona de Mediana Edad , ReoperaciónAsunto(s)
Seudoobstrucción Colónica , Seudoobstrucción Intestinal , Anciano , Anciano de 80 o más Años , Seudoobstrucción Colónica/diagnóstico , Seudoobstrucción Colónica/cirugía , Femenino , Humanos , Seudoobstrucción Intestinal/diagnóstico , Seudoobstrucción Intestinal/cirugía , Masculino , Persona de Mediana EdadAsunto(s)
Neoplasias del Recto , Adulto , Factores de Edad , Colostomía , Femenino , Humanos , Masculino , Neoplasias del Recto/patología , Neoplasias del Recto/cirugíaAsunto(s)
Bronquios/lesiones , Adulto , Bronquios/cirugía , Humanos , Masculino , Reimplantación , RoturaRESUMEN
The results of clinical, radiographic, manometric, and pH-metric studies of two groups of patients with reflux esophagitis treated by total (Nissen) fundoplication with or without a Collis esophagus-lengthening gastroplasty were compared. On postoperative follow-up, clinical recurrence of gastrophageal reflux was found in 5 of the 76 patients in the Nissen group, whereas none of the 46 patients in the Collis-Nissen group had reflux. A dramatic reduction in the clinical score was observed for all patients, and postoperative clinical morbidity was similar in both groups. Postoperative radiographic recurrence of hiatal hernia was found in 11 of 60 patients in the Nissen group, but not in any of the patients in the Collis-Nissen group. The lower esophageal sphincter pressure was significantly increased after operation in both groups (p less than 0.05). The postoperative "common cavity test" and acid reflux test were positive in 9% of the patients having Nissen fundoplication alone and 11% of those having the Collis-Nissen procedure; in the latter group, both tests were positive in only 1 asymptomatic patient. These results demonstrate that the standard Nissen repair is a good surgical technique for management of uncomplicated reflux esophagitis and that the Collis-Nissen procedure is the most effective method of surgical repair for almost all patients with complicated reflux esophagitis.