Abstract. CSENDES J, Attila. Review of long term results of Nissen fundoplication . Rev Chil Cir [online]. , vol, n.5, pp ISSN Resumen. CSENDES, Attila; DIAZ, Juan Carlos; BURDILES, Patricio y MALUENDA, Femando. Laparoscopic Nissen fundoplication. Experience in patients. El esófago de Barrett no incrementa la tasa de fallos de la fundoplicatura de NissenBarrett’s esophagus does not increase the failure rate of Nissen.

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Extraesophageal manifestations of gastroesophageal reflux disease

Technique for laparoscopic treatment of giant hiatal hernias. The description of the technique for laparoscopic treatment of giant hiatal hernias covers all aspects of the surgical procedure used for the management of voluminous hiatal hernias. Operating room set up, position of patient and equipment, instruments used are thoroughly described.

The technical key steps of the surgical procedure are presented in a step by step way: Consequently, this operating technique is well standardized for the management of this condition. Laparoscopic mini gastric bypass MGB.

Mini gastric bypass procedure is nissem minimally invasive, short, simple, and successful laparoscopic weight loss surgery.

This video shows a live procedure performed by Professor Lee. Fundoplixatura are the major steps in the laparoscopic treatment of giant hiatal hernias? Laparoscopic Roux-en-Y gastric bypass: In this didactic live video, Dr. Cardoso Ramos presents a conventional laparoscopic gastric bypass procedure in a year-old woman with a BMI of He briefly describes the technical aspects, maneuvers, the main principles, and key steps of the surgical procedure in a live interactive session.


In this fuhdoplicatura, Dr.

Kelvin Higa presents the different aspects of gastric bypass as a bariatric and metabolic procedure, showing indications, contraindications with complications and treatments. Laparoscopic Roux-en-Y gastric bypass after vertical banded gastroplasty.

Patients who have undergone bariatric surgery and present with upper abdominal symptoms pose a diagnostic and management challenge. Laparoscopic vertical banded gastroplasty VBG is associated with high revisional rates. In the case of failed VBG, repeat VBG seems to be a poor option and conversion to gastric bypass yields better results. This is the case of a year-old female patient who underwent a vertical banded gastroplasty fundoplicatuea laparotomy 8 years ago and presents with dysphagia.

A gastroscopy and a contrast swallow exam using radio-opaque markers do not show any fistulas, but peroperative surgical exploration discovers a gastro-gastric fistula. This video clearly shows all the technical aspects of a revisional bariatric procedure. Laparoscopic partial sleeve-like gastrectomy for benign schwannoma. Schwannomas, also known as neurinomas, are generally benign, slow-growing neoplasms representing 0.

This is the case of a fundoplifatura patient presenting with epigastralgias. A 4cm lesion is found as evidenced by the CT-scan.

Gastroscopy and endoscopic ultrasonography did not show any mucosal lesion. This video shows a laparoscopic sleeve-like gastrectomy of this benign tumor. Laparoscopic Fundoplcatura gastric bypass with linear gastrojejunostomy: Roux-en-Y gastric bypass is a common procedure in bariatric surgery. It can be perfectly standardized in order to make it technically easier to perform and to reduce risks of postoperative complications.


This video shows a conventional gastric bypass procedure with linear gastrojejunostomy. The intervention ran smoothly. Twenty-four hours postoperatively, the patient complained of abdominal pain.

Serum chemistries demonstrated severe inflammatory signs. An emergency CT-scan demonstrated a gastrojejunal fistula. It was decided to perform an nissen laparoscopic reintervention. An anastomotic dehiscence was identified and sutured. The postoperative outcome was finally uneventful.

Gastric bypass is considered to be the gold standard in morbid obesity surgery. If technical principles are well-established, there are several alternatives fundoplivatura apply them. Consequently, gastrojejunostomy can nissenn performed in three different fashions: Operative steps that do not benefit from robotics are performed by means of conventional laparoscopy, and especially gastric pouch division.

This video also demonstrates the combined use of ultrasonic wireless scissors developed by Covidien i. Reoperative antireflux surgery for early recurrence: This video presents the management of an early recurrence after Nissen fundoplication related to a valve slippage in a year-old man.

Intraoperative findings demonstrate that the failure originates from a shortened esophagus. Treatment consists in an esophageal lengthening procedure associated with a new Nissen fundoplication.