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dc.contributor.CRUESPUNIVERSIDADE DE ESTADUAL DE CAMPINASpt_BR
dc.typeArtigo de periódicopt_BR
dc.title[videolaparoscopic Surgical Treatment Of Gastroesophageal Reflux Disease: Modified Nissen Technique - Clinical And Functional Results].pt_BR
dc.contributor.authorLopes, L Rpt_BR
dc.contributor.authorBrandalise, N Apt_BR
dc.contributor.authorAndreollo, N Apt_BR
dc.contributor.authorLeonardi, L Spt_BR
unicamp.authorL R Lopes, Grupo de Cirurgia do Esôfago-Estômago-Duodeno, Disciplina de Moléstias do Aparelho Digestivo, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, SP. lopes@obelix.unicamp.brpt_BR
unicamp.author.externalN A Brandalise,pt
unicamp.author.externalN A Andreollo,pt
unicamp.author.externalL S Leonardi,pt
dc.subjectAdolescentpt_BR
dc.subjectAdultpt_BR
dc.subjectAgedpt_BR
dc.subjectAged, 80 And Overpt_BR
dc.subjectFemalept_BR
dc.subjectFollow-up Studiespt_BR
dc.subjectFundoplicationpt_BR
dc.subjectGastroesophageal Refluxpt_BR
dc.subjectHumanspt_BR
dc.subjectLaparoscopypt_BR
dc.subjectMalept_BR
dc.subjectMiddle Agedpt_BR
dc.subjectProspective Studiespt_BR
dc.subjectTreatment Outcomept_BR
dc.subjectVideo-assisted Surgerypt_BR
dc.description.abstractGastroesophageal reflux disease is highly common worldwide and surgical treatment is being indicated more frequently. Currently, laparoscopic is the access of choice and several antireflux techniques may be used. We prefer a modified Nissen technique. To analyze preoperative clinical and functional parameters and compare with postoperative outcome of a modified valve technique performed by laparoscopy. A group of 59 patients underwent laparoscopic modified Nissen valve. Preoperative diagnosis was made by radiological contrast exams and endoscopy in all patients. Esophagus manometry was performed in 35 patients and scintigraphy scan in 15 patients. Complicated esophagitis occurred in 54.2%, with 21 (35.6%) patients presenting a Barrett's epithelium. Laparoscopic surgery was performed in all patients with no conversion to open surgery, with an average time of 123.9 minutes. There were no intraoperative complications. Hospital discharge occurred in an average of 47.6 hours. Symptoms as dysphagia, pain, regurgitation and flatus occurred in 48.1% of the patients in the first thirty days. Average follow-up was 20.8 months. Postoperative radiological, endoscopic, manometric and scintigrafic scan exams showed a significant improvement, as well as clinical assessment using Visick's classification, which showed excellent and good results in 93.1% of the patients. Comparative analysis of clinical assessment and exam results lad us to conclude that modified Nissen surgery by laparoscopic access corrects gastroesophageal reflux in most patients followed-up.en
dc.relation.ispartofRevista Da Associação Médica Brasileira (1992)pt_BR
dc.relation.ispartofabbreviationRev Assoc Med Braspt_BR
dc.identifier.citationRevista Da Associação Médica Brasileira (1992). v. 47, n. 2, p. 141-8pt_BR
dc.language.isoporpt_BR
dc.description.volume47pt_BR
dc.description.firstpage141-8pt_BR
dc.rightsfechadopt_BR
dc.sourcePubMedpt_BR
dc.identifier.issn0104-4230pt_BR
dc.identifier.urlhttp://www.ncbi.nlm.nih.gov/pubmed/11468682pt_BR
dc.date.available2015-11-27T12:28:53Z-
dc.date.accessioned2015-11-27T12:28:53Z-
dc.description.provenanceMade available in DSpace on 2015-11-27T12:28:53Z (GMT). No. of bitstreams: 1 pmed_11468682.pdf: 298212 bytes, checksum: 2b04252dfe27abd396563a929ab9ac7b (MD5) Previous issue date: nullen
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/194806-
dc.identifier.idPubmed11468682pt_BR
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