Abstract

After antireflux surgery for gastroesophageal reflux disease, 10% to 15% of patients may have unsuccessful results as a result of abnormal restoration of the esophagogastric junction. The purpose of this study was to evaluate the postoperative endoscopic and radiologic characteristics of the antireflux barrier and their correlation with the postoperative results. After surgery, endoscopic and radiologic features of the antireflux wrap were evaluated in 120 consecutive patients. Jobe's classification of the postoperative valve was used for the definition of a “normal” or “defective” wrap. Patients were evaluated 3 to 5 years later in order to determine the clinical and objective failed fundoplication. A “normal” antireflux wrap was associated with successful results in 81.7% of the patients. On the contrary, defective radiologic or endoscopic antireflux wrap was observed in 19% of cases. Among these patients, hypotensive lower esophageal sphincter was observed in 50% to 65% of patients, abnormal 24-hour pH monitoring in 91%, and recurrent postoperative erosive esophagitis in 50% of patients, respectively (P < 0.001). “Defective” antireflux fundoplication is associated with recurrent reflux symptoms, presence of endoscopic esophagitis, hypotensive lower esophageal sphincter, and abnormal acid reflux.

Abstract

A major decline in pulmonary function is observed on the first day after upper abdominal surgery. This decline can reduce vital and inspiratory capacity and can culminate in restrictive lung diseases that cause atelectasis, reduced diaphragm movement, and respiratory insufficiency. The objective of this study was to evaluate the efficacy of preoperative ambulatory respiratory muscle training in patients undergoing esophagectomy. The sample consisted of 20 adult patients (14 men [70%] and 6 women [30%]) with a diagnosis of advanced chagasic megaesophagus. A significant increase in maximum inspiratory pressure was observed after inspiratory muscle training when compared with baseline values (from −55.059 ± 18.359 to −76.286 ± 16.786). Preoperative ambulatory inspiratory muscle training was effective in increasing respiratory muscle strength in patients undergoing esophagectomy and contributed to the prevention of postoperative complications.

Abstract

Diverticular disease of the colon is a common disease, mainly in the population over 50 years of age. In acute forms of presentation, we considered home treatment in those patients that were classified as having uncomplicated forms by means of clinical presentation and a computed tomography of the abdomen. According to these criteria, we treated 38 patients at home and admitted 18 patients to the hospital during the same period of time. No severe complications developed in the home-treatment patients. Home treatment is an effective alternative treatment for patients with uncomplicated acute diverticulitis. In uncomplicated acute diverticulitis, home treatment benefits the patient, over hospitalization, by allowing better management of resources and by keeping the patient in a familiar environment where there is no risk of a nosocomial infection.

ICS Fellows in good standing who have paid dues are entitled to acquire their membership certificate in the large, French format. Below are the details regarding this very special certificate.

Size: 41 centimeters by 55 centimeters; 16 inches by 22 inches (available unframed only)

Paper: Ivory color, matte finish, poster weight paper

Printing: Calligraphic style, black, with various prominent words and initial letters highlighted in blue, red and gold. Scrollwork border is outlined in black ink, filled with soft yellow. Bottom has embossed ICS seal embellished in gold metallic.

Cost: US$200.00

Please contact: International College of Surgeons 1516 N. Lake

Inadequacy of anterior-only fixation for reducible three-column injury of the subaxial cervical spine: case report

Yu-ying WuM.D.,

Po-Yuan ChenM.D.,

Kang LuPhD., and

I-Fan LinM.D.

Editorial

Radiologic and Endoscopic Characteristics of Laparoscopic Antireflux Wrap: Correlation With Outcome

Abstract

Preoperative Ambulatory Inspiratory Muscle Training in Patients Undergoing Esophagectomy. A Pilot Study

Abstract

Home Treatment of Uncomplicated Acute Diverticulitis

Abstract

Clinical Outcomes After Restorative Proctocolectomy With Ileal Pouch Anal Anastomosis Using Ultrasonically Activated Scalpel for Ulcerative Colitis

Abstract

Colorectal Cancer Treatment and Follow-Up in the Elderly: An Inexplicably Different Approach

Abstract

Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

Abstract

A Case of Hepatocellular Carcinoma With Portal Vein Tumor Thrombosis Successfully Treated by a Combination of Intra-Arterial Infusion 5-Fluorouracil, Cisplatin, and Systemic Interferon-α Therapies

Abstract

Torsion of the Gallbladder Diagnosed by Magnetic Resonance Cholangiopancreatography

Abstract

Liver Hydatid Cyst Rupture Into the Peritoneal Cavity After Abdominal Trauma: Case Report and Literature Review

Abstract

Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst

Abstract

A Case of Diffuse Neuronal Hypertrophy in Acute Appendicitis

Abstract

Abdominopelvic Actinomycosis Associated With an Intrauterine Device and Presenting With a Rectal Mass and Hydronephrosis: A Troublesome Condition for the Clinician

Abstract

Mesenteric Histiocytosis or Only an Inflammatory Infiltration of Histiocytes? A Case Report From a Surgical Point of View

Abstract

Mucocele of the Appendix: Case Report and Review of Literature

Abstract

Maxillary Verrucous Carcinoma Coincident With Cervical Lymph Node Metastasis of Colon Adenocarcinoma

Abstract

Prognosis of Patients With Gastric Cancer Who Underwent Proximal Gastrectomy

Abstract

A VERY SPECIAL MEMBERSHIP CERTIFICATE AVAILABLE TO YOU

Inadequacy of anterior-only fixation for reducible three-column injury of the subaxial cervical spine: case report

Lasers for Pulmonary Resections

miR-135a promotes tumor invasion by targeting BACH1 and GATA3 in gastric cancer

Treatment of Intertrochanteric Fractures in the Elderly with Minimally Invasive DAA for Hip Arthroplasty

Comparison of clinical outcomes between percutaneous transhepatic biliary drainage with local lithotripsy and ERCP alone for treating intrahepatic bile duct stones