Manejo laparoscópico de patologías esofágicas benignas en la Primera Cátedra de Clínica Quirúrgica del Hospital de Clínicas (Paraguay), 2014-2022
Abstract
Introduction: Benign esophageal pathologies, such as achalasia, hiatal hernia, and gastroesophageal reflux disease, significantly affect patients’ quality of life and usually present with dysphagia, retrosternal pain, and reflux. Objective: To describe the laparoscopic management of benign esophageal pathologies at the First Chair of Surgical Clinic of the Hospital de Clínicas, Paraguay, from January 2014 to December 2022. Materials and methods: Observational, descriptive, cross-sectional, and retrospective study. A non-probabilistic consecutive case sampling was performed through review of medical records of patients older than 18 years, of both sexes, diagnosed with benign esophageal pathology and treated laparoscopically during the study period. Results: Twenty patients were included. Females predominated (55%), and the most frequent age group was 50 to 69 years (60%). Dysphagia was the most common symptom (60%). Achalasia was the main diagnosis (55%), followed by hiatal hernia (30%) and GERD associated with hiatal hernia (15%). The most frequently used surgical techniques were Nissen fundoplication (45%) and Heller myotomy associated with fundoplication (55%). Operative time was predominantly 3 to 4 hours (80%), hospital stay was most commonly 1 to 6 days (90%), and conversion to open surgery occurred in 10% of cases. Conclusion: In this series, laparoscopic management of benign esophageal pathologies was mainly represented by achalasia and hiatal hernia, with Nissen…
Read the paper
Related studies
- Advantages and Disadvantages of Long-term Proton Pump Inhibitor Use
- Ivth brazilian consensus conference on helicobacter pylori infection
- A pSMAD/CDX2 complex is essential for the intestinalization of epithelial metaplasia
- S2k-Leitlinie Gastroösophageale Refluxkrankheit und eosinophile Ösophagitis der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) – März 2023 – AWMF-Registernummer: 021–013
- Step-by-step management of refractory gastresophageal reflux disease
- Insights into Effects/Risks of Chronic Hypergastrinemia and Lifelong PPI Treatment in Man Based on Studies of Patients with Zollinger–Ellison Syndrome
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.