Diagnosis and treatment of gas-bloat syndrome after antireflux surgery
The aim of the study was to assess the frequency of complications after laparoscopic Nissen fundoplication in patients with a hernia of the esophageal orifice of the diaphragm, to determine the features of diagnosis and treatment of gas-bloat syndrome. Materials and methods. According to the resu...
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| Format: | Article |
| Language: | English |
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Zaporizhzhia State Medical and Pharmaceutical University
2022-07-01
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| Series: | Zaporožskij Medicinskij Žurnal |
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| Online Access: | http://zmj.zsmu.edu.ua/article/view/239013/257248 |
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| author | O. S. Tyvonchuk I. S. Tereshkevych R. I. Vynohradov D. Yu. Zhytnik |
| author_facet | O. S. Tyvonchuk I. S. Tereshkevych R. I. Vynohradov D. Yu. Zhytnik |
| author_sort | O. S. Tyvonchuk |
| collection | DOAJ |
| description | The aim of the study was to assess the frequency of complications after laparoscopic Nissen fundoplication in patients with a hernia of the esophageal orifice of the diaphragm, to determine the features of diagnosis and treatment of gas-bloat syndrome.
Materials and methods. According to the results of the meta-analysis, 10 % of patients with esophageal hiatal hernia developed inability to belch, 19 % – gas-bloat syndrome, 59 % – flatulence after laparoscopic Nissen fundoplication.
The treatment results of two patients with gas-bloat syndrome at the SI “Shalimov’s National Institute of Surgery and Transplantation” of the National Academy of Medical Sciences of Ukraine for the period 2018–2020 are presented. Reconstructive fundoplication according to Toupet was performed in one patient, and one patient underwent endoscopic dilatation of the esophagogastric junction using a Boston Scientific 3.0 balloon.
Conclusions. Pain reduction after a nasogastric tube placement and air venting from it is a tool to diagnose gas-bloat syndrome. Increasing aerogastria and stomach enlargement in 30–60 minutes after an additional meal make X-ray examination more informative and can be considered as new radiological symptoms. Toupet refundoplication is an effective surgical treatment for gas-bloat syndrome in patients after complete Nissen fundoplication.
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| format | Article |
| id | doaj-art-a93188e3b0b6482caedef3dbfb9830a4 |
| institution | Kabale University |
| issn | 2306-4145 2310-1210 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj-art-a93188e3b0b6482caedef3dbfb9830a42025-08-20T03:39:36ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102022-07-0124337037410.14739/2310-1210.2022.3.239013Diagnosis and treatment of gas-bloat syndrome after antireflux surgeryO. S. Tyvonchuk0https://orcid.org/0000-0002-6835-891XI. S. Tereshkevych1https://orcid.org/0000-0001-6761-956XR. I. Vynohradov2https://orcid.org/0000-0002-4204-4744D. Yu. Zhytnik3https://orcid.org/0000-0001-5862-3575SI “Shalimov’s National Institute of Surgery and Transplantation” of the National Academy of Medical Sciences of Ukraine, KyivSI “Shalimov’s National Institute of Surgery and Transplantation” of the National Academy of Medical Sciences of Ukraine, KyivSI “Shalimov’s National Institute of Surgery and Transplantation” of the National Academy of Medical Sciences of Ukraine, KyivSI “Shalimov’s National Institute of Surgery and Transplantation” of the National Academy of Medical Sciences of Ukraine, KyivThe aim of the study was to assess the frequency of complications after laparoscopic Nissen fundoplication in patients with a hernia of the esophageal orifice of the diaphragm, to determine the features of diagnosis and treatment of gas-bloat syndrome. Materials and methods. According to the results of the meta-analysis, 10 % of patients with esophageal hiatal hernia developed inability to belch, 19 % – gas-bloat syndrome, 59 % – flatulence after laparoscopic Nissen fundoplication. The treatment results of two patients with gas-bloat syndrome at the SI “Shalimov’s National Institute of Surgery and Transplantation” of the National Academy of Medical Sciences of Ukraine for the period 2018–2020 are presented. Reconstructive fundoplication according to Toupet was performed in one patient, and one patient underwent endoscopic dilatation of the esophagogastric junction using a Boston Scientific 3.0 balloon. Conclusions. Pain reduction after a nasogastric tube placement and air venting from it is a tool to diagnose gas-bloat syndrome. Increasing aerogastria and stomach enlargement in 30–60 minutes after an additional meal make X-ray examination more informative and can be considered as new radiological symptoms. Toupet refundoplication is an effective surgical treatment for gas-bloat syndrome in patients after complete Nissen fundoplication. http://zmj.zsmu.edu.ua/article/view/239013/257248gas-bloat syndromehiatal hernianissen fundoplicationtoupet fundoplicationgastroesophageal reflux disease |
| spellingShingle | O. S. Tyvonchuk I. S. Tereshkevych R. I. Vynohradov D. Yu. Zhytnik Diagnosis and treatment of gas-bloat syndrome after antireflux surgery Zaporožskij Medicinskij Žurnal gas-bloat syndrome hiatal hernia nissen fundoplication toupet fundoplication gastroesophageal reflux disease |
| title | Diagnosis and treatment of gas-bloat syndrome after antireflux surgery |
| title_full | Diagnosis and treatment of gas-bloat syndrome after antireflux surgery |
| title_fullStr | Diagnosis and treatment of gas-bloat syndrome after antireflux surgery |
| title_full_unstemmed | Diagnosis and treatment of gas-bloat syndrome after antireflux surgery |
| title_short | Diagnosis and treatment of gas-bloat syndrome after antireflux surgery |
| title_sort | diagnosis and treatment of gas bloat syndrome after antireflux surgery |
| topic | gas-bloat syndrome hiatal hernia nissen fundoplication toupet fundoplication gastroesophageal reflux disease |
| url | http://zmj.zsmu.edu.ua/article/view/239013/257248 |
| work_keys_str_mv | AT ostyvonchuk diagnosisandtreatmentofgasbloatsyndromeafterantirefluxsurgery AT istereshkevych diagnosisandtreatmentofgasbloatsyndromeafterantirefluxsurgery AT rivynohradov diagnosisandtreatmentofgasbloatsyndromeafterantirefluxsurgery AT dyuzhytnik diagnosisandtreatmentofgasbloatsyndromeafterantirefluxsurgery |