Outcomes after repair of the intrathoracic stomach: objective follow-up of up to 5 years.

Surgical Endoscopy
S K MittalT Lee

Abstract

Laparoscopic surgery is a viable treatment option for intrathoracic stomach (ITS); however, doubts have been raised regarding its efficacy. Routine use of mesh has been advocated. The aim of this study is to look at long-term objective and symptomatic outcomes after repair of ITS with selective use of mesh and fundoplication. A retrospective review of prospectively collected data was performed for patients who underwent surgical treatment of ITS from January 2004 to April 2009. ITS was defined as herniation of greater than 75% of the stomach into the chest on barium swallow. A standardized foregut symptom questionnaire was administered along with contrast study at 1, 3, and 5 years post surgery. Seventy-three patients with intrathoracic stomach were included in the study. Mean age was 70.6±10.4 (44-88) years, and two-thirds were females. There were 7 transthoracic and 66 transabdominal repairs (64 laparoscopic, 1 open, and 1 laparoscopic to open conversion). There was one intraoperative death, due to bleeding. Antireflux surgery was performed in 43 patients (20 Nissen, 18 Toupet, 1 Dor, and 4 Roux-en-Y gastric bypass (RNYGB)). Ten patients had Collis gastroplasty for short esophagus. Mesh was used in ten (13.7%) patients for cr...Continue Reading

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Citations

Sep 11, 2013·Surgical Endoscopy·Geoffrey Paul KohnUNKNOWN SAGES Guidelines Committee
Sep 15, 2011·World Journal of Surgery·Lokesh BathlaSumeet Mittal
Apr 23, 2013·World Journal of Surgery·Eduardo M TargaronaManuel Trias
Feb 26, 2016·Surgical Endoscopy·Wendy Jo SvetanoffSumeet K Mittal
May 10, 2017·World Journal of Surgery·Ciro AndolfiPiero Marco Fisichella
Oct 9, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kalyana NandipatiSumeet K Mittal
Nov 11, 2016·Langenbeck's Archives of Surgery·P S S CastelijnsJ F Smulders
Oct 21, 2017·Surgical Endoscopy·Allison M Blake, Sumeet K Mittal
Sep 25, 2019·Annals of Gastroenterological Surgery·Nobuo OmuraFumiaki Yano
Mar 25, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·D WeyheA Kluge
May 19, 2021·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·K H FuchsA Meining

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