tailieunhanh - Managing Failed Anti-Reflux Therapy - part 7

Collis-Nissen, Toupet, Dor, và Hill chống trào ngược thủ tục phẫu thuật và đã đề nghị một thuật ngữ chung đó nên bị y tế sử dụng để mô tả sự xuất hiện của các sửa chữa postsurgical. Trong sơ đồ này phân loại, | 117 THE MEDICAL AND ENDOSCOPIC MANAGEMENT OF FAILED SURGICAL PROCEDURES S ma- valve appeapanceofthe Nissen C icNissen ToupeU Dor and Hill anti-aeflux surgical pzcceduzes aidi Cove Sipo gested p voaunuv modivd tearnidolvgy Wat shouCd be used to Vescrldc lire appeapance of the psttspsgical sepairt lit tote clacsificctton scheme tVey usadaovri eriaby whito tojuPne the ViSvc appe apanceaodusiVahtsinSormaliov to determipy the csrnpetence of ths surgical repair. pcdosovpic uplvecrit mciuded aVelip thin vs broad Cv ty --Vdgoh in centirnotmp anterịop isUrene shallhWi or deepV pud anterior laUsent th Wi S deepl groones letseo curve appearance narrow or wide adherence to thz upppe uu relroitex-o0 Suose m t ghti iStra t of sesoirption ptsrity at anti time duriI rssnỊrPt oIlt suOde Wppe iUft om intraabdomival iocaiion being present as ihe nozme-fivpindt v air Ptasie-on3 cm pzopima to the gwtearhophcupsljuwctiuiì .and theusique appearance characteristics specific to each surgical rppato Pct instate o Pzc .umoOo poi-i formoSj Niven proceduze they datervripod o norma- oortopzrativz vslpe choucdhave s ptic lip 3i to 4-anboOy shaitowauterios o dc ep poste-soi groovy narrow Ismer carve fight adhecvnce do tonscddzal dasnitoc med Coriivt 5 00 -dpple-ppp valve eppe cppcy intra bdoc m t position typen i rzpair porii tion and adodỵappeapmgiikea staceedcorV Each oíshạ vasrouC anti-PoSuy surgical pzcce-dures Iop di owc 0 zndoteopicfeatorar that need A be apprcPp in order to .judge competency r f ths spspifip 8 priih this ẹndoteopic rnetìọd to fire osp inwhien thz repail pp vapp dp c e toepct uríng toese sndOf scopic ttei . than serious aansideehtlpy os altonatiye i stPl alAmt foo tor patiepts teihr rent lf parsipAnt p edo to unU taken. Ao a minúvum aNf bPospddhisa-testind is giss rnmNtory to prove reflux as a cause ac too sdmptọmPs-. Hdpefu-py carefniyraoldt l1 nitdote ic lUiitemvplNe cvaluatpra 10 0 bcdernonsV-ateP to Ve a reliable mdpatv z pel valve .