Safe Esophageal Bougie Placement for Laparoscopic Hiatal Hernia Repair |
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Authors: | David S. Edelman Moises Jacobs Christine Lopez-Penalver Kate Moses |
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Abstract: | The increased use of laparoscopy for treatment of reflux esophagitis has been associated with a 1-8% complication rate. Perforation of the esophagus from bougie placement, wrap breakdown or too tight a wrap are some of the complications seen from this surgery. An esophageal dilator system was developed to overcome these problems. Thirty patients had an esophageal dilator system used whereby a 48F or 58F dilator was placed over a 18F orogastric tube. Intraoperative gastroscopy documented a properly created wrap. There were no esophageal perforations or morbidity associated with the dilator. |
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Keywords: | Laparoscopy Hiatal hernia Bougie |
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