Mohammad Mahmoud Qinawy
20 statements · 1 topic · summaries given as host listed separately
Featured statements
Study inclusion criteria included patients with GERD with failure of medical treatment, symptomatic hiatus hernia, obstruction, and life-threatening symptoms like apnea
clinical ·
Gastroesophageal Reflux Disease
In the Hill-Snow procedure, the esophagogastric angle is established by suturing the fundus of the stomach to the distal third of the esophagus with running 2-0 suture
clinical ·
Gastroesophageal Reflux Disease
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Mohammad's statements about Gastroesophageal Reflux Disease 20 statements
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BOB in Ped Surg 2023 - PAPSA Winner - Mohamad Mahmoud Qinawy, MD
Quotation
All of us know that this fundation is the most commonly adopted procedure all over the world. However, the post-operative phia and the bloating frequently encountered creates the necessity for a more facilitative design.
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Statement
Nissen fundoplication is the most commonly adopted procedure for GERD all over the world
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Post-operative dysphagia and bloating are frequently encountered after Nissen fundoplication, creating the necessity for a more facilitative design
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Quotation
The current GERD represents a significant clinical problem. It has been reported, reported to occur in up to 15% of children requiring re-operation.
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Recurrent GERD after fundoplication has been reported to occur in up to 15% of children requiring re-operation
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The study was a prospective single-blinded randomized comparative study conducted from October 2018 to February 2020 with 40 patients divided into two groups
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The Hill-Snow procedure involves excision of the distal abdominal esophagus to the phrenic incision with non-absorbable suture
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Statement
In the Hill-Snow procedure, the esophagogastric angle is established by suturing the fundus of the stomach to the distal third of the esophagus with running 2-0 suture
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Statement
Study inclusion criteria included patients with GERD with failure of medical treatment, symptomatic hiatus hernia, obstruction, and life-threatening symptoms like apnea
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Operative time was significantly longer in the Hill-Snow group when compared to the Nissen group
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Early post-operative bloating was lower in the Hill-Snow group: 3 cases versus 15 cases in the Nissen group
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Early dysphagia was lower in the Hill-Snow group: 2 cases versus 7 cases in the Nissen group
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Early vomiting was encountered more in the Hill-Snow group: 6 cases versus 2 cases in the Nissen group
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No late post-operative bloating was found in the Hill-Snow group, while 11 cases from the Nissen group suffered from bloating
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Recurrent vomiting and need for drugs was found in 8 cases in the Hill-Snow group versus 6 cases in the Nissen group
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Quotation
To conclude, there is no procedure offers an effective alternative to nasal ligation with no bloating and much less prophia, and so early return to the normal eating pattern.
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The recurrent Hill-Snow cases were found in the first 10 cases, attributed to the learning curve
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After this study, the presenter's group does not use or take sutures between the esophagus and the crura
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Summaries Mohammad gave as host · 1 summary
Recaps of other experts' statements, not Mohammad's own clinical position.
Summaries Mohammad gave as host · Gastroesophageal Reflux Disease 1 summary
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BOB in Ped Surg 2023 - PAPSA Winner - Mohamad Mahmoud Qinawy, MD
Host summary
Mohammad Mahmoud Qinawy summarizing the discussion: According to most recent literature, there is no importance of fixation of the esophagus to the crura
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