Mohammed Qinawy
24 statements · 1 topic
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The Helio procedure first step is fixation of the distal abdominal esophagus to the crura with non-absorbable sutures (1 or 2 sutures) to maintain the abdominal esophagus inside the abdomen
clinical ·
Gastroesophageal Reflux Disease
The angle in the Helio procedure is established by suturing the fundus of the stomach to the length of the esophagus with running absorbable suture (Vicryl or silk)
clinical ·
Gastroesophageal Reflux Disease
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Mohammed's statements about Gastroesophageal Reflux Disease 24 statements
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BOB Ped Surg 2023 - Mohamad Qinawy, PAPSA - Presentation
Statement
The study was a prospective single-blinded randomized comparative study conducted from October 2018 to April 2020 including 40 patients divided into two groups
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Current GERD recurrence after anti-reflux surgery has been reported to occur in up to 15% of children requiring re-operation
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Post-operative dysphagia and bloating are frequently encountered after Nissen fundoplication
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Nissen fundoplication is the most commonly adopted procedure for GERD all over the world
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Quotation
missing from duplication is the most commonly adopted procedure all over the world. However, the post-operative procedure and the bloating frequently encountered raises the necessity for a more facic design.
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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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The Helio procedure first step is fixation of the distal abdominal esophagus to the crura with non-absorbable sutures (1 or 2 sutures) to maintain the abdominal esophagus inside the abdomen
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In the Helio procedure, the last suture incorporates the stomach, phrenic ligament, crura, and proximal part of the abdominal esophagus
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Air insufflation is performed to test for gastric competence at the end of the Helio procedure
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The angle in the Helio procedure is established by suturing the fundus of the stomach to the length of the esophagus with running absorbable suture (Vicryl or silk)
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Study inclusion criteria were patients with GERD failing medical treatment, symptomatic hiatus hernia, esophageal stricture, or life-threatening symptoms like apnea
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Study exclusion criteria were recurrent cases, giant paraesophageal hernia, and esophageal atresia
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Early vomiting was more common in the Helio group (6 cases) versus Nissen group (2 cases)
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Early post-operative bloating was lower in the Helio group (3 cases) versus Nissen group (15 cases)
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Operative time was significantly longer in the Helio group compared to the Nissen group
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The 3 recurrent Helio cases were found in the first 10 cases, attributed to the learning curve
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Recurrent vomiting requiring anti-reflux medication was found in 6 Helio cases versus 8 Nissen cases
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Hospital stay duration was insignificant between both groups but was shorter in the Helio group
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To conclude, there is no procedure offers an effective alternative to less from theation with no bloating and much less dysphagia, and so early return to the normal eating pattern.
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The Helio procedure offers an effective alternative to Nissen fundoplication with no bloating, much less dysphagia, and earlier return to normal eating pattern
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