Splenic size after division of the short gastric vessels in Nissen fundoplication in children
Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen f...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Driessen, C. [verfasserIn] Paulus, G. F. [verfasserIn] Robben, S. G. [verfasserIn] Tjon a Ten, W. E. [verfasserIn] Van den Neucker, A. [verfasserIn] Verhoeven, B. H. [verfasserIn] Van Heurn, L. W. E. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2011 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Pediatric surgery international - Berlin : Springer, 1986, 28(2011), 3 vom: 30. Nov., Seite 235-238 |
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| Übergeordnetes Werk: |
volume:28 ; year:2011 ; number:3 ; day:30 ; month:11 ; pages:235-238 |
| Links: |
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| DOI / URN: |
10.1007/s00383-011-3027-9 |
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| Katalog-ID: |
SPR004717708 |
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| 245 | 1 | 0 | |a Splenic size after division of the short gastric vessels in Nissen fundoplication in children |
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| 520 | |a Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. | ||
| 650 | 4 | |a Fundoplication |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Gastrointestinal reflux |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Pediatrics |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Short gastric vessels |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Spleen |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Ultrasound |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Paulus, G. F. |e verfasserin |4 aut | |
| 700 | 1 | |a Robben, S. G. |e verfasserin |4 aut | |
| 700 | 1 | |a Tjon a Ten, W. E. |e verfasserin |4 aut | |
| 700 | 1 | |a Van den Neucker, A. |e verfasserin |4 aut | |
| 700 | 1 | |a Verhoeven, B. H. |e verfasserin |4 aut | |
| 700 | 1 | |a Van Heurn, L. W. E. |e verfasserin |4 aut | |
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10.1007/s00383-011-3027-9 doi (DE-627)SPR004717708 (SPR)s00383-011-3027-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Driessen, C. verfasserin aut Splenic size after division of the short gastric vessels in Nissen fundoplication in children 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. Fundoplication (dpeaa)DE-He213 Gastrointestinal reflux (dpeaa)DE-He213 Pediatrics (dpeaa)DE-He213 Short gastric vessels (dpeaa)DE-He213 Spleen (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Paulus, G. F. verfasserin aut Robben, S. G. verfasserin aut Tjon a Ten, W. E. verfasserin aut Van den Neucker, A. verfasserin aut Verhoeven, B. H. verfasserin aut Van Heurn, L. W. E. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 3 vom: 30. Nov., Seite 235-238 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:3 day:30 month:11 pages:235-238 https://dx.doi.org/10.1007/s00383-011-3027-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 3 30 11 235-238 |
| spelling |
10.1007/s00383-011-3027-9 doi (DE-627)SPR004717708 (SPR)s00383-011-3027-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Driessen, C. verfasserin aut Splenic size after division of the short gastric vessels in Nissen fundoplication in children 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. Fundoplication (dpeaa)DE-He213 Gastrointestinal reflux (dpeaa)DE-He213 Pediatrics (dpeaa)DE-He213 Short gastric vessels (dpeaa)DE-He213 Spleen (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Paulus, G. F. verfasserin aut Robben, S. G. verfasserin aut Tjon a Ten, W. E. verfasserin aut Van den Neucker, A. verfasserin aut Verhoeven, B. H. verfasserin aut Van Heurn, L. W. E. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 3 vom: 30. Nov., Seite 235-238 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:3 day:30 month:11 pages:235-238 https://dx.doi.org/10.1007/s00383-011-3027-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 3 30 11 235-238 |
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10.1007/s00383-011-3027-9 doi (DE-627)SPR004717708 (SPR)s00383-011-3027-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Driessen, C. verfasserin aut Splenic size after division of the short gastric vessels in Nissen fundoplication in children 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. Fundoplication (dpeaa)DE-He213 Gastrointestinal reflux (dpeaa)DE-He213 Pediatrics (dpeaa)DE-He213 Short gastric vessels (dpeaa)DE-He213 Spleen (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Paulus, G. F. verfasserin aut Robben, S. G. verfasserin aut Tjon a Ten, W. E. verfasserin aut Van den Neucker, A. verfasserin aut Verhoeven, B. H. verfasserin aut Van Heurn, L. W. E. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 3 vom: 30. Nov., Seite 235-238 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:3 day:30 month:11 pages:235-238 https://dx.doi.org/10.1007/s00383-011-3027-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 3 30 11 235-238 |
| allfieldsGer |
10.1007/s00383-011-3027-9 doi (DE-627)SPR004717708 (SPR)s00383-011-3027-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Driessen, C. verfasserin aut Splenic size after division of the short gastric vessels in Nissen fundoplication in children 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. Fundoplication (dpeaa)DE-He213 Gastrointestinal reflux (dpeaa)DE-He213 Pediatrics (dpeaa)DE-He213 Short gastric vessels (dpeaa)DE-He213 Spleen (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Paulus, G. F. verfasserin aut Robben, S. G. verfasserin aut Tjon a Ten, W. E. verfasserin aut Van den Neucker, A. verfasserin aut Verhoeven, B. H. verfasserin aut Van Heurn, L. W. E. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 3 vom: 30. Nov., Seite 235-238 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:3 day:30 month:11 pages:235-238 https://dx.doi.org/10.1007/s00383-011-3027-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 3 30 11 235-238 |
| allfieldsSound |
10.1007/s00383-011-3027-9 doi (DE-627)SPR004717708 (SPR)s00383-011-3027-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Driessen, C. verfasserin aut Splenic size after division of the short gastric vessels in Nissen fundoplication in children 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. Fundoplication (dpeaa)DE-He213 Gastrointestinal reflux (dpeaa)DE-He213 Pediatrics (dpeaa)DE-He213 Short gastric vessels (dpeaa)DE-He213 Spleen (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Paulus, G. F. verfasserin aut Robben, S. G. verfasserin aut Tjon a Ten, W. E. verfasserin aut Van den Neucker, A. verfasserin aut Verhoeven, B. H. verfasserin aut Van Heurn, L. W. E. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 3 vom: 30. Nov., Seite 235-238 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:3 day:30 month:11 pages:235-238 https://dx.doi.org/10.1007/s00383-011-3027-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 3 30 11 235-238 |
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English |
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Enthalten in Pediatric surgery international 28(2011), 3 vom: 30. Nov., Seite 235-238 volume:28 year:2011 number:3 day:30 month:11 pages:235-238 |
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Enthalten in Pediatric surgery international 28(2011), 3 vom: 30. Nov., Seite 235-238 volume:28 year:2011 number:3 day:30 month:11 pages:235-238 |
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Fundoplication Gastrointestinal reflux Pediatrics Short gastric vessels Spleen Ultrasound |
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Pediatric surgery international |
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Driessen, C. @@aut@@ Paulus, G. F. @@aut@@ Robben, S. G. @@aut@@ Tjon a Ten, W. E. @@aut@@ Van den Neucker, A. @@aut@@ Verhoeven, B. H. @@aut@@ Van Heurn, L. W. E. @@aut@@ |
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2011-11-30T00:00:00Z |
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Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. 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Driessen, C. |
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Driessen, C. ddc 610 bkl 44.65 bkl 44.67 misc Fundoplication misc Gastrointestinal reflux misc Pediatrics misc Short gastric vessels misc Spleen misc Ultrasound Splenic size after division of the short gastric vessels in Nissen fundoplication in children |
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610 ASE 44.65 bkl 44.67 bkl Splenic size after division of the short gastric vessels in Nissen fundoplication in children Fundoplication (dpeaa)DE-He213 Gastrointestinal reflux (dpeaa)DE-He213 Pediatrics (dpeaa)DE-He213 Short gastric vessels (dpeaa)DE-He213 Spleen (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 |
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ddc 610 bkl 44.65 bkl 44.67 misc Fundoplication misc Gastrointestinal reflux misc Pediatrics misc Short gastric vessels misc Spleen misc Ultrasound |
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ddc 610 bkl 44.65 bkl 44.67 misc Fundoplication misc Gastrointestinal reflux misc Pediatrics misc Short gastric vessels misc Spleen misc Ultrasound |
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Splenic size after division of the short gastric vessels in Nissen fundoplication in children |
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Driessen, C. |
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Pediatric surgery international |
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Driessen, C. Paulus, G. F. Robben, S. G. Tjon a Ten, W. E. Van den Neucker, A. Verhoeven, B. H. Van Heurn, L. W. E. |
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Driessen, C. |
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10.1007/s00383-011-3027-9 |
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splenic size after division of the short gastric vessels in nissen fundoplication in children |
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Splenic size after division of the short gastric vessels in Nissen fundoplication in children |
| abstract |
Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. |
| abstractGer |
Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. |
| abstract_unstemmed |
Purpose Nissen fundoplication is an effective treatment for gastro-esophageal reflux disease (GERD). Mobilization of the gastric fundus during fundoplication requires division of short gastric vessels of the spleen, which may cause splenic ischemia. The aim of this study was to determine if Nissen fundoplication results in hypotrophy of the spleen. Methods We performed pre-operative and post-operative ultrasound measurements of the spleen in children undergoing Nissen fundoplication. During operation, the surgeon estimated the compromised blood flow by assessment of the percentage of discoloration of the spleen. Results Twenty-four consecutive children were analyzed. Discoloration of the upper pole of the spleen was observed in 11 patients (48%) of a median estimated splenic surface of 20% (range 5–50%). The median ratio for pre-operative and post-operative length, width, and area of the spleen was 0.97, 1.03, and 0.96, respectively. The percentage of the estimated perfusion defect during surgery was not correlated with the ratios. In three patients, the area ratio was smaller than 0.8 (0.67–0.75), meaning that the area decreased with at least 20% after surgery. In none of these patients a discoloration was observed. Conclusion Discoloration of the spleen after Nissen fundoplication is not associated with post-operative splenic atrophy. |
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Splenic size after division of the short gastric vessels in Nissen fundoplication in children |
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https://dx.doi.org/10.1007/s00383-011-3027-9 |
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Paulus, G. F. Robben, S. G. Tjon a Ten, W. E. Van den Neucker, A. Verhoeven, B. H. Van Heurn, L. W. E. |
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| score |
7.399987 |