Surgical Treatment for Patients with Aspiration Pneumonia due to Reflux Esophagitis or Hiatal Hernia: The Usefulness of Laparoscopic Antireflux Surgery
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- Nomura Tsutomu
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Iwakiri Katsuhiko
- Division of Gastroenterology, Department of Internal Medicine, Nippon Medical School
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- Matsutani Takeshi
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Hagiwara Nobutoshi
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Fujita Itsuo
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Nakamura Yoshiharu
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Kanazawa Yoshikazu
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Kawami Noriyuki
- Division of Gastroenterology, Department of Internal Medicine, Nippon Medical School
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- Miyashita Masao
- Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital
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- Uchida Eiji
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
Bibliographic Information
- Other Title
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- 誤嚥性肺炎を認めた逆流性食道炎・食道裂孔ヘルニア患者に対する外科治療;腹腔鏡下逆流防止術の有用性
- 臨床医のために 誤嚥性肺炎を認めた逆流性食道炎・食道裂孔ヘルニア患者に対する外科治療 : 腹腔鏡下逆流防止術の有用性
- リンショウイ ノ タメニ ゴエンセイ ハイエン オ ミトメタ ギャクリュウセイ ショクドウエン ・ ショクドウレツコウ ヘルニア カンジャ ニ タイスル ゲカ チリョウ : フククウキョウ カ ギャクリュウ ボウシジュツ ノ ユウヨウセイ
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Description
The incidence of aspiration pneumonia related to gastroesophageal reflux disease in Japan is increasing as the population ages. Such pneumonia tends to recur and to be refractory to conservative treatment because gastroesophageal reflux persists. Laparoscopic surgery provides a reliable treatment for gastroesophageal reflux but is not commonly performed in Japan, especially for patients with poor performance status. We report our experience treating patients with aspiration pneumonia caused by gastroesophageal reflux. The patients had severe pneumonia that recurred after medical management and resulted in prolonged hospitalization. These patients were referred for surgical treatment and underwent laparoscopic surgery to treat the underlying gastroesophageal reflux. In patients with poor performance status, we also performed laparoscopic gastrostomy for two reasons: 1) to provide a drainage route from the stomach if antireflux effect of surgery was inadequate and 2) to provide a feeding route if performance status did not improve and oral intake was impossible. The outcomes were excellent, the patients were discharged soon after surgery, and aspiration pneumonia has not recurred to date. In conclusion, laparoscopic antireflux surgery is a useful and promising treatment for patients with recurrent aspiration pneumonia. It may shorten hospital stays and thus reduce medical costs.
Journal
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- Nihon Ika Daigaku Igakkai Zasshi
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Nihon Ika Daigaku Igakkai Zasshi 10 (4), 182-185, 2014
The Medical Association of Nippon Medical School
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Details 詳細情報について
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- CRID
- 1390001205231200256
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- NII Article ID
- 130004705184
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- NII Book ID
- AA1200910X
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- ISSN
- 18802877
- 13498975
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- NDL BIB ID
- 025866888
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed