Mohammed Qinawy

45 statements · 1 topic

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▶ Ep 9 · 15:39
uh, our, uh, study, uh, revealed that there is no difference, uh, or, uh, no importance of fixation of the esophagus to the pleura. Uh, like the most recent literature regarding this topic. So, uh, usually, and after this, after this study, we don't use or, or, uh, we don't take structures between the esophagus and the crust.
quote · Gastroesophageal Reflux Disease
▶ Ep 9 · 15:39
Recent literature shows there is no importance of fixation of the esophagus to the crus, and current practice after this study does not use sutures between the esophagus and the crus
clinical · Gastroesophageal Reflux Disease

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Mohammed's statements about Gastroesophageal Reflux Disease 45 statements

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BOB in Ped Surg 2023 - PAPSA Winner - Mohamad Mahmoud Qinawy, MD

▶ Ep 9 · 5:02
quote 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. ↗
▶ Ep 9 · 5:02
clinical Nissen fundoplication is the most commonly adopted procedure for GERD all over the world ↗
▶ Ep 9 · 5:50
clinical Post-operative dysphagia and bloating are frequently encountered after Nissen fundoplication, creating the necessity for a more facilitative design ↗
▶ Ep 9 · 6:20
epidemiological Recurrent GERD has been reported to occur in up to 15% of children requiring re-operation ↗
▶ Ep 9 · 6:20
quote The current GERD represents a significant clinical problem. It has been reported, reported to occur in up to 15% of children requiring re-operation. ↗
▶ Ep 9 · 6:40
clinical The study was a prospective single-blinded randomized comparative study conducted from October 2018 to February 2020 including 40 patients divided into two groups ↗
▶ Ep 9 · 7:10
clinical The operative setup is similar between Nissen fundoplication and Hill-Snow procedure ↗
▶ Ep 9 · 7:30
clinical In the Hill-Snow procedure, the first step after crural approximation is excision of the distal abdominal esophagus to the phrenic decision ↗
▶ Ep 9 · 8:20
clinical The Hill-Snow procedure establishes an angle of His by suturing the fundus of the stomach to the distal third of the esophagus with running 2-0 suture ↗
▶ Ep 9 · 10:00
clinical Study inclusion criteria included patients with GERD with failure of medical treatment, symptomatic hiatus hernia, patients presenting with obstruction, and patients with life-threatening symptoms like apnea ↗
▶ Ep 9 · 10:40
clinical Study excluded recurrent cases and giant hiatus hernia ↗
▶ Ep 9 · 11:00
clinical Operative time was significantly longer in the Hill-Snow group when compared to the Nissen group ↗
▶ Ep 9 · 11:20
clinical Early postoperative bloating was found to be lower in the Hill-Snow group: 3 cases versus 15 cases in the Nissen group ↗
▶ Ep 9 · 11:40
clinical Early postoperative dysphagia was found to be lower in the Hill-Snow group: 2 cases versus 7 cases in the Nissen group ↗
▶ Ep 9 · 12:00
clinical Early vomiting was encountered more in the Hill-Snow group: 6 cases versus 2 cases in the Nissen group ↗
▶ Ep 9 · 12:20
clinical The incidence of dysphagia was found to be insignificant in both groups regarding late postoperative assessment, but it was of shorter duration in the Hill-Snow group ↗
▶ Ep 9 · 12:40
clinical No bloating was found in any Hill-Snow patient at late follow-up, while 11 cases from the Nissen group suffered from bloating ↗
▶ Ep 9 · 12:55
quote 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. ↗
▶ Ep 9 · 12:55
clinical Recurrent vomiting and need for drugs was found in 8 cases in the Hill-Snow group versus 6 cases in the Nissen group ↗
▶ Ep 9 · 13:05
clinical There were 3 recurrent Hill-Snow cases versus 2 recurrent Nissen cases ↗
▶ Ep 9 · 14:11
clinical The recurrent cases of Hill-Snow were found in the first 10 cases, which was attributed to the learning curve ↗
▶ Ep 9 · 15:39
quote uh, our, uh, study, uh, revealed that there is no difference, uh, or, uh, no importance of fixation of the esophagus to the pleura. Uh, like the most recent literature regarding this topic. So, uh, usually, and after this, after this study, we don't use or, or, uh, we don't take structures between the esophagus and the crust. ↗
▶ Ep 9 · 15:39
clinical Recent literature shows there is no importance of fixation of the esophagus to the crus, and current practice after this study does not use sutures between the esophagus and the crus ↗

BOB Ped Surg 2023 - Mohamad Qinawy, PAPSA - Presentation

▶ Ep 10 · 0:10
epidemiological Recurrent GERD has been reported to occur in up to 15% of children requiring re-operation ↗
▶ Ep 10 · 0:10
clinical Post-operative bloating is frequently encountered after Nissen fundoplication, raising the necessity for a more physiologic design ↗
▶ Ep 10 · 0:10
clinical The study was a prospective single-blinded randomized comparative study conducted from October 2018 to April 2020 including 40 patients divided into two groups ↗
▶ Ep 10 · 0:10
clinical Nissen fundoplication is the most commonly adopted procedure for GERD all over the world ↗
▶ Ep 10 · 1:00
quote All of us know that 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. ↗
▶ Ep 10 · 1:30
quote The current GERD represents a significant clinical problem. It has been reported, reported to occur in up to 15% of children requiring re-operation. ↗
▶ Ep 10 · 2:00
clinical The angle of His is established by suturing the fundus of the stomach to the length of the esophagus with running absorbable suture (Vicryl or silk) ↗
▶ Ep 10 · 2:00
clinical The first step of Helio procedure 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 ↗
▶ Ep 10 · 2:00
clinical The last suture in Helio procedure incorporates the stomach, the phrenic ligament, the crura, and the proximal part of the abdominal esophagus ↗
▶ Ep 10 · 5:10
clinical Exclusion criteria included recurrent cases, giant paraesophageal hernia, and gastroparesis ↗
▶ Ep 10 · 5:10
clinical Inclusion criteria included patients with GERD with failure of medical treatment, symptomatic hiatus hernia, esophageal stricture, and life-threatening symptoms like apnea ↗
▶ Ep 10 · 5:10
clinical Operative time was significantly longer in the Helio group when compared to the Nissen group ↗
▶ Ep 10 · 6:10
clinical There were 3 recurrent Helio cases versus 2 Nissen cases ↗
▶ Ep 10 · 6:10
clinical Early dysphagia was found to be lower in the Helio group: 2 cases versus 7 cases in Nissen ↗
▶ Ep 10 · 6:10
clinical Early post-operative bloating was found to be lower in the Helio group: 3 cases versus 15 cases in Nissen ↗
▶ Ep 10 · 6:10
clinical Time to start oral feeding was insignificant between both groups but was shorter duration in the Helio group ↗
▶ Ep 10 · 6:10
clinical Late post-operative assessment found no bloating in any Helio patient while 11 cases from Nissen group suffered from bloating ↗
▶ Ep 10 · 6:10
clinical Recurrent vomiting and need for drugs was found in 8 Nissen cases versus 6 Helio cases ↗
▶ Ep 10 · 6:10
opinion The recurrent Helio cases were found in the first 10 cases, which was attributed to the learning curve ↗
▶ Ep 10 · 6:10
clinical Early vomiting was encountered more in the Nissen group: 6 cases versus 2 cases in Helio ↗
▶ Ep 10 · 7:20
quote 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. ↗
▶ Ep 10 · 7:20
opinion Helio procedure offers an effective alternative to Nissen fundoplication with no bloating and much less dysphagia, and earlier return to normal eating pattern ↗