title: Safe esophageal bougie placement for laparoscopic hiatal hernia repair.
abstract: The increased use of laparoscopy for treatment of reflux esophagitis has been associated with a 1-8% complication rate. Perforation of the esophagus from bougie placement, wrap breakdown or too tight a wrap are some of the complications seen from this surgery. An esophageal dilator system was developed to overcome these problems. Thirty patients had an esophageal dilator system used whereby a 48 F or 58 F dilator was placed over a 18 F orogastric tube. Intraoperative gastroscopy documented a properly created wrap. There were no esophageal perforations or morbidity associated with the dilator.
authors.affiliation: Gallbladder & Laparoscopic Surgery Center, Miami, FL 33173, USA.
authors.forename: D S
authors.initials: DS
authors.lastname: Edelman
authors.forename: M
authors.initials: M
authors.lastname: Jacobs
authors.forename: C
authors.initials: C
authors.lastname: Lopez-Penalver
authors.forename: K
authors.initials: K
authors.lastname: Moses
mesh_terms: D004106:Dilatation / Q000295:instrumentation; D004869:Equipment Safety; D004947:Esophagus / Q000293:injuries; D005336:Fiber Optic Technology; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery; D005773:Gastroscopy; D006551:Hernia, Hiatal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007902:Length of Stay; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000209:etiology / Q000517:prevention & control