Anti-reflux technique using the Teres ligament in patients with gastric limb

introduction

The anti-reflux technique using the Teres ligament in patients with gastric sleeve is a surgical procedure that is used to prevent gastroesophageal reflux in patients who have been subjected to a gastric sleeve. Gastroesophageal reflux is a common complication in patients with gastric mango and can cause annoying and potentially dangerous symptoms. This anti-reflux technique seeks to provide an effective solution to this problem, using the Teres ligament as a kind of “valve” to prevent the reflux of gastric contents into the esophagus.

Definition of anti-reflux technique

The anti-reflux technique is a surgical procedure used to prevent gastroesophageal reflux in patients who have been subjected to a gastric diaphragm. It consists of using the Teres ligament, which is a fibrous tissue that connects the liver with the diaphragm, to create a kind of “valve” that prevents the passage of gastric contents into the esophagus. This technique seeks to improve the quality of life of patients and prevent complications related to gastroesophageal reflux, such as esophagitis and deterioration of lung function.

Description of the gastric limb

Gastric sleeve, also known as gastrectomy, is a surgical procedure in which the size of the stomach is reduced by removing approximately 80% of it. The goal of this surgery is to limit the amount of food that the stomach can retain, resulting in significant weight loss. Gastric sleeve has become increasingly popular as a treatment for obesity, as it is less invasive than other procedures and offers good long-term results in terms of weight loss and improvements in patients’ health.

Importance of the antireflux technique in patients with gastric sleeve.

The antireflux technique using the ligament of Teres is of great importance in patients with gastric sleeve due to the high incidence of gastroesophageal reflux in this group. Gastroesophageal reflux can cause persistent symptoms such as heartburn, regurgitation and chest pain, negatively impacting patients’ quality of life. In addition, it can lead to serious complications such as esophagitis and the development of respiratory diseases. Therefore, the application of this antireflux technique offers significant benefits by preventing reflux and improving the quality of life of gastric sleeve patients.

Surgical procedure

The surgical procedure for the antireflux technique using the ligament of Teres consists of four main steps. These steps include preparation of the patient, access to the ligament of Teres, utilization of the ligament of Teres for the antireflux technique, and closure of the incision. Each step is crucial to the success of the surgery and to achieving the desired results in preventing gastroesophageal reflux in gastric sleeve patients.

Step 1: Patient Preparation

The first step of the surgical procedure is to adequately prepare the patient. This includes performing a thorough preoperative evaluation to ensure that the patient meets the criteria necessary to undergo Teres ligament antireflux technique surgery. In addition, the necessary preoperative tests, such as blood tests and imaging studies, should be performed to assess the patient’s condition and to plan the surgical approach safely.

Step 2: Access to the ligament of Teres

Once the patient is prepared, the second step of the surgical procedure is performed: access to the ligament of Teres. This is performed by making an incision in the supraumbilical region, which allows access to the area where the ligament of Teres is located. The surgeon uses proper surgical techniques to identify and expose the ligament of Teres safely and accurately.

Step 3: Use of the ligament of Teres for the antireflux technique

Once access to the ligament of Teres has been made, we proceed to the third step of the surgical procedure: the utilization of the ligament of Teres for the antireflux technique. The ligament of Teres is used to create an anti-reflux structure around the esophagus in the area where it joins the stomach. This helps prevent gastroesophageal reflux by improving the function of the lower esophageal sphincter and providing an adequate barrier against gastric acid regurgitation.

Step 4: Incision closure

Once the use of the ligament of Teres for the antireflux technique has been completed, the fourth and final step of the surgical procedure is performed: closure of the incision. Careful suturing and closure procedures are performed to adequately close and secure the incision, minimizing the risk of postoperative complications. Closure of the incision completes the surgical procedure and prepares the patient for the recovery phase and postoperative care.

Results and benefits

The antireflux technique using the ligament of Teres in patients with gastric sleeve has been shown to offer various results and benefits. When applying this technique, a remarkable reduction of gastroesophageal reflux has been observed in patients. This reduction is due to the utilization of the ligament of Teres as a physical barrier that helps prevent the regurgitation of gastric acid into the esophagus. In addition, this technique has been shown to significantly improve the quality of life of patients, as it decreases the symptoms associated with reflux, such as heartburn and sourness. It is also important to note that a favorable long-term evolution of the Teres ligament antireflux technique has been observed, indicating that the results obtained are maintained over time. Compared to other antireflux techniques used in patients with gastric sleeve, the Teres ligament technique has proven to be an effective and safe option. These results and benefits support the implementation of this technique in clinical practice and open the door to future research and improvements in its application.

Gastroesophageal reflux reduction

The antireflux technique using the ligament of Teres in patients with gastric sleeve has been shown to be highly effective in reducing gastroesophageal reflux.

Improvement of the patient's quality of life

The antireflux technique using the Teres ligament in patients with gastric sleeve has proven to be highly effective in improving the patient’s quality of life.

Long-term evolution of the antireflux technique with the Teres ligament

To evaluate the long-term evolution of the antireflux technique using the ligament of Teres in patients with gastric sleeve, a retrospective study was carried out.

Comparison with other antireflux techniques in patients with gastric sleeve

In the medical literature, the antireflux technique using the ligament of Teres in patients with gastric sleeve has been shown to be highly effective and safe

Conclusions

In conclusion, the antireflux technique using the ligament of Teres in patients with gastric sleeve shows to be effective and safe. The results obtained show a significant reduction of gastroesophageal reflux in patients submitted to this technique. In addition, a notable improvement in the quality of life of the patients has been observed, which is evidence of the benefits of this surgical technique. However, future research is required to consolidate these findings and to determine the long-term evolution of the technique, as well as its comparison with other antireflux techniques in patients with gastric sleeve.

Effectiveness and safety of the antireflux technique with Teres ligament

The Teres ligament antireflux technique has been shown to be highly effective and safe for the treatment of gastroesophageal reflux in patients with gastric sleeve. The results obtained in several clinical studies demonstrate a significant reduction of reflux symptoms, as well as an improvement in the quality of life of patients. In addition, this technique has shown good long-term results, with a low complication rate and high patient satisfaction. These findings support the implementation of this technique in clinical practice as a viable and safe option for the management of gastroesophageal reflux in this group of patients.

Recommendations for the implementation of the technique in clinical practice

For a correct implementation of the antireflux technique with ligament of Teres in clinical practice, it is recommended to have a surgical team experienced in the management of the gastric sleeve and in the performance of this specific technique. Likewise, it is essential to perform an adequate preoperative evaluation of each patient, considering their individual characteristics and assessing the potential benefits and risks of the technique. During the surgical procedure, the steps described in the procedure description should be carefully followed, ensuring correct identification and utilization of the ligament of Teres. Finally, the importance of adequate postoperative follow-up is emphasized, with periodic check-ups to evaluate the patient’s evolution and detect possible complications early.

Future research and improvements in the antireflux technique with the Teres ligament

Despite the positive results obtained so far, future research is required to further study the Teres ligament antireflux technique. These studies could include a long-term follow-up of the operated patients, with the aim of evaluating the durability of the results and the appearance of possible long-term complications. It would also be relevant to carry out comparative studies between the antireflux technique and the Teres ligament technique.