s

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Note added at 10 hrs (2008-12-14 06:20:11 GMT)
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**Tight fundoplication** (TF) is an early and persistent complication of surgery for gastroesophageal reflux (GOR); it consists in a high pressure of the lower oesophageal sphincter (LOS) due to the creation of an ****excessively tight wrap**** (Fig. 1)...
http://ejcts.ctsnetjournals.org/cgi/content/full/16/3/266

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Note added at 10 hrs (2008-12-14 06:21:52 GMT)
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Esophageal intubation with a bougie during laparoscopic Nissen fundoplication (LNF) is commonly used to prevent an **excessively tight wrap**.
http://archsurg.ama-assn.org/cgi/content/full/137/4/402

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Note added at 10 hrs (2008-12-14 06:23:08 GMT)
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Excessive tightening of the wrap...
http://archsurg.ama-assn.org/cgi/content/full/140/10/946

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Note added at 10 hrs (2008-12-14 06:26:11 GMT)
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Other patients may have prolonged postoperative dysphagia secondary to mechanical obstruction of the distal esophagus from a **"tight" fundoplication wrap**. **A tight wrap** can also lead to the gas-bloat syndrome...
http://www.ajronline.org/cgi/content/full/189/6/1464

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Note added at 10 hrs (2008-12-14 06:28:41 GMT)
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A second Nissen fundoplication was performed in 128 children. Complications included bowel obstruction (18), wound infection (10), pneumonia (6) and **tight wrap** (9). ...
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pub...

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Note added at 10 hrs (2008-12-14 06:30:31 GMT)
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A slipped Nissen fundoplication may be the result of a technical error in which the fundoplication is incorrectly placed over the stomach or may be due to slippage of the stomach up through an intact wrap. A tight wrap occurs because of poor surgical technique or the misdiagnosis of achalasia. A **tight fundoplication** is usually caused by surgical inexperience. A **tight wrap** must be taken down.
http://archsurg.ama-assn.org/cgi/content/full/134/7/733

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Note added at 10 hrs (2008-12-14 06:33:53 GMT)
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Pitfalls and complications of antireflux surgery. Nissen and Collis-Nissen techniques.

Chest Surg Clin N Am. 1997 Aug;7(3):489-509

...****an excessively tight wrap****...

http://www.ncbi.nlm.nih.gov/pubmed/9246399?ordinalpos=3&itoo...

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Note added at 10 hrs (2008-12-14 06:36:11 GMT)
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In "gas bloat syndrome", patients report being unable to belch, leading to an accumulation of gas in the stomach or small intestine. This is said to occur in 2-5% of patients, depending on surgical technique, and is commonly believed to be related to the **tightness of the "wrap"**
http://en.wikipedia.org/wiki/Nissen_fundoplication

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Note added at 10 hrs (2008-12-14 06:41:24 GMT)
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Кстати, насчёт "проводить гидростатическую баллонную дилатацию"... В предыдущей ссылке, чуть ниже процитированного текста, есть такая фраза: "If gas bloat syndrome occurs postoperatively and does not resolve with time, dietary restrictions, and counselling regarding aerophagia, it may be beneficial to consider treating the condition with an **endoscopic balloon dilatation**"

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Note added at 10 hrs (2008-12-14 06:47:21 GMT)
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What is the Nissen Fundoplication?
...
The "fundus" (hence the term fundoplication) of the stomach (top portion of the stomach) is **wrapped** around the back of the esophagus until it is once again in front. The portion of the fundus that is now on the right side of the esophagus is sutured to the portion on the left side to keep the **wrap** in place. When completed, the fundoplication resembles a buttoned shirt collar. The collar is the **fundus wrap** and the neck represents the esophagus inside the **wrap**.
http://www.geocities.com/fundofamilies/description.html

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Note added at 11 hrs (2008-12-14 07:16:09 GMT)
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Всё предложение можно было бы изложить, напр., так (в отношении уместности здесь слова "hydrostatic" я совсем не уверен, т.к. используется оно в таком контексте, по-моему, очень редко; чаще - в сочетании с "endoscopic", которого у нас нет в первоисточнике...):

In the cases of excessively tight wraps after Nissen fundoplication surgeries, it was required/needed/necessary to perform hydrostatic balloon dilatation.

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Note added at 11 hrs (2008-12-14 07:24:37 GMT)
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или, скажем, "...we were required to perform hydrostatic balloon dilatation"

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Note added at 12 hrs (2008-12-14 08:58:48 GMT)
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может быть, не знаю... Ну, тогда не будем привлекать сюда "endoscopic" (которого и в первоисточнике нет), а остановимся на "hydrostatic". Хотя оно почему-то редко попадается в этом контексте...

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Note added at 13 hrs (2008-12-14 09:21:01 GMT)
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Впрочем, может быть, я маленько сгущаю краски в отношении "hydrostatic"... См., напр., следующее:

Complete symptomatic remission was obtained with a single hydrostatic balloon dilatation of the cardioesophageal junction...
http://www.ncbi.nlm.nih.gov/pubmed/1962628?ordinalpos=11&ito...

Hydrostatic balloon dilatation for stomal stenosis after gastric partitioning.
http://www.ncbi.nlm.nih.gov/pubmed/6522908?ordinalpos=15&ito...

Achalasia can be effectively treated by either hydrostatic balloon dilatation or transthoracic modified Heller myotomy
http://www.ncbi.nlm.nih.gov/pubmed/9347864?ordinalpos=7&itoo...


А также - применительно к другим анатомическим структурам:

http://www.ncbi.nlm.nih.gov/pubmed/9479733?ordinalpos=6&itoo...

http://www.ncbi.nlm.nih.gov/pubmed/9026435?ordinalpos=8&itoo...

http://gut.bmj.com/cgi/reprint/36/4/577

http://www.ncbi.nlm.nih.gov/pubmed/1644004?ordinalpos=10&ito...