@naruto_dominiicano: Oh XD Boruto #naruto #narutoshippuden #boruto #Viral #parati #Anime

naruto_dominiicano
naruto_dominiicano
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Monday 02 June 2025 23:08:34 GMT
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laiam.matteo
Laiam Matteo :
oh oh oh oh oh oh oh 🤣🤣🤣🤣
2025-06-03 00:03:19
29
yoibert.dorante
Yoibert Dorante :
contexto: oh oh oh ohhhhh
2025-07-17 19:06:56
4
zaidyt.off
~ZaidYT.Off~ :
oh oh ohhhh
2025-07-11 12:29:59
5
diego12345678o0
🇵🇷Diego🇵🇷 :
Contexto: oh oh oh oh oh oh oh ooooooooh oh ohh
2025-06-03 22:49:23
4
diegogarciagp
diegogarcia :
todos : oh oh oh oh ohhh ooohh oh oh 🗿
2025-06-04 20:56:38
3
fakert1faker
faker :
oh oh oh ohhhhh
2025-06-03 07:08:12
1
bloodsito53
Tomate :
oh Oh oh ooooooooh oh oh😂😂😂
2025-06-14 11:46:53
0
mariocastrobenavi
Mario :
ooooooooh
2025-06-02 23:18:46
6
johan.rodrguez075
HATE FLOCK‼️☑️ :
Oh oh OH OHH
2025-06-03 11:50:46
2
dinarkm7
Jdinark Javrsh :
Oh oh oh EL DIABLO OH OH 😂😂😂😂🤣🤣
2025-06-05 15:38:37
0
exclusivo_1109
exclusivo_1109 :
oh oh oh oh oh oh oh oh 🤣🤣🤣🤣🤣
2025-06-02 23:16:29
20
dantes_dimitri
🫵🏻𝚻𝚵𝚴$𝚰𝚯𝚴🥀 :
ohhhh 😨
2025-06-04 07:16:35
0
will_noah8.8
WILL. :
ooh 😲
2025-06-04 19:34:45
0
mika200311
Mika11 :
Ohhh😂😬
2025-06-18 02:42:46
0
miguelangelotakgamer
Miguel Angel :
no no no oh oh
2025-06-03 12:39:52
1
adivina356
A :
Oooooo
2025-06-28 17:45:27
0
dxnielxx4
Erick Daniel :
oh oh oh ohhhhh
2025-06-03 04:39:41
0
jorgenegrette.91
JL91 :
ooooooooo🤣🤣🤣🤣🤣🤣🤣
2025-06-03 23:04:05
0
neucronix_prim0s
necronux_Prime :
Ooohhhhh😮
2025-06-03 12:27:23
0
danonino_371
danonino._:v :
Ohhhhh
2025-06-11 00:52:40
1
dnxiker
Danix 🫩 :
oh oh oh oh oh
2025-06-04 00:34:09
3
jairocasupa8
jairocasupa8 :
ohhhh
2025-06-03 05:34:57
0
robertbentzydorci
₹|De🧀QUESITO :
ohhhhhhhh
2025-06-04 02:16:00
1
eduardoenjoy
Eduardo :
ohhh
2025-06-14 03:41:35
0
forcementartu
forcementartu :
oh, ho , ooh , hho
2025-06-03 05:20:29
0
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The most effective and commonly used surgical treatment for gastroesophageal reflux disease (GERD) and hiatal hernia is laparoscopic Nissen fundoplication. This procedure is considered the gold standard in anti-reflux surgery and has demonstrated high success rates in improving patients' symptoms and quality of life. It involves wrapping the upper part of the stomach (gastric fundus) around the lower esophagus to create a valve that prevents acid reflux. It is performed using minimally invasive techniques (laparoscopy). - Up to 95% of patients experience significant improvement in reflux symptoms. Heartburn and regurgitation improve in more than 90% of cases. Complications are rare (less than 5%) and include dysphagia (difficulty swallowing), abdominal distension, and reflux recurrence.  The long-term (10-year) recurrence rate is approximately 10%. Other Surgical Options 1. Partial Fundoplication (Toupet or Dor): - Used in patients with impaired esophageal motility. - Has a similar success rate to Nissen, but with a lower risk of postoperative dysphagia. Effectiveness: 90%. 2. Hiatal Hernia Repair: - Combined with fundoplication to correct hiatal hernias. - Reduces the risk of hernia recurrence and improves reflux symptoms. 3. Posterior Esophagogastropexy: This technique envelops the fundus in more than 380 degrees with less dysphagia compared to other techniques. Key Statistics - Improved Quality of Life: More than 90% of patients report a significant improvement in their quality of life.  - Reduction in medication use: Most patients no longer require proton pump inhibitors (PPIs) after surgery. - Patient selection is crucial. The best candidates are those with: - GERD refractory to medical treatment. - Symptomatic hiatal hernia. - Complications such as erosive esophagitis or Barrett's esophagus. In summary, laparoscopic Nissen fundoplication is highly effective, with success rates exceeding 90% and low complication rates. However, it is important to individualize treatment based on patient characteristics and the surgeon's experience. #cirugiaantireflujo #hiatalherniasurgery #antirefluxsurgery #erge #hiatoplastie #refluxogastrico #mexico🇲🇽 #maroc🇲🇦 #prdrpedrogutierrezcontreras #laringitis #gastroesofagicreflux #endoscopicfunduplicature #endoscopicvisionafterfunduplicature
The most effective and commonly used surgical treatment for gastroesophageal reflux disease (GERD) and hiatal hernia is laparoscopic Nissen fundoplication. This procedure is considered the gold standard in anti-reflux surgery and has demonstrated high success rates in improving patients' symptoms and quality of life. It involves wrapping the upper part of the stomach (gastric fundus) around the lower esophagus to create a valve that prevents acid reflux. It is performed using minimally invasive techniques (laparoscopy). - Up to 95% of patients experience significant improvement in reflux symptoms. Heartburn and regurgitation improve in more than 90% of cases. Complications are rare (less than 5%) and include dysphagia (difficulty swallowing), abdominal distension, and reflux recurrence. The long-term (10-year) recurrence rate is approximately 10%. Other Surgical Options 1. Partial Fundoplication (Toupet or Dor): - Used in patients with impaired esophageal motility. - Has a similar success rate to Nissen, but with a lower risk of postoperative dysphagia. Effectiveness: 90%. 2. Hiatal Hernia Repair: - Combined with fundoplication to correct hiatal hernias. - Reduces the risk of hernia recurrence and improves reflux symptoms. 3. Posterior Esophagogastropexy: This technique envelops the fundus in more than 380 degrees with less dysphagia compared to other techniques. Key Statistics - Improved Quality of Life: More than 90% of patients report a significant improvement in their quality of life. - Reduction in medication use: Most patients no longer require proton pump inhibitors (PPIs) after surgery. - Patient selection is crucial. The best candidates are those with: - GERD refractory to medical treatment. - Symptomatic hiatal hernia. - Complications such as erosive esophagitis or Barrett's esophagus. In summary, laparoscopic Nissen fundoplication is highly effective, with success rates exceeding 90% and low complication rates. However, it is important to individualize treatment based on patient characteristics and the surgeon's experience. #cirugiaantireflujo #hiatalherniasurgery #antirefluxsurgery #erge #hiatoplastie #refluxogastrico #mexico🇲🇽 #maroc🇲🇦 #prdrpedrogutierrezcontreras #laringitis #gastroesofagicreflux #endoscopicfunduplicature #endoscopicvisionafterfunduplicature

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