[Laparoscopic fundoplication for gastroesophageal reflux disease].

Abstract

BACKGROUND:

In 1995 we introduced laparoscopic technique as routine for fundoplication for gastro-esophageal reflux disease.

MATERIAL AND METHODS:

222 patients were scheduled for laparoscopic fundoplication; the operation was completed laparoscopically in 219 patients. They all had an observation period of one year as a minimum; 205 patients returned a follow-up questionnaire.

RESULTS:

12 patients had major complications, six of them have been reoperated. At follow-up, 95% reported excellent or good results, 3% had persisting reflux symptoms, 4% had moderate to severe dysphagia and 17% had moderate to severe gas bloat syndrome and flatulence problems which adversely affected an otherwise good outcome. Thus, 63% reported excellent, 23% good and 7% fair outcome, and 6% were moderately or very dissatisfied. Bloating and increased flatulence were the major reasons for dissatisfaction.

INTERPRETATION:

The risk of troublesome postoperative bloating and flatulence should be addressed thoroughly during the preoperative information, and especially in patients who have similar symptoms preoperatively.

• Authors: Erik Trondsen, Hans Olaf Johannessen, Carl Fredrik Schou, Trond Buanes
• Journal: Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke (Tidsskr Nor Laegeforen) Vol. 122 Issue 27 Pg. 2598-601 (Nov 10 2002) ISSN: 0029-2001 [Print] Norway
• Vernacular Title: Laparoskopisk fundoplikasjon for gastroøsofageal reflukssykdom.
• PMID: 12523186 (Publication Type: English Abstract, Journal Article)

Topics

• Follow-Up Studies
• Fundoplication (adverse effects, methods)
• Gastroesophageal Reflux (surgery)
• Humans
• Laparoscopy (adverse effects, methods)
• Patient Satisfaction
• Postoperative Complications (diagnosis, etiology)
• Reoperation
• Surveys and Questionnaires
• Treatment Outcome