Abstract | UNLABELLED: PATIENTS AND METHODS: From July 1992 to September 1996, 161 patients with medical treatment-dependent GERD were operated. 17 patients were excluded from the study (conversion or immediate laparotomy). The group of 144 patients included consisted of 92 men and 52 women with a mean age of 50 (25-77 years). The preoperative work-up included endoscopy, esophageal manometry and 24-hour pH monitoring. The surgical procedures were complete fundoplication without section of the short vessels (Nissen-Rossetti: 122 cases), with section of the shorts vessels (Nissen: 18 cases), or partial fundoplication of 270 degrees (Toupet: 4 cases). The patients were reviewed clinically 3 months after the operation, with repeat manometry and pH monitoring; yearly survey was performed. RESULTS: There was no postoperative mortality. The morbidity consisted of 2 respiratory complications (1.5%) with good recovery. With a follow-up of 3 and 21 months, the dysphagia rate was 24 vs 2% of patients (p < 0.05), the rate of gas bloat syndrome was 18% vs 21% (n.s.), and the GERD recurrence 6% vs 14% (p < 0.05). The mean time to recurrence was 8 months. 2 patients were reoperated: one for incisional hernia and one for slipped-Nissen. CONCLUSION: The results of laparoscopic treatment of GERD with fundoplication procedures at 2 years follow-up showed an 86% cure rate of GERD control and 94% satisfaction rate for the patients who were investigated.
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Authors | C Meyer, S Rohr, N De Manzini, O Firtion, L Thiry, C Bourtoul |
Journal | Annales de chirurgie
(Ann Chir)
Vol. 52
Issue 7
Pg. 598-601
( 1998)
ISSN: 0003-3944 [Print] France |
Vernacular Title | Traitement laparoscopique du reflux gastro-oesophagien par fundoplicature. Résultats à moyen terme. |
PMID | 9805795
(Publication Type: English Abstract, Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Deglutition Disorders
(etiology)
- Esophagoscopy
- Female
- Follow-Up Studies
- Fundoplication
(adverse effects, methods)
- Gases
- Gastroesophageal Reflux
(physiopathology, surgery)
- Humans
- Hydrogen-Ion Concentration
- Laparoscopy
(adverse effects, methods)
- Laparotomy
- Lung Diseases
(etiology)
- Male
- Manometry
- Middle Aged
- Patient Satisfaction
- Pressure
- Prospective Studies
- Recurrence
- Reoperation
- Treatment Outcome
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