{"title":"[Laparoscopic anti-reflux surgery in gastroesophageal reflux. Diagnosis, surgical technique and outcome in 143 patients].","authors":"E Kleimann, H J Halbfass","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Within the period March 1994 to March 1998, 143 patients with gastroesophageal reflux disease (GERD) underwent laparoscopic antireflux surgery. According to manometric studies, 76 patients underwent short-floppy laparoscopic Nissen fundoplication, 42 patients with impaired motility had a Toupet hemifundoplication, and 25 patients had an anterior Dor hemifundoplication. Recurrent reflux symptoms appeared in 6.3% after 16.7 +/- 12 months of follow-up (Nissen 2.6%, Toupet 2.3%, Dor 24%, p < 0.01). Persistent dysphagia with reoperation occurred in 2.1% (Nissen 2.6%, Toupet 2.3%, Dor = 0%, n.s.). Follow-up included assessment of the Visick score and patient satisfaction with operation results. Excellent or good results were found in 92% of the patients.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1520-2"},"PeriodicalIF":0.0000,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Within the period March 1994 to March 1998, 143 patients with gastroesophageal reflux disease (GERD) underwent laparoscopic antireflux surgery. According to manometric studies, 76 patients underwent short-floppy laparoscopic Nissen fundoplication, 42 patients with impaired motility had a Toupet hemifundoplication, and 25 patients had an anterior Dor hemifundoplication. Recurrent reflux symptoms appeared in 6.3% after 16.7 +/- 12 months of follow-up (Nissen 2.6%, Toupet 2.3%, Dor 24%, p < 0.01). Persistent dysphagia with reoperation occurred in 2.1% (Nissen 2.6%, Toupet 2.3%, Dor = 0%, n.s.). Follow-up included assessment of the Visick score and patient satisfaction with operation results. Excellent or good results were found in 92% of the patients.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
