[Laparoscopic anti-reflux surgery in gastroesophageal reflux. Diagnosis, surgical technique and outcome in 143 patients].

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.