[Hiatal hernia and reflux disease--long-term results following fundoplication and consequences in therapeutic failures].
10 to 20 years (median 15.1 years) after fundoplication for primary reflux disease 257 patients were questioned about their symptoms. Data of 163 patients could be analyzed.


RESULTS
21.4% of the patients have persistent or recurrent reflux symptoms, about half of them (9.8%) need medical treatment. Adverse side-effects of the fundoplication are frequent: dysphagia in 28.2%, gas-bloat in 50.3%. Using the Visick criteria for classification we found Visick grade I and II for 75.5%, grade III for 17.2%, and IV for 7.4%. Diagnostic and therapeutic concepts in case of failed reflux control are discussed.
Departement Chirurgie der Universität, Kantonsspital, Basel.
C
C
Ackermann
L
L
Margreth
C
C
Muller
F
F
Harder
D004943:Esophagogastric Junction / Q000601:surgery*; D005500:Follow-Up Studies; D005745:Gastric Acidity Determination; D005748:Gastric Fundus / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D008365:Manometry; D011183:Postoperative Complications / Q000209:etiology*
Hiatushernie und Refluxkrankheit--Langzeitergebnisse nach Fundoplicatio und Konsequenzen bei Therapieversagern.