The Ersta procedure, a hemifundoplication for the treatment of gastro-oesophageal reflux disease.
Symptoms of gastro-oesophageal reflux and gastro-oesophageal reflux disease (GERD) are common in the population and are a frequent reason for consulting physicians and surgeons. If complications of reflux occur or if the problem cannot be managed without medication such as H2 blockers or proton pump inhibitors, surgery should be considered. In the majority of cases GERD is caused by a surgically correctable anatomical defect affecting the angle of His and the flap valve mechanism. Patients should be carefully evaluated prior to surgery, and for maintaining good long-term results the antireflux procedure should be performed by surgeons with special interest in the field. We present our experience with a hemifundoplication performed both by open technique and through laparoscopy.
Ramel
S
S
Department of Surgery, Ersta Hospital, Stockholm, Sweden.
Thor
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome