[Results of the celioscopic treatment of gastroesophageal reflux according to Nissen-Rossetti. Apropos of 94 cases].
From January 1992 to July 1993, 94 patients with symptomatic gastroesophageal reflux and/or hiatal hernia underwent laparoscopic Nissen-Rossetti fundoplication. The median follow-up was 4.5 months. There was no conversion to open surgery and no postoperative mortality. Laparoscopic reoperation was necessary in 2 patients haemorrhage and there were 2 cases of food impaction. 6 patients developed a chest postoperative infection. 6 cases of dysphagia extending beyond 2 months were observed. In 3 of these cases, endoscopic dilatation provided effective treatment of dysphagia, and in 3 others, a further laparoscopic operation achieved cure. We observed 2 relapses of hiatal hernia, one of which was a voluminous recurrent paraesophageal hernia, and the other was a patient with slipped-Nissen. 84% of patients were satisfied with the surgical result. Laparoscopic fundoplication is an effective the treatment for gastroesophageal reflux.
Service de Chirurgie Digestive, Pavillon O, Hôpital Edouard-Herriot, Lyon.
E
E
Fontaumard
P
P
Espalieu
J
J
Boulez
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008365:Manometry; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications
Résultats de la cure coelioscopique du reflux gastro-oesophagien selon Nissen-Rossetti. A propos de 94 cas.