title: [Analysis of surgery of gastroesophageal reflux by laparotomy and laparoscopy approach].
abstract: The development of the laparoscopic surgery has allowed its use in the treatment of gastroesophageal reflux.
  
  
  METHODS
  We have reviewed the results and follow-up of 30 patients treated with open procedure (group A) and 30 patients with laparoscopic surgery (group B). The most frequent indication for surgery was failure of medical therapy and the Nissen fundoplication was the method most commonly used.
  
  
  RESULTS
  The average surgical time was shorter in group A (66 minutes) than in group B (140 minutes). Intraoperative complications were: in group A, 2 patients with splenic injury; in group B, 3 patients required conversion to the open procedure (pneumothorax, gastric perforation, technical problems) and 1 patient with pneumothorax which didn't require conversion. Postoperative morbidity and mortality occurred in 20% (26% group A, 13% group B); the most common complications were: respiratory (4 patients), gas bloat syndrome (2 patients) and esophageal perforation (1 patient). At follow-up we observed complete heartburn relief in 95%, 4 patients in group A had mild dysphagia, 3 patients with recurrent hiatal hernia (2 in group A and 1 in group B) and 2 patients required reintervention in group A (intestinal occlusion caused by adherence and laparotomic hernia). Mortality occurred in a patient with esophageal perforation in group B.
  
  
  CONCLUSIONS
  Treatment for gastroesophageal reflux is feasible with similar effectiveness with open and laparoscopic procedures. The results are advantageous with the laparoscopic procedure relative to postoperative morbidity and follow-up.
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo. Hospital General Básico de Antequera, Málaga.
authors.forename: A
authors.initials: A
authors.lastname: Rey Moreno
authors.forename: A
authors.initials: A
authors.lastname: Martínez Ferriz
authors.forename: R
authors.initials: R
authors.lastname: Suescun García
authors.forename: B
authors.initials: B
authors.lastname: Espadas Padial
authors.forename: J
authors.initials: J
authors.lastname: Hernández Carmona
authors.forename: A
authors.initials: A
authors.lastname: Navarro Piñero
authors.forename: H
authors.initials: H
authors.lastname: Oliva Muñoz
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013997:Time Factors