The benefits of laparoscopic antireflux surgery for the treatment of gastroesophageal reflux disease.
In the U.S., more then 10% of adults have symptoms of gastroesophageal reflux disease (GERD), which is caused by the combination of incompetent lower esophageal sphincter and sliding hiatal hernia. Most symptoms of this disease are mild and they do not require treatment. However, severe conditions such as esophageal erosion, ulceration, stricture, asthma due to aspiration and chronic respiratory infections require medical or surgical managements. Most patients can be effectively treated with traditional medical management utilizing dietary modification, weight loss, raising the head of the bed, antacids, H2 antagonists and proton pump inhibitors. Recently, though, it has been proven that long-term relief may be achieved more efficiently with antireflux surgery or Laparoscopic Nissen fundoplication. Since 1993, a total of 80 patients with advanced GERD have undergone laparoscopic nissen fundoplication at the United Hospital Center in Clarksburg, W.Va., and the results have been excellent. In addition, the hospital charges for patients having laparoscopic Nissen fundoplication are much less than for those who undergo open procedure and the recuperation time is much shorter.
Chang
T H
TH
West Virginia University School of Medicine, Morgantown, USA.
D000328:Adult; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D011183:Postoperative Complications; D013536:Suture Techniques; D016896:Treatment Outcome