title: [Laparoscopic fundoplication--prevention of complications].
abstract: False indications, inadequate procedures and incorrect technique cause complications after laparoscopic antireflux procedures. Indication for operative treatment are esophagitis grade III and IV. Requirement of life-long treatment as well as persisting esophagitis after conservative treatment are indications in patients with esophagitis grade I and II. Preoperative evaluation includes endoscopy with biopsy, 24-h pH measurement and manometry. Therapy of choice is 360 degrees Nissen fundoplication analogue to the open procedure. In case of impaired esophageal contractility, a Toupet fundoplication is performed. Essential steps of the operative technique are prescribed with respect to potential peri- and postoperative complications. With crucial indication, careful preoperative evaluation and subtle technique, a fundoplication performed by an laparoscopic experienced surgeon is safe and efficient.
authors.affiliation: Chirurgische Klinik, Universitätsklinikum, RWTH Aachen.
authors.forename: E
authors.initials: E
authors.lastname: Schippers
authors.forename: B
authors.initials: B
authors.lastname: Dreuw
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
mesh_terms: D005500:Follow-Up Studies; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000145:classification / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome
vernacular_title: Laparoskopische Fundoplikatio--Prävention von Komplikationen.