[Laparoscopic fundoplication--prevention of complications].
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.
Schippers
E
E
Chirurgische Klinik, Universitätsklinikum, RWTH Aachen.
Dreuw
B
B
Schumpelick
V
V
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
Laparoskopische Fundoplikatio--Prävention von Komplikationen.