[Laparoscopic fundoplication for gastroesophageal reflux disease].
BACKGROUND
In 1995 we introduced laparoscopic technique as routine for fundoplication for gastro-esophageal reflux disease.


METHODS
222 patients were scheduled for laparoscopic fundoplication; the operation was completed laparoscopically in 219 patients. They all had an observation period of one year as a minimum; 205 patients returned a follow-up questionnaire.


RESULTS
12 patients had major complications, six of them have been reoperated. At follow-up, 95% reported excellent or good results, 3% had persisting reflux symptoms, 4% had moderate to severe dysphagia and 17% had moderate to severe gas bloat syndrome and flatulence problems which adversely affected an otherwise good outcome. Thus, 63% reported excellent, 23% good and 7% fair outcome, and 6% were moderately or very dissatisfied. Bloating and increased flatulence were the major reasons for dissatisfaction.


CONCLUSIONS
The risk of troublesome postoperative bloating and flatulence should be addressed thoroughly during the preoperative information, and especially in patients who have similar symptoms preoperatively.
Trondsen
Erik
E
Gastrokirurgisk avdeling Ullevål universitetssykehus 0407 Oslo. erik.trondsen@ulleval.no
Johannessen
Hans Olaf
HO
Schou
Carl Fredrik
CF
Buanes
Trond
T
D005500:Follow-Up Studies; D018662:Fundoplication / Q000009:adverse effects / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D012086:Reoperation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome