title: [Laparoscopic fundoplication for gastroesophageal reflux disease].
abstract: 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.
authors.affiliation: Gastrokirurgisk avdeling Ullevål universitetssykehus 0407 Oslo. erik.trondsen@ulleval.no
authors.forename: Erik
authors.initials: E
authors.lastname: Trondsen
authors.forename: Hans Olaf
authors.initials: HO
authors.lastname: Johannessen
authors.forename: Carl Fredrik
authors.initials: CF
authors.lastname: Schou
authors.forename: Trond
authors.initials: T
authors.lastname: Buanes
mesh_terms: 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