title: Laparoscopic Nissen fundoplication in a community hospital: analysis of 202 patients.
abstract: We analyzed 202 patients undergoing Laparoscopic Nissen fundoplication. One hundred and three patients (90.6%) had typical reflux symptoms. Hiatal hernias were present in 84.6%. Most patients had erosive esophagitis; sixty-four patients (31.6%) had strictures. Complications occurred in 38 patients (18.8%), with major complications in 15 patients (7.4%). Major complications included bleeding in six, two requiring transfusion, slipped Nissen in three, pneumothorax in two, and esophageal leak in two patients. Eleven patients had postoperative dysphagia that responded to dilation therapy within three months. There was no mortality.
authors.affiliation: Department of Medicine, Division of Gastroenterology, St. John's Mercy Hospital, Washington, Missouri, USA.
authors.forename: Leslie E
authors.initials: LE
authors.lastname: Tucker
authors.forename: Carl
authors.initials: C
authors.lastname: Blatt
authors.forename: Norbert L
authors.initials: NL
authors.lastname: Richardson
authors.forename: Donna T
authors.initials: DT
authors.lastname: Richardson
authors.forename: James D
authors.initials: JD
authors.lastname: Cassat
authors.forename: Thomas B
authors.initials: TB
authors.lastname: Riechers
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004941:Esophagitis / Q000601:surgery; D005260:Female; D018662:Fundoplication / Q000009:adverse effects; D005764:Gastroesophageal Reflux / Q000601:surgery; D006551:Hernia, Hiatal / Q000601:surgery; D006764:Hospitals, Community; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D012449:Safety; D016896:Treatment Outcome