[Evaluation of the efficacy of surgical treatment of gastroesophageal reflux disease].
OBJECTIVE
In a group of 100 patients efficacy of surgical treatment of GERD was prospectively assessed.


METHODS
37 women and 63 men were qualified into the study. During preoperative period the following symptoms were assessed: heartburn, belching, chest pain, epigastric pain, regurgitations, dysphagia and the following examinations were performed: esophagogastroscopy, esophageal barium meal X-ray examination, esophageal manometry an 24-hours pH-metry. All patients were operated laparoscopically.


RESULTS
Based on preoperative esophageal manometry 67 Nissen and 33 Toupet fundoplications were done. Mean patients' age was 51,54 years. Postoperative mortality was 0%. While assessing clinical symptomps one found statistically significant reduction of preoperative complaints, improvement of motility of esophageal body and parameters of lower esophageal sphincter, and normalization of 24-hours pH-metry record.


CONCLUSIONS
Antireflux operations effectively reduce pathological GERD and improve esophageal motility.
Centrum Medycznego Kształcenia Podyplomowego w Warszawie, Klinika Chirurgii Ogólnej i Przewodu Pokarmowego. tarnowski@poczta.onet.pl
Wiesław
W
Tarnowski
Ewa
E
Kalinowska
Lech
L
Baczuk
Hubert
H
Cabaj
Krzysztof
K
Bielecki
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004945:Esophagoscopy; D005260:Female; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011300:Preoperative Care; D011446:Prospective Studies; D016896:Treatment Outcome