[The outcomes of treatment of gastroesophageal reflux disease with laparoscopic "floppy" fundoplication].
Gastroesophageal reflux disease (GERD) has been a serious health and social problem. Population based survey revealed that around 40 per cent of the whole population reported monthly GERD related symptoms. When not treated properly GERD can lead to severe complications such as Barrett's oesophagus (BE) and adenocarcinoma as a consequence. Various methods can be useful in diagnosis of GERD but only gastroscopy is a widespread investigation that enables to establish the diagnosis of reflux disease. The symptoms of reflux disease can be effectively treated by drugs, surgical procedures remain the way of curing the cause of gastroesophageal reflux. Nowadays the laparoscopic fundoplication is a standard in operative treatment of the ailment.


OBJECTIVE
was to evaluate of GERD treatment with laparoscopic "floppy" Nissen fundoplication (LFN).


METHODS
A group of 41 patients who underwent LNF were recruited for the study. All qualified patients underwent pre and post-surgical upper GI endoscopy and were requested to answer the questions in a GERD-related quality of life questionnaire. The main group of patients was divided into two subgroups--those with concomitant hiatal hernia and those without hernia. The outcomes of treatment were then compared between the subgroups.


RESULTS
After the procedure the endoscopic improvement of reflux oesophagitis and better symptoms self-assessment were found.


CONCLUSIONS
Laparoscopic "floppy" Nissen fundoplication is an effective method of treatment of erosive oesophagitis and its symptoms.
Furga
Piotr
P
Military Institute of Health Services, Central Clinical Hospital of the Ministry of National Defense, Warsaw. chirstan@wim.mil.pl
Koziarski
Tomasz
T
Paśnik
Krzysztof
K
Błaszak
Antoni
A
Orłowski
Mikołaj
M
D000328:Adult; D000368:Aged; D004942:Esophagitis, Peptic / Q000150:complications / Q000628:therapy*; D005260:Female; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005773:Gastroscopy; D006551:Hernia, Hiatal / Q000150:complications; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult