Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014.
OBJECTIVE
Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data regarding antireflux surgery in Korea.


METHODS
Data from 2011 to 2014 were collected from the Korean Antireflux Surgery Study Group and then analyzed.


RESULTS
A total of 87 patients underwent laparoscopic fundoplication for the treatment of GERD. Preoperatively, typical symptoms were present in 81 patients (93%) and atypical symptoms were present in 51 patients (59%). Twenty-seven patients (31%) had poor PPI responses. The average surgical time and postoperative hospital stay were 116.3±42.3 minutes and 4.3±3.1 days, respectively. At 3 months after surgery, typical symptoms were completely controlled in 86.3% of patients and partially controlled in 11.7%, whereas atypical symptoms were completely controlled in 63.3% of patients and partially controlled in 23.3%.


CONCLUSIONS
This study showed that although atypical symptoms and PPI nonresponders are common, the complete control rates of typical and atypical symptoms were 86.3% and 63.3%, respectively. Laparoscopic fundoplication is an efficacious method of controlling the symptoms of GERD and has an acceptable rate of postoperative morbidity and adverse symptoms.
Department of Surgery, The Catholic University of Korea College of Medicine, Korea.
Jun-Hyun
JH
Lee
Department of Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
Joong-Min
JM
Park
Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Sang-Uk
SU
Han
Department of Surgery, The Catholic University of Korea College of Medicine, Korea.
Jin-Jo
JJ
Kim
Department of Surgery, The Catholic University of Korea College of Medicine, Korea.
Kyo Young
KY
Song
Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.
Seung Wan
SW
Ryu
Department of Surgery, Kosin University College of Medicine, Busan, Korea.
Kyung Won
KW
Seo
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Hyoung-Il
HI
Kim
Department of Surgery, The Catholic University of Korea College of Medicine, Korea.
Wook
W
Kim
D000328:Adult; D000368:Aged; D005260:Female; D018662:Fundoplication / Q000379:methods / Q000706:statistics & numerical data*; D005764:Gastroesophageal Reflux / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D056910:Republic of Korea; D016896:Treatment Outcome
D054328:Proton Pump Inhibitors
Gastroesophageal reflux disease; Laparoscopic fundoplication; Nationwide Korean data; Proton pump inhibitors