Laparoscopic fundoplication--short- and long-term outcome.

Area of Science:

• Gastroenterology
• Surgical Innovation

Background:

• Gastroesophageal reflux disease (GERD) is a prevalent functional disorder in Western countries.
• Laparoscopic anti-reflux procedures are increasingly popular, necessitating evaluation of their outcomes.

Purpose of the Study:

• To assess short- and long-term outcomes of laparoscopic fundoplication.
• To provide insights into the implications of increasing surgical frequency.

Main Methods:

• Literature review of existing studies.
• Patient data collection via questionnaire.

Main Results:

• Reflux recurrence, due to wrap breakdown or herniation, can occur years post-surgery (up to 8%).
• Persistent dysphagia affects 3-5% long-term, decreasing from initial rates.
• Other functional issues like gas bloat and pain impact up to 5% of patients long-term.

Conclusions:

• Laparoscopic anti-reflux surgery has potential long-term complications including recurrence and functional issues.
• While side effects are generally limited (5-10%), they cannot be entirely eliminated.