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Minimizing the side effects of antireflux surgery
1Department of Surgery, University of Southern California Medical Center, Los Angeles 90033.
World Journal of Surgery
|March 1, 1992
Summary
Nissen fundoplication offers durable relief for gastroesophageal reflux disease, with 91% of patients experiencing symptom control over 10 years. While temporary swallowing difficulties (dysphagia) occurred, permanent issues were rare (3%).
Area of Science:
- Gastroenterology
- Surgical Therapy
- Medical Devices
Background:
- Gastroesophageal reflux disease (GERD) poses long-term challenges.
- Nissen fundoplication is a surgical option for GERD.
- Durability and side effects of the procedure require evaluation.
Purpose of the Study:
- Assess the long-term efficacy of Nissen fundoplication.
- Evaluate the durability and side effects of the surgical therapy.
- Determine the rate of postoperative dysphagia and reflux symptom relief.
Main Methods:
- A cohort of 100 patients undergoing Nissen fundoplication was evaluated postoperatively.
- Technical surgical details were carefully documented.
- Long-term follow-up assessed reflux symptoms, side effects, and dysphagia.
Main Results:
- Effective relief of reflux symptoms was achieved in 91% of patients over 10 years.
- Temporary postoperative dysphagia occurred in 39% of patients.
- Permanent dysphagia was observed in only 3% of patients, with minimal overall side effects.
Conclusions:
- Nissen fundoplication provides durable and effective long-term relief for GERD.
- The surgical procedure has a low incidence of permanent side effects.
- Careful attention to surgical technique is crucial for optimal outcomes.