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[Hiatal hernia and reflux esophagitis].

E Stenehjem, S Aune, M Stokkeland

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |September 30, 1989
    PubMed
    Summary

    Nissen fundoplication surgery for hiatal hernia and gastroesophageal reflux disease showed no mortality. While some patients experienced gas-bloat symptoms, most reported satisfaction, with esophagitis healing in many cases.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Abdominal Surgery

    Context:

    • Hiatal hernia and gastroesophageal reflux disease (GERD) are common conditions requiring surgical intervention.
    • Surgical management aims to alleviate symptoms and prevent complications like esophagitis, strictures, and Barrett's ulcer.
    • The Nissen fundoplication is a frequently employed surgical technique for GERD.

    Purpose:

    • To evaluate the outcomes of surgical interventions for hiatal hernia and/or GERD.
    • To assess the efficacy of Nissen fundoplication compared to other repairs.
    • To determine patient satisfaction and complication rates following surgery.

    Summary:

    • A cohort of 25 patients underwent surgery for hiatal hernia and/or GERD between 1985 and 1987.
    • The majority received Nissen fundoplication; one had a Belsey Mark IV repair. No mortality was observed.
    • Postoperative follow-up revealed symptom resolution in some, with 22 patients satisfied overall, despite six reporting gas-bloat symptoms.

    Impact:

    • Highlights the safety and potential effectiveness of Nissen fundoplication for GERD.
    • Suggests timely surgical evaluation is crucial before severe complications like strictures or Barrett's ulcer develop.
    • Informs clinical decision-making regarding surgical candidates for refractory GERD.

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