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[Hiatal hernia and reflux disease--long-term results following fundoplication and consequences in therapeutic
C Ackermann1, L Margreth, C Muller
1Departement Chirurgie der Universität, Kantonsspital, Basel.
Unlabelled:
10 to 20 years (median 15.1 years) after fundoplication for primary reflux disease 257 patients were questioned about their symptoms. Data of 163 patients could be analyzed.
Results:
21.4% of the patients have persistent or recurrent reflux symptoms, about half of them (9.8%) need medical treatment. Adverse side-effects of the fundoplication are frequent: dysphagia in 28.2%, gas-bloat in 50.3%. Using the Visick criteria for classification we found Visick grade I and II for 75.5%, grade III for 17.2%, and IV for 7.4%. Diagnostic and therapeutic concepts in case of failed reflux control are discussed.
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