Laparoscopic Omega-type fundoplication (ΩTF) is a Safe and Effective Method for GERD - Data on Radiologic and...

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Surgical Innovation

Background:

• Gastroesophageal reflux disease (GERD) poses significant challenges in management.
• Laparoscopic Ω-type fundoplication (ΩTF) is a novel surgical approach for GERD.
• ΩTF combines hiatoplasty with His-angle reconstruction for improved outcomes.

Purpose of the Study:

• To evaluate the safety and efficacy of Laparoscopic Ω-type fundoplication (ΩTF).
• To assess symptom relief, hernia recurrence, and quality of life post-ΩTF.
• To analyze outcomes during a one-year follow-up period.

Main Methods:

• Retrospective analysis of 198 patients undergoing ΩTF.
• Evaluation of safety, symptoms, hernia recurrence, and quality of life.
• Utilized GERD-HRQL scores and contrast swallow X-rays for follow-up.

Main Results:

• Significant reduction in GERD symptoms (reflux, bloating, dysphagia) and proton pump inhibitor (PPI) use.
• High rate of normal food intake (98.6%) and short hospital stay (median 1 day).
• Improved GERD-HRQL scores (25 to 4) and high patient satisfaction (82.4%).

Conclusions:

• Laparoscopic Ω-type fundoplication (ΩTF) is a safe and effective procedure for GERD.
• ΩTF provides substantial symptom relief and improves patient quality of life.
• Further prospective studies are needed to validate these findings.