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[Initial results with laparoscopic fundoplication]

C Ackermann1, J P Schuppisser, U Herzog

  • 1Chirurgische und Medizinische Abteilung, St. Claraspital Basel.

Schweizerische Medizinische Wochenschrift
|September 23, 1995
PubMed
Summary
This summary is machine-generated.

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Laparoscopic Nissen fundoplication effectively treats gastroesophageal reflux disease, with most patients symptom-free post-surgery. This minimally invasive approach offers low morbidity and faster recovery for selected individuals.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery

Context:

  • Gastroesophageal reflux disease (GERD) often requires surgical intervention when medical management fails.
  • Laparoscopic Nissen fundoplication is a common surgical procedure for GERD.

Purpose:

  • To evaluate the efficacy and safety of laparoscopic Nissen fundoplication for refractory GERD.
  • To assess the impact of the procedure on lower esophageal sphincter pressure and symptom resolution.

Summary:

  • 17 patients with GERD underwent laparoscopic Nissen fundoplication; 4 required conversion to laparotomy due to complications (large hiatal hernia or severe peri-esophagitis).
  • No perioperative morbidity or mortality was observed. At 3 months, all patients were symptom-free.
  • Esophageal manometry showed improved lower esophageal sphincter pressure and high-pressure zone length post-surgery. One patient required reoperation for wrap disruption a year later.

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Impact:

  • Laparoscopic fundoplication demonstrates low perioperative morbidity and reduced recovery time in selected GERD patients.
  • The procedure effectively improves esophageal manometric parameters and provides significant symptom relief.
  • Careful patient selection is crucial for optimal outcomes in laparoscopic fundoplication for GERD.