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Laparoscopic gastro-oesophageal antireflux surgery
T Kiviluoto1, P Luukkonen, J Salo
1Second Department of Surgery, Helsinki University Central Hospital, Finland.
Annales Chirurgiae Et Gynaecologiae
|January 1, 1994
Summary
Antireflux surgery is a viable alternative to medication for gastro-oesophageal reflux disease (GERD). Laparoscopic antireflux surgery shows promise, with short-term results comparable to open procedures.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Gastro-oesophageal reflux disease (GERD) understanding has advanced.
- Antireflux surgery is an effective alternative to medical therapy for select GERD patients.
Purpose of the Study:
- To review the role of antireflux surgery in managing GERD.
- To compare open and laparoscopic approaches to antireflux surgery.
Main Methods:
- Review of current understanding of GERD pathophysiology and antireflux mechanisms.
- Discussion of indications for surgical intervention.
- Comparison of open surgical techniques (Belsey, Nissen, Hill) with laparoscopic approaches.
Main Results:
- Open antireflux surgeries achieve 80-90% success rates in symptom relief and lesion healing.
- Laparoscopic antireflux surgery offers potential for reduced complications and patient convenience.
- Short-term results of laparoscopic antireflux surgery are comparable to open surgery.
Conclusions:
- Antireflux surgery is a valid treatment for symptomatic GERD, particularly when medical therapy fails.
- Laparoscopic antireflux surgery is a promising alternative, but long-term data are needed for definitive evaluation.