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[Nissen fundoplication by laparoscopy]

D Seror1, O Zamir, R Udassin

  • 1Dept. of Surgery, Hadassah-University Hospital, Mount Scopus, Jerusalem.

Harefuah
|February 14, 1998
PubMed
Summary
This summary is machine-generated.

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Laparoscopic Nissen fundoplication offers favorable short-term outcomes for symptomatic gastroesophageal reflux disease. This minimally invasive surgery effectively resolves heartburn and regurgitation in adults and improves pulmonary symptoms in children.

Area of Science:

  • Minimally invasive surgery
  • Gastroenterology
  • Pediatric surgery

Context:

  • Symptomatic gastroesophageal reflux disease (GERD) affects both children and adults.
  • Laparoscopic Nissen fundoplication is an alternative to open surgery for GERD.
  • Diagnostic tools include pH monitoring, endoscopy, manometry, and milk scans, particularly for pediatric patients with pulmonary complications.

Purpose:

  • To evaluate the short-term outcomes of laparoscopic Nissen fundoplication in patients with symptomatic GERD.
  • To compare the efficacy and safety of laparoscopic versus open Nissen fundoplication.
  • To assess patient satisfaction and symptom resolution post-surgery.

Summary:

  • The study assessed 31 patients (19 children, 12 adults) undergoing laparoscopic Nissen fundoplication.

Related Experiment Videos

  • Outcomes included symptom resolution (91% for adults' heartburn/regurgitation), pediatric pulmonary improvement (100% satisfaction), and complication rates (22.5%, with 3 conversions to open surgery).
  • Mortality was low (1 case of dysautonomia), and recovery times were comparable to open procedures.

    • Impact:

    • Laparoscopic Nissen fundoplication demonstrates comparable or improved symptomatic outcomes to open surgery for GERD.
    • The procedure is effective in resolving upper gastrointestinal symptoms and improving associated pulmonary conditions.
    • Minimally invasive approach offers a safe and effective treatment option for a range of patient ages.