ASSESSMENT OF LAPAROSCOPIC PARTIAL POSTERIOR FUNDOPLICATION IN THE MANAGEMENT OF GASTROESOPHAGEAL REFLUX DISEASE. | ||
| The Egyptian Journal of Surgery | ||
| Volume 20, Issue 1, January 2001, Pages 443-450 PDF (565.95 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2001.376936 | ||
| Authors | ||
| Mohamed Yasser Abdel-Atty* 1; Abdallah Bahnasy2 | ||
| 1General SurgeryDepartments, Minufiya University. | ||
| 2Internal Medicine Departments, Minufiya University. | ||
| Abstract | ||
| Background: Surgical correction of gastroesophageal reflux disease has been a therapeutic option for decades. Laparoscopic antireflux surgery is currently a growing and well established field in endoscopic surgery. Methods: Between October 1997 and November 2000, nineteen patients underwent attempted laparoscopic partial posterior fundoplication. Preoperative investigations included endoscopy and barium swallow in all patients, manometry in 13 patients and PH monitoring in 9. Results: One patient (5.3%) was converted to an open procedure. Fifteen patients were satisfied with the procedure. One patient had objective recurrence and required open revision of the wrap. Two patients developed postoperative complications (head and neck emphysema in 1 and deep venous thrombosis in the other). Two patients developed postoperative transient dysphagia, there was no incidence of persistent dysphagia or gas bloat. The mean operative time was 190 minutes and the mean hospital stay was 3.7 days. Conclusion: Manometry could not be done routinely, especially when a partial wrap was decided to be performed. The laparoscope offers an effective option for treatment of gastroesophageal reflux disease with encouraging results. In addition to the benefits of a minimally invasive procedure. | ||
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