Patient Selection for Laparoscopic Fundoplication in Chronic Gastroesophageal Reflux Disease | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2023, Issue 1, January 2023 | ||||
| DOI: 10.58675/2682-339X.2152 | ||||
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| Authors | ||||
| Saif Eldin Mahmoud Elsodany; Emad Ads Elewesy; Ahmed Shaban Maraey Maraey | ||||
| Department of General Surgery , Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Today's society is most affected by gastroesophageal reflux disease (GERD). It accounts for most US gastrointestinal disease treatment expenses and low quality of life scores. Aim and Objectives: In order to provide more conclusive proof in the treatment of GERD with either partial or whole laparoscopic fundoplication. Patients and Methods: Thirty people diagnosed with GERD participated in the research study. The proper selection of patients to undergo anti-reflux surgery is essential to achieving positive results from the operation. On pH investigations, evidence of reflux should be present in every patient who is scheduled to have surgery to treat reflux disease. Results: According to the findings of a recent study, there was not a statistically significant difference among Nissen & Toupet in terms of dysphagia and other pre-operative symptoms. According to the findings of this study, there was not a statistically significant difference discovered among Nissen & Toupet in terms of Symptoms After six Months & 1 Year. In the Nissen group, dysphagia occurred in 26.7 percent of patients, and chest pain occurred in 20 percent of patients, while in the Toupet group, same symptoms occurred in only 6.7 percent of cases. When comparing Nissen with Toupet in terms of severity and mobility, there was not a statistically significant difference identified among them. Laparoscopic Nissen fundoplication & Toupet fundoplication both appear to have similar symptomatic results,Conclusion: any potential differences in those results are negligible. The evidence does not establish that one method is more effective than another. Both LNF and LTF have strong GERD control to a similar degree. | ||||
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