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Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients
BACKGROUND: Laparoscopic anti-reflux surgery has been shown to be superior to medical management for treatment of complicated gastroesophageal reflux disease (GERD). This study encompasses 100 consecutive patients undergoing laparoscopic Nissen-Rossetti or Toupet fundoplications for GERD refractory...
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Formato: | Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
1999
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015319/ https://www.ncbi.nlm.nih.gov/pubmed/10444008 |
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author | Althar, Robert A. |
author_facet | Althar, Robert A. |
author_sort | Althar, Robert A. |
collection | PubMed |
description | BACKGROUND: Laparoscopic anti-reflux surgery has been shown to be superior to medical management for treatment of complicated gastroesophageal reflux disease (GERD). This study encompasses 100 consecutive patients undergoing laparoscopic Nissen-Rossetti or Toupet fundoplications for GERD refractory to medical management. STUDY DESIGN: All 100 patients had failed maximum medical management (behavioral and dietary modifications, antacids, and H2 and acid PUMP blockers). All patients underwent esophagogastroduodenoscopy with biopsy prior to surgery. Ninety-eight patients had esophageal manometry to evaluate the lower esophageal sphincter pressures and determine the amplitude of contractions of the body of the esophagus. Twenty-four hour pH studies were used selectively when the preceding studies were equivocal. RESULTS: All 100 patients' surgeries were accomplished laparoscopically. The mortality rate was zero. The post-operative complication rate was 2%. The average hospital stay was 1.85 days. Follow-up was achieved in 98%. The mean follow-up was 17.6 months. All patients had significant improvement of their symptoms. No patients have long-term dysphagia. CONCLUSIONS: The study demonstrates that laparoscopic anti-reflux surgery can be safely and effectively accomplished in the community hospital setting. |
format | Text |
id | pubmed-3015319 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1999 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30153192011-02-17 Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients Althar, Robert A. JSLS Scientific Papers BACKGROUND: Laparoscopic anti-reflux surgery has been shown to be superior to medical management for treatment of complicated gastroesophageal reflux disease (GERD). This study encompasses 100 consecutive patients undergoing laparoscopic Nissen-Rossetti or Toupet fundoplications for GERD refractory to medical management. STUDY DESIGN: All 100 patients had failed maximum medical management (behavioral and dietary modifications, antacids, and H2 and acid PUMP blockers). All patients underwent esophagogastroduodenoscopy with biopsy prior to surgery. Ninety-eight patients had esophageal manometry to evaluate the lower esophageal sphincter pressures and determine the amplitude of contractions of the body of the esophagus. Twenty-four hour pH studies were used selectively when the preceding studies were equivocal. RESULTS: All 100 patients' surgeries were accomplished laparoscopically. The mortality rate was zero. The post-operative complication rate was 2%. The average hospital stay was 1.85 days. Follow-up was achieved in 98%. The mean follow-up was 17.6 months. All patients had significant improvement of their symptoms. No patients have long-term dysphagia. CONCLUSIONS: The study demonstrates that laparoscopic anti-reflux surgery can be safely and effectively accomplished in the community hospital setting. Society of Laparoendoscopic Surgeons 1999 /pmc/articles/PMC3015319/ /pubmed/10444008 Text en © 1999 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Althar, Robert A. Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients |
title | Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients |
title_full | Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients |
title_fullStr | Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients |
title_full_unstemmed | Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients |
title_short | Laparoscopic Anti-Reflux Surgery in the Community Hospital Setting: Evaluation of 100 Consecutive Patients |
title_sort | laparoscopic anti-reflux surgery in the community hospital setting: evaluation of 100 consecutive patients |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015319/ https://www.ncbi.nlm.nih.gov/pubmed/10444008 |
work_keys_str_mv | AT altharroberta laparoscopicantirefluxsurgeryinthecommunityhospitalsettingevaluationof100consecutivepatients |