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Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014
BACKGROUND/AIMS: Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data rega...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Editorial Office of Gut and Liver
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003195/ https://www.ncbi.nlm.nih.gov/pubmed/27114420 http://dx.doi.org/10.5009/gnl15406 |
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author | Lee, Jun-Hyun Park, Joong-Min Han, Sang-Uk Kim, Jin-Jo Song, Kyo Young Ryu, Seung Wan Seo, Kyung Won Kim, Hyoung-Il Kim, Wook |
author_facet | Lee, Jun-Hyun Park, Joong-Min Han, Sang-Uk Kim, Jin-Jo Song, Kyo Young Ryu, Seung Wan Seo, Kyung Won Kim, Hyoung-Il Kim, Wook |
author_sort | Lee, Jun-Hyun |
collection | PubMed |
description | BACKGROUND/AIMS: Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data regarding antireflux surgery in Korea. METHODS: Data from 2011 to 2014 were collected from the Korean Antireflux Surgery Study Group and then analyzed. RESULTS: A total of 87 patients underwent laparoscopic fundoplication for the treatment of GERD. Preoperatively, typical symptoms were present in 81 patients (93%) and atypical symptoms were present in 51 patients (59%). Twenty-seven patients (31%) had poor PPI responses. The average surgical time and postoperative hospital stay were 116.3±42.3 minutes and 4.3±3.1 days, respectively. At 3 months after surgery, typical symptoms were completely controlled in 86.3% of patients and partially controlled in 11.7%, whereas atypical symptoms were completely controlled in 63.3% of patients and partially controlled in 23.3%. CONCLUSIONS: This study showed that although atypical symptoms and PPI nonresponders are common, the complete control rates of typical and atypical symptoms were 86.3% and 63.3%, respectively. Laparoscopic fundoplication is an efficacious method of controlling the symptoms of GERD and has an acceptable rate of postoperative morbidity and adverse symptoms. |
format | Online Article Text |
id | pubmed-5003195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Editorial Office of Gut and Liver |
record_format | MEDLINE/PubMed |
spelling | pubmed-50031952016-09-09 Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014 Lee, Jun-Hyun Park, Joong-Min Han, Sang-Uk Kim, Jin-Jo Song, Kyo Young Ryu, Seung Wan Seo, Kyung Won Kim, Hyoung-Il Kim, Wook Gut Liver Original Article BACKGROUND/AIMS: Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data regarding antireflux surgery in Korea. METHODS: Data from 2011 to 2014 were collected from the Korean Antireflux Surgery Study Group and then analyzed. RESULTS: A total of 87 patients underwent laparoscopic fundoplication for the treatment of GERD. Preoperatively, typical symptoms were present in 81 patients (93%) and atypical symptoms were present in 51 patients (59%). Twenty-seven patients (31%) had poor PPI responses. The average surgical time and postoperative hospital stay were 116.3±42.3 minutes and 4.3±3.1 days, respectively. At 3 months after surgery, typical symptoms were completely controlled in 86.3% of patients and partially controlled in 11.7%, whereas atypical symptoms were completely controlled in 63.3% of patients and partially controlled in 23.3%. CONCLUSIONS: This study showed that although atypical symptoms and PPI nonresponders are common, the complete control rates of typical and atypical symptoms were 86.3% and 63.3%, respectively. Laparoscopic fundoplication is an efficacious method of controlling the symptoms of GERD and has an acceptable rate of postoperative morbidity and adverse symptoms. Editorial Office of Gut and Liver 2016-09 2016-04-28 /pmc/articles/PMC5003195/ /pubmed/27114420 http://dx.doi.org/10.5009/gnl15406 Text en Copyright © 2016 by The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Jun-Hyun Park, Joong-Min Han, Sang-Uk Kim, Jin-Jo Song, Kyo Young Ryu, Seung Wan Seo, Kyung Won Kim, Hyoung-Il Kim, Wook Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014 |
title | Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014 |
title_full | Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014 |
title_fullStr | Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014 |
title_full_unstemmed | Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014 |
title_short | Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014 |
title_sort | antireflux surgery in korea: a nationwide study from 2011 to 2014 |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003195/ https://www.ncbi.nlm.nih.gov/pubmed/27114420 http://dx.doi.org/10.5009/gnl15406 |
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