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2004, Number 4

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Rev Mex Cir Endoscop 2004; 5 (4)

Laparoscopic fundoplication in patients with gastroesophageal reflux disease and hypocontractile esophagus: Total or partial fundoplication?

Rendón CE, Hernández CA, Villanueva SKR, Mata QC, Huizar SP, Dorado RJD, Martínez JA

Language: Spanish
References: 23
Page: 160-164
PDF size: 47.67 Kb.


ABSTRACT

Background: The patients with hipocontractil esophagus and gastroesophageal reflux disease have a more probabilities to present dysphagia after a total fundoplication.
Objective: To prove that the Total Fundoplication (Nissen) don’t show any grade of dysphagia in patients with gastroesophageal reflux disease and hipocontractil esophagus.
Patients and methods: This is a descriptive, retrolective, and longitudinal study were included patients with diagnosis of gastroesophageal reflux disease, hipocontractil esophagus and subjected a laparoscopic fundoplication.
Results: Between January 1996 to January 2004, we included 301 patients, divided in two groups: Group I (Nissen) = 201p (66.5%), y Group II (Toupet) = 100p (33.5%). The surgical time average in the group I was 45 min and 70 min in the group II. In the group I there were more number of patients with dysphagia during the first month; nevertheless, after the six months, both groups had the same results as regard dysphagia. The gastroesophageal reflux control is the same (100%) in both groups.
Conclusion: The results are satisfactory either the Nissen or Toupet fundoplication to control the gastroesophageal reflux. We demonstrated that the Nissen fundoplication are safe in patients with hipocontractil esophagus.


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