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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2001, Number 4

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An Med Asoc Med Hosp ABC 2001; 46 (4)

Surgical treatment for gastroesophageal reflux disease

Peña RJO, Orozco OP, Fuente LM, Goldberg DJ
Full text How to cite this article

Language: Spanish
References: 10
Page: 180-182
PDF size: 43.45 Kb.


Key words:

, Gastroesophageal reflux disease, esophageal motility disorders, fundoplications, laparoscopic surgery.

ABSTRACT

Objective: To evaluate surgical laparoscopic treatment of gastroesophageal reflux disease, effectiveness and complications by the same surgical team. Material and technique (method): 129 patients with gastro esophageal reflux disease treated by laparoscopic surgery were evaluated. Results: 89 male patients were and 48 females, with an average age of 41.5 years. Panendoscopy was performed in all the patients, manometries in 78% and pHmetries in 21%. Four fundoplications were performed at 360o and 125 were posterior fundoplications at 270o. The post surgical follow-up ranged from 1 to 12 months. Major complications appeared on 2 patients and minor on 17. The average operative time was 71 min. Just one conversion was necessary. The average hospital stay was 31.30 h. Conclusion: The laparoscopic surgical treatment for gastroesophageal reflux disease is safe, efficient and offers good results in the longitudinal, without modifications in life style.


REFERENCES

  1. Morgans, Pellegrini CA. Tratamiento quirúrgico de la enfermedad por reflujo gastroesofágico. Clin Quir North Am 1997; 5: 1045-1062.

  2. Gallup Org Inc 1998.

  3. Hanson DG, Kamel OL, Kahrilas PJ. Outcomes of antireflux therapy for the treatment of chronic laryngitis. An Otol Rhinol Laringol 1995; 104: 550-555.

  4. Harding SM, Richter JE, Guzzo MR et al. Omeprazole to treat asthma. Am J Med 1996; 100: 395-504.

  5. Pope CE. Current concepts acid reflux disorders. N Eng J Med 1994; 331: 656-660.

  6. Rojas O, Romero R, Farrera J et al. Tratamiento laparoscópico de la enfermedad por reflujo gastroesofágico, experiencia en 79 pacientes. Cir Gen 1998; 20: 232-234.

  7. Patí MG, Pellegrini CA. Endoscopic surgical treatment of primary. Esophageal motility disorders. J Con Surg Edinb 1996; 41: 137-142.

  8. Spechler SJ. Comparison of medical and surgical therapy for complicated gastroesophageal reflux disease in veterans. N Engl J Med 1992; 326: 786-792.

  9. Laine S, Rantala A, Gullichsen R et al. Laparoscopic vs conventional Nissen fundoplication. A prospective randomized study. Surg Endosc 1996; 11: 137-142.

  10. Little AG. Mechanism of action of antireflux surgery: Theory and facts. World Journals of Surgery 1992; 16: 320-325.




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An Med Asoc Med Hosp ABC. 2001;46