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Surgical outcomes and over one-year follow-up results of laparoscopic Nissen fundoplication for gastroesophageal reflux disease: Single-center experiences
- Source :
- Asian Journal of Surgery, Vol 42, Iss 4, Pp 557-562 (2019)
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Summary: Background: Laparoscopic antireflux surgery is a standard surgical treatment method for gastroesophageal reflux disease (GERD) in Western countries. However, the procedure has not been actively carried out in Korea because of concerns regarding surgical complications. Here, we conducted this study to evaluate short-term surgical outcomes of laparoscopic Nissen fundoplication (LNF) performed at a single institution. Methods: From January 2010 to August 2016, totally 29 patients underwent LNF for GERD performed by three surgeons at Asan Medical Center, Korea. All patients participated in a telephonic survey including the presence of symptoms and the status of quality of life (QOL). Results: The median age at operation and BMI were 54 years and 23.8 kg/m2, respectively. Preoperatively, 27 patients (93.1%) underwent PPI therapy. All patients had typical or atypical GERD symptoms. One patient (3.4%) required reoperation because of total gastroesophageal junction obstruction. 24 patients (82.8%) reported complete or partial resolution of symptoms, whereas 21 (72.4%) reported partial or complete improvement in quality of life. In patients with reflux esophagitis, GERD symptoms were significantly relieved after LNF (P = 0.005). LNF responders tended to perceive an improvement in quality of life post operation (P
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Adolescent
medicine.medical_treatment
lcsh:Surgery
Fundoplication
Disease
Nissen fundoplication
Single Center
Young Adult
03 medical and health sciences
0302 clinical medicine
Quality of life
medicine
Humans
Reflux esophagitis
Aged
Antireflux surgery
Korea
business.industry
Age Factors
Reflux
lcsh:RD1-811
Middle Aged
medicine.disease
digestive system diseases
Surgery
Treatment Outcome
030220 oncology & carcinogenesis
Gastroesophageal Reflux
Quality of Life
GERD
Feasibility Studies
Female
Laparoscopy
030211 gastroenterology & hepatology
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 10159584
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Surgery
- Accession number :
- edsair.doi.dedup.....c7dd048321f2adfcf9d89a965d015dc3