ASSESSMENT OF LAPAROSCOPIC PARTIAL POSTERIOR FUNDOPLICATION IN THE MANAGEMENT OF GASTROESOPHAGEAL REFLUX DISEASE.

Yasser Abdel-Atty, Mohamed; Bahnasy, Abdallah

doi:10.21608/ejsur.2001.376936

ASSESSMENT OF LAPAROSCOPIC PARTIAL POSTERIOR FUNDOPLICATION IN THE MANAGEMENT OF GASTROESOPHAGEAL REFLUX DISEASE.

Document Type : Original Article

Authors

¹ General SurgeryDepartments, Minufiya University.

² Internal Medicine Departments, Minufiya University.

10.21608/ejsur.2001.376936

Abstract

Background: Surgical correction of gastroesophageal reflux disease has been a therapeutic option for decades.
Laparoscopic antireflux surgery is currently a growing and well established field in endoscopic surgery.
Methods: Between October 1997 and November 2000, nineteen patients underwent attempted laparoscopic partial posterior fundoplication. Preoperative investigations included endoscopy and barium swallow in all patients, manometry in 13 patients and PH monitoring in 9.
Results: One patient (5.3%) was converted to an open procedure. Fifteen patients were satisfied with the procedure. One
patient had objective recurrence and required open revision of the wrap. Two patients developed postoperative complications (head and neck emphysema in 1 and deep venous thrombosis in the other). Two patients developed postoperative transient dysphagia, there was no incidence of persistent dysphagia or gas bloat. The mean operative time was 190 minutes and the mean hospital stay was 3.7 days.
Conclusion: Manometry could not be done routinely, especially when a partial wrap was decided to be performed. The
laparoscope offers an effective option for treatment of gastroesophageal reflux disease with encouraging results. In addition to the benefits of a minimally invasive procedure.