[Mid and long term results in the laparoscopic surgical treatment of gastroesophageal reflux]. / Risultati a medio lungo termine nel trattamento chirurgico laparoscopico della malattia da reflusso gatro-esofageo (MRGE).
Minerva Chir
; 61(4): 299-306, 2006 Aug.
Article
em It
| MEDLINE
| ID: mdl-17122762
ABSTRACT
AIM:
The advent of laparoscopic surgery produced a new interest in the surgical treatment of many benign and functional gastrointestinal diseases; one of the most commonly treated is the gastroesophageal reflux disease (GERD). In this paper the Authors report their 15 years experience in the laparoscopic surgical management of GERD.METHODS:
From October 1991 to June 2005, 581 patients with GERD were treated by a laparoscopic fundoplication with a 360 degrees wrap (524 cases) or with a 270 degrees wrap (29 cases) or with a Collis gastroplasty (28 cases).RESULTS:
The absence of intraoperative mortality, a low conversion to open surgery (0.7%) and a low postoperative morbidity (2.4%) with good clinical and instrumental long term results let the Authors to think that GERD represent an ideal indication for laparoscopic surgery.CONCLUSIONS:
Good results are possible in the laparoscopic management of GERD with a precise selection of patients and with a good open and laparoscopic surgical experience in the management of functional esophageal diseases.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Refluxo Gastroesofágico
/
Laparoscopia
/
Fundoplicatura
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
It
Revista:
Minerva Chir
Ano de publicação:
2006
Tipo de documento:
Article