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Three Cases of Gastroesophageal Reflux Disease Treated by Laparoscopic Fundoplication / 대한소화기내시경학회지
Article in Ko | WPRIM | ID: wpr-226434
Responsible library: WPRO
ABSTRACT
Medical treatment so far takes the major portion in the treatment of gastroesophageal reflux disease (GERD). Histamine-2 receptor antagonists, proton pump inhibitors and antacids, which are used in the medical treatment of GERD, decreases intragastric acidity, and therefore decreases acid reflux. However, recurrences are frequently observed after the cessation of medication. On the other hand, fundoplication, the surgical management of GERD, aims for physiologic reconstruction of esophagogastric junction, and for correcting the pathogenetic cause of GERD. But fundoplication is linked to risks related to surgery and general anesthesia. Laparoscopic funcoplication minimizes these risks. We recently experienced three cases of GERD improved by laparoscopic 270o fundoplication. One patient was intolerant of long-term proton pump inhibitor treatment, and two patients had hiatal hernia, and one of them showed failure to medical treatment. This report describes these three cases with a brief review of literatures survey.
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Full text: 1 Index: WPRIM Main subject: Recurrence / Gastroesophageal Reflux / Proton Pumps / Fundoplication / Esophagogastric Junction / Proton Pump Inhibitors / Hand / Hernia, Hiatal / Anesthesia, General / Antacids Limits: Humans Language: Ko Journal: Korean Journal of Gastrointestinal Endoscopy Year: 2005 Type: Article
Full text: 1 Index: WPRIM Main subject: Recurrence / Gastroesophageal Reflux / Proton Pumps / Fundoplication / Esophagogastric Junction / Proton Pump Inhibitors / Hand / Hernia, Hiatal / Anesthesia, General / Antacids Limits: Humans Language: Ko Journal: Korean Journal of Gastrointestinal Endoscopy Year: 2005 Type: Article