Nationwide survey of partial fundoplication in Korea: comparison with total fundoplication
Annals of Surgical Treatment and Research
; : 298-305, 2018.
Article
en En
| WPRIM
| ID: wpr-715548
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
Laparoscopic total fundoplication is the standard surgery for gastroesophageal reflux disease. However, partial fundoplication may be a viable alternative. Here, we conducted a nationwide survey of partial fundoplication in Korea.METHODS:
The Korean Anti-Reflux Surgery study group recorded 32 cases of partial fundoplication at eight hospitals between September 2009 and January 2016. The surgical outcomes and postoperative adverse symptoms in these cases were evaluated and compared with 86 cases of total fundoplication.RESULTS:
Anterior partial fundoplication was performed in 20 cases (62.5%) and posterior in 12 (37.5%). In most cases, partial fundoplication was a secondary procedure after operations for other conditions. Half of patients who underwent partial fundoplication had typical symptoms at the time of initial diagnosis, and most of them showed excellent (68.8%), good (25.0%), or fair (6.3%) symptom resolution at discharge. Compared to total fundoplication, partial fundoplication showed no difference in the resolution rate of typical and atypical symptoms. However, adverse symptoms such as dysphagia, difficult belching, gas bloating and flatulence were less common after partial fundoplication.CONCLUSION:
Although antireflux surgery is not popular in Korea and total fundoplication is the primary surgical choice for gastroesophageal reflux disease, partial fundoplication may be useful in certain conditions because it has less postoperative adverse symptoms but similar efficacy to total fundoplication.Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Trastornos de Deglución
/
Reflujo Gastroesofágico
/
Fundoplicación
/
Diagnóstico
/
Eructación
/
Flatulencia
/
Corea (Geográfico)
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Annals of Surgical Treatment and Research
Año:
2018
Tipo del documento:
Article