LAPAROSCOPIC NISSEN FUNDOPLICATION - PRELIMINARY-REPORT ON 10 CASES

被引：102

作者：

GEAGEA, T

机构：

[1] General and Vascular Surgery, Glace Bay, B1A 6G4, Nova Scotia

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1991年 / 5卷 / 04期

关键词：

NISSEN FUNDOPLICATION; LAPAROSCOPY; REFLUX ESOPHAGITIS;

D O I：

10.1007/BF02653255

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We present our experience with ten cases of laparoscopic Nissen's fundoplication. Reflux esophagitis is a very common disease and is associated with a lack of response to medical treatment in a significant number of cases, yet the rate of referral to a surgeon is extremely low. We believe that the endoscopic treatment of this disease is much less invasive and more cost-effective and is associated with lower rates of complications. Indeed, our patients left the hospital at 24-48 h post-surgery and were involved in their regular activities at 4 days to 1 week thereafter. Neither mortality nor complications associated with the procedure were encountered. We believe that the feasibility and the benefits of this procedure will lead to earlier referral and hence to avoidance of long-term complications of gastroesophageal reflux disease.

引用

页码：170 / 173

页数：4

共 7 条

[1]

Bonavina L., Evander A., DeMeester T.R., Length of the distal esophageal sphincter and competency of the cardia, Am J Surg, 151, pp. 25-34, (1986)

[2]

DeMeester T.R., Bonavina L., Albertucci M., Nissen fundoplica- tion for gastroesophageal reflux disease. Evaluation of primary repair in 100 consecutive patients, Am Surg, 204, pp. 9-20, (1986)

[3]

Hetzel D.J., Deut J., Et al., Healing and relapse of severe peptic esophagitis after treatment with Omeprazole, Gastroenterology, 95, pp. 903-912, (1988)

[4]

Johnson L.F., DeMeester T.R., 24 hour pH monitoring of the distal esophagus: a quantitative measure of gastroesophageal reflux, Am J Gastroenterol, 62, pp. 325-332, (1974)

[5]

Nissen R., Rossetti M., Stewart R., Fundoplication und Gastropexie bei Refluxkrankheit und Hiatushernien, (1981)

[6]

Semm K., Endoscopic appendectomy, Endoscopy, 15, pp. 59-64, (1983)

[7]

Winans C.S., Quantitation of lower oesophageal sphincter com- petence, Gastroenterology, 52, (1967)

← 1 →