Early experiences of minimally invasive surgery to treat gastroesophageal reflux disease

Sae Byul Lee; Kyoung Mo Jeon; Beom Su Kim; Kab Choong Kim; Hwoon-Yong Jung; Youn Baik Choi

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자료유형: 학술저널

저자정보: Sae Byul Lee (University of Ulsan College of Medicine) Kyoung Mo Jeon (University of Ulsan College of Medicine) Beom Su Kim (University of Ulsan College of Medicine) Kab Choong Kim (University of Ulsan College of Medicine) Hwoon-Yong Jung (University of Ulsan College of Medicine) Youn Baik Choi (University of Ulsan College of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.6

발행연도: 2013.6

수록면: 330 - 337 (8page)

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Purpose: There are fewer patients with gastroesophageal reflux disease (GERD) in Korea compared with Western countries. The incidence of GERD has increased in recent years however, concerning many physicians. Here, we report our early experiences of using a recently introduced method of laparoscopic antireflux surgery for the treatment of GERD in Korean patients. Methods: Fifteen patients with GERD were treated using antireflux surgery between May 2009 and February 2012 at the University of Ulsan College of Medicine and Asan Medical Center. Laparoscopic Nissen fundoplication with 360° wrapping was performed on all patients. Results: Eleven male and four female patients were evaluated and treated with an average age of 58.1 ± 14.1 years. The average surgical time was 118.9 ± 45.1 minutes, and no complications presented during surgery. After surgery, the reflux symptoms of each patient were resolved; only two patients developed transient dysphagia, which resolved within one month. One patient developed a 6-cm hiatal hernia that had to be repaired and reinforced using mesh. Conclusion: The use of laparoscopic surgery for the treatment of GERD is safe and feasible. It is also an efficacious method for controlling the symptoms of GERD in Korean patients. However, the use of this surgery still needs to be standardized (e.g., type of surgery, bougienage size, wrap length) and the long-term outcomes need to be evaluated.

#Gastroesophageal reflux #Antireflux surgery #Nissen fundoplication #Laparoscopy

참고문헌 (16)

참고문헌 신청

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