Laparoscopic fundoplication for gastro-oesophageal reflux disease - a consensus development conference and the evidence-based benefit

Eypasch, E.; Thiel, Burkhard; Sauerland, Stefan

doi:10.1007/s004230050012

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…Although the role of 24-hour pH testing has been well recognized as the absolute best test to demonstrate pathologic reflux, 12,20 recurrent or persistent symptoms after surgery are frequently regarded as failures by surgeons 21 (and more so by their patients) without any objective testing to confirm acid reflux. Most surgeons believe that the primary goal of ARS is to improve quality of life and eliminate the symptoms of GERD.…”

Section: Commentmentioning

confidence: 99%

Postoperative Symptoms and Failure After Antireflux Surgery

Khajanchee

O’Rourke²,

Lockhart³

et al. 2002

Arch Surg

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Background: Outcomes in patients having surgery for gastroesophageal reflux disease are most commonly determined by symptomatic assessment. Objective testing is usually reserved for symptomatic patients. Hypothesis: To evaluate the relationship between symptomatic and objective outcomes after antireflux surgery. Design: Retrospective analysis of prospectively collected data. Setting: A tertiary care teaching hospital with a comprehensive esophageal physiology laboratory. Interventions: A 360°(Nissen) fundoplication or a 270°(Toupet) posterior fundoplication was performed based on esophageal motility. Twenty-four-hour pH monitoring was used as a gold standard for assessing postoperative acid reflux.

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Section: Commentmentioning

confidence: 99%

Postoperative Symptoms and Failure After Antireflux Surgery

Khajanchee

O’Rourke²,

Lockhart³

et al. 2002

Arch Surg

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“…Die Gründe dafür sind hinreichend bekannt [36,43] Dennoch erlaubt das heutige Wissen verlässliche und für die klinische Praxis brauchbare Aussagen [16].…”

Section: Bewertungunclassified

Reduktion des Zugangstraumas: gesicherte Vorteile

Feußner¹,

Siewert²

2001

Chirurg

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Minimizing the trauma of surgical access is becoming an essential task in modern surgery. The treatment has to become more comfortable for the patient and financial resources have to be considered. Minimally invasive surgery is one of the attempts to achieve this goal. A comparison of surgical procedures, such as cholecystectomy, fundoplication and sigmoid resection in diverticulitis, which are already routinely performed laparoscopically, should be suitable for evaluating whether minor access surgery is really advantageous. The value of minor access may be quantified by different parameters such as influence upon the immunologic function, lung function, postoperative pain, time of hospitalization, return to work and duration of convalescence, as well as a comparison of the effects upon the quality of life index. The data concerning the effects upon immunology are not unequivocal. All in all, the degree of postoperative inflammation seems to be lower after laparoscopic surgery. There is no doubt that there is far less impairment on lung function, the results are better as far as postoperative pain is concerned, and hospitalization and duration of convalescence are shorter. It is also evident that immediately after the operation the quality of life index is superior, which, however, levels out in the course of time. The advantage of minimally invasive surgery is really apparent only after the mastering of the so-called "learning curve" and in cases of benign malignancies. The role of the minor access approach in oncological surgery is, however, not yet defined.

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“…Eine adäquate Einengung des Hiatus sollte bei jeder Antirefluxoperation mit Hiatushernie durchgeführt werden [335][336][337][338]. Die Hiatoplastik kann sowohl anterior als auch posterior vorgenommen werden [339].…”

Section: Operative Verfahrenunclassified

S2k-Leitlinie Gastroösophageale Refluxkrankheit und eosinophile Ösophagitis der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) – März 2023 – AWMF-Registernummer: 021–013

2023

Z Gastroenterol

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Laparoscopic fundoplication for gastro-oesophageal reflux disease - a consensus development conference and the evidence-based benefit

Cited by 7 publications

References 18 publications

Postoperative Symptoms and Failure After Antireflux Surgery

Postoperative Symptoms and Failure After Antireflux Surgery

Reduktion des Zugangstraumas: gesicherte Vorteile

S2k-Leitlinie Gastroösophageale Refluxkrankheit und eosinophile Ösophagitis der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) – März 2023 – AWMF-Registernummer: 021–013

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