Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014
Gut and Liver
;
: 726-730, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-179856
ABSTRACT
BACKGROUND/AIMS:
Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data regarding antireflux surgery in Korea.METHODS:
Data from 2011 to 2014 were collected from the Korean Antireflux Surgery Study Group and then analyzed.RESULTS:
A total of 87 patients underwent laparoscopic fundoplication for the treatment of GERD. Preoperatively, typical symptoms were present in 81 patients (93%) and atypical symptoms were present in 51 patients (59%). Twenty-seven patients (31%) had poor PPI responses. The average surgical time and postoperative hospital stay were 116.3±42.3 minutes and 4.3±3.1 days, respectively. At 3 months after surgery, typical symptoms were completely controlled in 86.3% of patients and partially controlled in 11.7%, whereas atypical symptoms were completely controlled in 63.3% of patients and partially controlled in 23.3%.CONCLUSIONS:
This study showed that although atypical symptoms and PPI nonresponders are common, the complete control rates of typical and atypical symptoms were 86.3% and 63.3%, respectively. Laparoscopic fundoplication is an efficacious method of controlling the symptoms of GERD and has an acceptable rate of postoperative morbidity and adverse symptoms.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Refluxo Gastroesofágico
/
Bombas de Próton
/
Fundoplicatura
/
Inibidores da Bomba de Prótons
/
Duração da Cirurgia
/
Coreia (Geográfico)
/
Tempo de Internação
/
Métodos
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Gut and Liver
Ano de publicação:
2016
Tipo de documento:
Artigo
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