Three Cases of Gastroesophageal Reflux Disease Treated by Laparoscopic Fundoplication.
- Author:
Dae Hoon SONG
1
;
Hyojin PARK
;
Jina PARK
;
Sang Won JI
;
Dong Sup YOON
;
Sang In LEE
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. HJPARK21@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Gastroesophageal reflux disease (GERD);
Laparoscopic fundoplication
- MeSH:
Anesthesia, General;
Antacids;
Esophagogastric Junction;
Fundoplication*;
Gastroesophageal Reflux*;
Hand;
Hernia, Hiatal;
Humans;
Proton Pump Inhibitors;
Proton Pumps;
Recurrence
- From:Korean Journal of Gastrointestinal Endoscopy
2005;30(1):28-34
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Medical treatment so far takes the major portion in the treatment of gastroesophageal reflux disease (GERD). Histamine-2 receptor antagonists, proton pump inhibitors and antacids, which are used in the medical treatment of GERD, decreases intragastric acidity, and therefore decreases acid reflux. However, recurrences are frequently observed after the cessation of medication. On the other hand, fundoplication, the surgical management of GERD, aims for physiologic reconstruction of esophagogastric junction, and for correcting the pathogenetic cause of GERD. But fundoplication is linked to risks related to surgery and general anesthesia. Laparoscopic funcoplication minimizes these risks. We recently experienced three cases of GERD improved by laparoscopic 270o fundoplication. One patient was intolerant of long-term proton pump inhibitor treatment, and two patients had hiatal hernia, and one of them showed failure to medical treatment. This report describes these three cases with a brief review of literatures survey.
