Long-term follow-up for laparoscopic anterior 180° partial fundoplication for gastroesophageal refulx disease
10.3760/cma.j.issn.1007-5232.2014.04.004
- VernacularTitle:腹腔镜180°前胃底折叠术治疗胃食管反流性疾病的长期随访结果
- Author:
Zhen CHEN
;
Mingfang QIN
;
Hongzhi ZHAO
- Publication Type:Journal Article
- Keywords:
Gastroesophageal refulx;
Laparoscope;
Fundoplication;
Follow up
- From:
Chinese Journal of Digestive Endoscopy
2014;31(4):194-197
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate long-term follow-up for laparoscopic anterior 180° partial fundoplication for gastroesophageal refulx disease (GERD).Methods A total of 48 patients had undergone a laparoscopic anterior 180° partial fundoplication from July 2004 to October 2007.Patients were followed up at 3 months,12 months,3 years,5 years by using a structured questionnaire via phone or e-mail which evaluated symptoms of reflux,dysphagia,side-effects,and overall satisfaction with the clinical outcome.Results Follow-up data were collected from 43 patients,ranging from 60 to 98 months.Postoperative heartburn significantly improved in 37 patients.Normal belching was preserved in 40 patients,and 38 patients were able to eat normally.Thirty nine (90.7％) patients reported a good or excellent result (minimal or no symptoms) at the late follow-up.Two patients underwent laparoscopic anterior 180° partial fundoplication again due to acid reflux at the 12th and 38th month respectively.Conclusion At minimum 5 years followup,laparoscopic anterior 180° partial fundoplication for GERD is effective and lasting,and most patients are satisfied with the outcome.
