The effect of laparoscopic fundoplication combined with gastric suspension in the treatment of gastroesophageal reflux disease with gastroptosis
10.3760/cma.j.cn113855-20240416-00285
- VernacularTitle:腹腔镜胃底折叠术联合胃悬吊术治疗胃食管反流病合并胃下垂的疗效分析
- Author:
Zhitong LI
1
;
Rui ZHANG
;
Yang FU
Author Information
1. 郑州大学第一附属医院胃肠外科/疝和腹壁外科，郑州 450052
- Keywords:
Gastroesophageal reflux;
Fundoplication;
Gastroptosis;
Gastric suspension
- From:
Chinese Journal of General Surgery
2024;39(6):435-438
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of laparoscopic fundoplication combined with gastric suspension in the treatment of gastroesophageal reflux disease (GERD) with gastroptosis.Methods:A retrospective cohort study was made in 49 patients of GERD with gastroptosis treated by laparoscopic fundoplication combined with gastric suspension at the First Affiliated Hospital of Zhengzhou University from Jan 2017 to Jun 2020. Meanwhile, the clinical characteristics and surgical effect were summarized.Results:Forty-nine patients successfully undrwent laparoscopic fundoplication (Toupet or Dor fundoplication) combined with gastric suspension. After 3 years of follow-up, compared with the preoperation, the postoperative symptom scores of acid reflux, heartburn, abdominal distension, belching and cough were lower, and the differences were statistically significant ( Z=-4.553, -4.226, -3.529, -3.314, -3.192, all P<0.001). At the same time, compared with preoperation, physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health on the SF-36 scale were significant differences. The differences were also statistically significant ( Z=-2.297, -3.524, -2.771, -3.176, -3.731, -3.631, -3.626, -3.630, all P<0.001). Gastroesophageal reflux and gastroptosis were not found in the gastrointestinal radiography 3 years after operation. Conclusion:Laparoscopic fundoplication combined with gastric suspension for GERD with gastroptosis is safe, effective and worthy of recommendation.
