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ASSESSMENT OF LAPAROSCOPIC PARTIAL POSTERIOR FUNDOPLICATION IN THE MANAGEMENT OF GASTROESOPHAGEAL REFLUX DISEASE.

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Last updated: 29 Dec 2024

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Abstract

Background: Surgical correction of gastroesophageal reflux disease has been a therapeutic option for decades. 
Laparoscopic antireflux surgery is currently a growing and well established field in endoscopic surgery. 
Methods: Between October 1997 and November 2000, nineteen patients underwent attempted laparoscopic partial posterior fundoplication. Preoperative investigations included endoscopy and barium swallow in all patients, manometry in 13 patients and PH monitoring in 9. 
Results: One patient (5.3%) was converted to an open procedure. Fifteen patients were satisfied with the procedure. One 
patient had objective recurrence and required open revision of the wrap. Two patients developed postoperative complications (head and neck emphysema in 1 and deep venous thrombosis in the other). Two patients developed postoperative transient dysphagia, there was no incidence of persistent dysphagia or gas bloat. The mean operative time was 190 minutes and the mean hospital stay was 3.7 days. 
Conclusion: Manometry could not be done routinely, especially when a partial wrap was decided to be performed. The 
laparoscope offers an effective option for treatment of gastroesophageal reflux disease with encouraging results. In addition to the benefits of a minimally invasive procedure. 

DOI

10.21608/ejsur.2001.376936

Authors

First Name

Mohamed

Last Name

Yasser Abdel-Atty

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Affiliation

General SurgeryDepartments, Minufiya University.

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Orcid

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First Name

Abdallah

Last Name

Bahnasy

MiddleName

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Affiliation

Internal Medicine Departments, Minufiya University.

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Volume

20

Article Issue

1

Related Issue

50043

Issue Date

2001-01-01

Receive Date

2024-08-29

Publish Date

2001-01-01

Page Start

443

Page End

450

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_376936.html

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https://ejsur.journals.ekb.eg/service?article_code=376936

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376,936

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Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

ASSESSMENT OF LAPAROSCOPIC PARTIAL POSTERIOR FUNDOPLICATION IN THE MANAGEMENT OF GASTROESOPHAGEAL REFLUX DISEASE.

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Article

Created At

21 Dec 2024