PMID- 10879018
OWN - NLM
STAT- MEDLINE
DCOM- 20000828
LR  - 20061115
IS  - 1438-3276 (Print)
IS  - 1438-3276 (Linking)
VI  - 142
IP  - 17
DP  - 2000 Apr 27
TI  - [A retaining dam against reflux. Laparoscopic fundoplication helps even in 
      stubborn cases].
PG  - 30-2
AB  - The introduction of proton pump inhibitors (PPI) and laparoscopic fundoplication 
      in the treatment of gastroesophageal reflux disease offered an opportunity for 
      definitive healing. The indication for surgery is the failure of medical 
      treatment, recurrence of symptoms following conservative treatment, severe side 
      effects of the medication, and the patient's wish to stop taking drugs. The 
      laparoscopic treatment has a low rate of complications. Apart from temporary 
      dysphagia (30%), rapid satiety, increased flatulence and suppressed eructation 
      are possible undesirable sequelae. Intra-operative bleeding and organ perforation 
      (1%) are major feared occurrences. The rate of conversion to open surgery is 
      5.8%, and the mortality rate is 0.1%. Persistent dysphagia in 3.4% may be caused 
      by a slipped cuff. A revision procedure is necessary in 0.7% of the patients. 
      Patient satisfaction with the results of the operation ranges between 87 and 
      100%.
FAU - Waninger, J
AU  - Waninger J
AD  - Chirurgische Abteilung, Akademisches Lehrkrankenhaus, Kreiskrankenhaus Lorrach.
FAU - Ruckauer, K
AU  - Ruckauer K
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Ein Staudamm gegen den Reflux. Die laparoskopische Fundoplicatio hilft auch in 
      hartnackigen Fallen.
PL  - Germany
TA  - MMW Fortschr Med
JT  - MMW Fortschritte der Medizin
JID - 100893959
SB  - IM
MH  - Esophagitis, Peptic/*surgery
MH  - Fundoplication/*methods
MH  - Humans
MH  - *Laparoscopy
MH  - Treatment Outcome
EDAT- 2000/07/06 11:00
MHDA- 2000/09/02 11:01
CRDT- 2000/07/06 11:00
PHST- 2000/07/06 11:00 [pubmed]
PHST- 2000/09/02 11:01 [medline]
PHST- 2000/07/06 11:00 [entrez]
PST - ppublish
SO  - MMW Fortschr Med. 2000 Apr 27;142(17):30-2.