Therapeutic effects and safety of laparoscopic anti reflux surgery on intractable complex gastroesophageal reflux disease
Abstract：Objective To explore the safety and efficacy of laparoscopic anti reflux surgery(LARS) in the treatment of intractable complex gastroesophageal reflux disease(GERD).Methods Thirty patients with refractory complex GERD who were treated by surgery in our hospital from January 2012 to December 2016 were enrolled in the study. These patients were treated by PPI and LARS (Nissen,Toupet and DOR fundoplication),with follow up after operation for average (24.27 ± 1.57) months. And the clinical symptoms,medication status and postoperative complications were observed.Results The perioperative incidence rate of complications was 10%. The scores of survial quality after operation were significantly improved. The satisfactory rate of operation effects was 86. 67%. Three patients suffered from chronic dysphagia after operation,and one patient had relapse,with relapse rate being 3.33%. Conclusion LARS is safe and effective in treating intractable complex GERD,and it is necessary to select the operation mode according to the clinical characteristics of patients.
Keywords：intractable complex gastroesophageal reflux diseaselaparoscopic anti reflux surgeryefficacysafety
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1199-1202,1206 )