Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego · 2007
[Evaluation of the efficacy of surgical treatment of gastroesophageal reflux disease].
Клиническое исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Tarnowski Wiesław, Kalinowska Ewa, Baczuk Lech, Cabaj Hubert, Bielecki Krzysztof
Аннотация
THE AIM OF THE STUDY: In a group of 100 patients efficacy of surgical treatment of GERD was prospectively assessed.
MATERIALS AND METHODS: 37 women and 63 men were qualified into the study. During preoperative period the following symptoms were assessed: heartburn, belching, chest pain, epigastric pain, regurgitations, dysphagia and the following examinations were performed: esophagogastroscopy, esophageal barium meal X-ray examination, esophageal manometry an 24-hours pH-metry. All patients were operated laparoscopically.
RESULTS: Based on preoperative esophageal manometry 67 Nissen and 33 Toupet fundoplications were done. Mean patients' age was 51,54 years. Postoperative mortality was 0%. While assessing clinical symptomps one found statistically significant reduction of preoperative complaints, improvement of motility of esophageal body and parameters of lower esophageal sphincter, and normalization of 24-hours pH-metry record.
CONCLUSIONS: Antireflux operations effectively reduce pathological GERD and improve esophageal motility.
MATERIALS AND METHODS: 37 women and 63 men were qualified into the study. During preoperative period the following symptoms were assessed: heartburn, belching, chest pain, epigastric pain, regurgitations, dysphagia and the following examinations were performed: esophagogastroscopy, esophageal barium meal X-ray examination, esophageal manometry an 24-hours pH-metry. All patients were operated laparoscopically.
RESULTS: Based on preoperative esophageal manometry 67 Nissen and 33 Toupet fundoplications were done. Mean patients' age was 51,54 years. Postoperative mortality was 0%. While assessing clinical symptomps one found statistically significant reduction of preoperative complaints, improvement of motility of esophageal body and parameters of lower esophageal sphincter, and normalization of 24-hours pH-metry record.
CONCLUSIONS: Antireflux operations effectively reduce pathological GERD and improve esophageal motility.