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[Comparison of the results of surgical treatment of patients suffering from gastroesophageal reflux disease with unanatomical and anatomical dysfunction of gastroesophageal junction].
Pol Merkur Lekarski. 2007 May; 22(131):362-5.PM

Abstract

The evolution of surgery of no neoplastic diseases of the gastroesophageal junction, particularly gastroesophageal reflux disease (GERD), is an unquestionable factor for further analysis of indications for treatment and treatment results. Full-symptomatic GERD with coexisting sliding hiatal hernia is an indication for surgical treatment for a long time. The question is when to operate functional disorders of the esophagus and lower esophageal sphincter (LES) and what the results of the treatment are. Aim of study was to analyze results of surgical treatment of patients with GERD on the background of functional disorders and patients with sliding and mixed hiatal hernia.

MATERIAL AND METHODS

This study retrospectively analyzed the data of 49 patients operated in Department of General, Oncological and Thoracic Surgery. Patients were divided into two groups. First group: patients with symptomatic GERD with confirmed 24 hour pH monitoring night-time and after-meal acid refluxes--23 subjects. Second group: patients with symptomatic GERD with type I and III hiatal hernia proven by gastroscopy, radiological tests and intraoperative examinations--26 subjects. There was no sign of decreased esophageal propulsive function among examined patients. For surgical intervention from the first group were qualified patients after ineffective conservative management. All patients underwent Nissen procedure--laparoscopy, hernioplasty and floppy fundoplication, and agreed on follow-up evaluation after 3, and some after 6 and 12 months which included case history, gastroscopy and 24 hour pH monitoring.

RESULTS

Operative management resulted in withdrawal of suffered subjective symptoms and remission of lesions in lower part of esophagus. 10% of the patients had LES motor activity dysfunction not qualified for surgical consultation. There was no case of recurrence of hiatal hernia.

CONCLUSIONS

Patients suffering from LES functional disorders and type I and III hiatal hernia can be effectively treated with surgical management.

Authors+Show Affiliations

Wojskowy Instytut Medyczny w Warszawie, Klinika Chirurgii Ogólnej, Onkologicznej i Klatki Piersiowej CSK MON.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

pol

PubMed ID

17679368

Citation

Koziarski, Tomasz, et al. "[Comparison of the Results of Surgical Treatment of Patients Suffering From Gastroesophageal Reflux Disease With Unanatomical and Anatomical Dysfunction of Gastroesophageal Junction]." Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego, vol. 22, no. 131, 2007, pp. 362-5.
Koziarski T, Stanowski E, Paśnik K, et al. [Comparison of the results of surgical treatment of patients suffering from gastroesophageal reflux disease with unanatomical and anatomical dysfunction of gastroesophageal junction]. Pol Merkur Lekarski. 2007;22(131):362-5.
Koziarski, T., Stanowski, E., Paśnik, K., Błaszak, A., Wojtkowiak, M., & Nowicki, G. (2007). [Comparison of the results of surgical treatment of patients suffering from gastroesophageal reflux disease with unanatomical and anatomical dysfunction of gastroesophageal junction]. Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego, 22(131), 362-5.
Koziarski T, et al. [Comparison of the Results of Surgical Treatment of Patients Suffering From Gastroesophageal Reflux Disease With Unanatomical and Anatomical Dysfunction of Gastroesophageal Junction]. Pol Merkur Lekarski. 2007;22(131):362-5. PubMed PMID: 17679368.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparison of the results of surgical treatment of patients suffering from gastroesophageal reflux disease with unanatomical and anatomical dysfunction of gastroesophageal junction]. AU - Koziarski,Tomasz, AU - Stanowski,Edward, AU - Paśnik,Krzysztof, AU - Błaszak,Antoni, AU - Wojtkowiak,Marek, AU - Nowicki,Grzegorz, PY - 2007/8/8/pubmed PY - 2007/12/6/medline PY - 2007/8/8/entrez SP - 362 EP - 5 JF - Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego JO - Pol Merkur Lekarski VL - 22 IS - 131 N2 - UNLABELLED: The evolution of surgery of no neoplastic diseases of the gastroesophageal junction, particularly gastroesophageal reflux disease (GERD), is an unquestionable factor for further analysis of indications for treatment and treatment results. Full-symptomatic GERD with coexisting sliding hiatal hernia is an indication for surgical treatment for a long time. The question is when to operate functional disorders of the esophagus and lower esophageal sphincter (LES) and what the results of the treatment are. Aim of study was to analyze results of surgical treatment of patients with GERD on the background of functional disorders and patients with sliding and mixed hiatal hernia. MATERIAL AND METHODS: This study retrospectively analyzed the data of 49 patients operated in Department of General, Oncological and Thoracic Surgery. Patients were divided into two groups. First group: patients with symptomatic GERD with confirmed 24 hour pH monitoring night-time and after-meal acid refluxes--23 subjects. Second group: patients with symptomatic GERD with type I and III hiatal hernia proven by gastroscopy, radiological tests and intraoperative examinations--26 subjects. There was no sign of decreased esophageal propulsive function among examined patients. For surgical intervention from the first group were qualified patients after ineffective conservative management. All patients underwent Nissen procedure--laparoscopy, hernioplasty and floppy fundoplication, and agreed on follow-up evaluation after 3, and some after 6 and 12 months which included case history, gastroscopy and 24 hour pH monitoring. RESULTS: Operative management resulted in withdrawal of suffered subjective symptoms and remission of lesions in lower part of esophagus. 10% of the patients had LES motor activity dysfunction not qualified for surgical consultation. There was no case of recurrence of hiatal hernia. CONCLUSIONS: Patients suffering from LES functional disorders and type I and III hiatal hernia can be effectively treated with surgical management. SN - 1426-9686 UR - https://www.unboundmedicine.com/medline/citation/17679368/[Comparison_of_the_results_of_surgical_treatment_of_patients_suffering_from_gastroesophageal_reflux_disease_with_unanatomical_and_anatomical_dysfunction_of_gastroesophageal_junction]_ L2 - http://www.diseaseinfosearch.org/result/2996 DB - PRIME DP - Unbound Medicine ER -