Klinische und funktionelle Langzeitergebnisse nach offener chirurgischer Therapie der gastro-oesophagealen Refluxkrankheit

The open Nissen fundoplication is effective therapy for gastroesophageal reflux disease. In this study, the outcomes in 115 patients treated with antireflux Surgery between 16.01.1986 - 15.12.1998 was evaluated for up to 11 Years after surgery to ascertain whether similar positive results could be obtained. To ensure surgical success, patients were required to have mechanically defective sphincters on manometry and increased esophageal acid exposure on 24-hour pH monitoring. The patients either had severe complications of gastroesophageal reflux disease or had failed medical therapy. These requirements have been found to be necessary to ensure a successful surgical outcome. The disease was complicated by ulceration, stricture, and Barrett's esophagus. Patients underwent standard Nissen fundoplications in 87,1%. Perioperative complications are rarely. 86,8% percent are satisfied with their decision to have the operation. CONCLUSIONS: The open fundoplication can be carried out safely and effectively. The advantages of the open antrireflux Surgery are the complicated Cases.

Grantor dc:publisher

Publikationsserver der RWTH Aachen University

Year dc:date

2006

Author dc:creator

• Papatolis, Markus

Contributors dc:contributor

• Dreuw, Bernhard

• info:eu-repo/classification/ddc/610
• Medizin
• Refluxösophagitis
• Bauchchirurgie
• Gastro- Oesophageal Reflux
• Oesophagitis
• Surgery
• Long Term Results
• Fundoplikatio

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

ger

Identifier

https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-114472%22

OAI record oai:identifier

https://publications.rwth-aachen.de/oai2d?verb=GetRecord&metadataPrefix=oai_dc&identifier=oai%3Apublications.rwth-aachen.de%3A52235