Сomparison of efficiency of laparoscopic fundoplication according to nissen in patients with expressend extraesophageal laryngo-pharingeal manifestations of gastroesophageal reflux disease
DOI:
https://doi.org/10.11603/2414-4533.2015.4.5666Abstract
Gastroesophageal reflux disease (GERD) with extraesophageal manifestations, which present in 10 % of patients, is serious clinical problem. Surgical procedure is necessary if conservative treatment is not effective. The article represents results of surgical treatment of 251 patients with extraesophageal GERD manifestations operated from 2001 till 2011. Nissen fundoplication was made for 221 (88 %) patients, Toupet fundoplication was made for 30 (12 %) patients. Mean postoperative DeMeester score in patients with Nissen fundoplication was significantly lower than in patients with Toupet fundoplication, 11.6±4.8 and 23.8±4.2 (p<0.05), respectively. Mean postoperative index of symptom was significantly lower in patients who underwent Nissen fundoplication, compared to patients who underwent Toupet fundoplication, 10.4±3.4 and 17.8±4.6 (p<0.05), respectively. In conclusion, laparoscopic fundoplication is effective for both classical form of GERD and GERD with extraesophageal manifestations. Nissen fundoplication is better for patients with extraesophageal manifestations of GERD.References
Allen C. J. Preoperative symptom evaluation and esophageal acid infusion predict response to laparoscopic Nissen fundoplication in gastro- esophageal reflux patients who present with cough / C. J. Allen, M. Anvari // Surg. Endosc. – 2002. – Vol. 16. – P. 1037–1041.
Gastrooesophageal reflux involvement in ENT disorders / V. L. Drug, D. Cobzeanu, C. Paraghuic [et al.] // Rev Medfarrel TM Chir. Soc. Med. Nat. Iasi. – 2005. – Vol. 109. – P. 220–222.
Laparoscopic Nissen fundoplication improves quality of life in patients with atypical symptoms of gastro- esophageal reflux / J. P. Duffy, M. Maggard, D. T. Hiyama, J. B. Atkinson // Am. Surg. – 2003. – Vol. 69. – P. 833–838.
Response of atypical symptoms of gastro- oesophageal reflux to antireflux surgery / T. M. Farrel, W. S. Richardson, T. L. Trus Smith [et al.] // Br. J. Surg. – Vol. 88. – P. 1649–1652.
Efficacy of laparoscopic fundoplication in controlling pulmonary symptoms associated with gastro- esophageal reflux disease / H. C. Fernando, El-Sherrif Amgad, J. R. Landreneau [et al.] // Surgery. – 2005. – Vol. 138. – P. 612–617.
Specificity and sensitivity of objective diagnosis of gastro- esophageal reflux disease / K. H. Fuchs, T. R. DeMeester, M. Albertucci // Surgery. – 1987. – Vol. 102. – P. 575–580.
Respiratory symptoms and dysphagia in patients with gastro- oesophageal reflux disease: a comparison of medical and surgical therapy / M. Gaddenstatter, Wykypiel, G. P. Schwab [et al.] // Langenbach’s Arch. Surg. – 1999. – Vol. 384. – P. 563–567.
Chronic cough due to gastro- oesophageal reflux disease Efficacy of antireflux surgery / Y. W. Novitsky, J. K. Zawacki, R. S. Irwin [et al.] // Surg. Endosc. – 2002. – Vol. 16. – P. 567–571.
Determinants of long term outcome of patients with reflux related ear, nose and throat symptoms / J. Poelmans, L. Feenstra, J. Trac // Dig. Dis. Sci. 51. – 2006. – P. 282–288.
Laparoscopic Nissen fundoplication offers high patient satisfaction with relief of extraesophageal symptoms of gastro-esophageal reflux disease / S. Rakita, D. Villadolid, A. Thomas [et al.] // Am. Surg. – 2006. – Vol. – 72. – P. 207–2012.
Richter J. E. Extra- oesophageal presentations of gastroesophageal reflux disease / J. E. Richter // Semin. Gastrointest. Dis. – 1998. – Vol. 8. – P. 75–89.
Is symptom control the correct end point for proton pump inhibitor treatment in Barrets oesophagus? A. I. Sarela, C. S. Verbeke, C. Pring, P. J. Guillou // Gut. – 2009. – Vol. 53. – P. 1387–1388.
Fundoplication for laryngopharingeal reflux disease / C. J. Westcott, M. B. Hopkins, K. Bach [et al.] // J. AM. Coll. – 2004. – Vol. 199. – P. 23–30.
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