Korean J Gastrointest Endosc.  2005 Jan;30(1):28-34.

Three Cases of Gastroesophageal Reflux Disease Treated by Laparoscopic Fundoplication

• Song DH
• Park H
• Park J
• Ji SW
• Yoon DS
• Lee SI

Abstract

Medical treatment so far takes the major portion in the treatment of gastroesophageal reflux disease (GERD). Histamine-2 receptor antagonists, proton pump inhibitors and antacids, which are used in the medical treatment of GERD, decreases intragastric acidity, and therefore decreases acid reflux. However, recurrences are frequently observed after the cessation of medication. On the other hand, fundoplication, the surgical management of GERD, aims for physiologic reconstruction of esophagogastric junction, and for correcting the pathogenetic cause of GERD. But fundoplication is linked to risks related to surgery and general anesthesia. Laparoscopic funcoplication minimizes these risks. We recently experienced three cases of GERD improved by laparoscopic 270o fundoplication. One patient was intolerant of long-term proton pump inhibitor treatment, and two patients had hiatal hernia, and one of them showed failure to medical treatment. This report describes these three cases with a brief review of literatures survey.

Keyword

Gastroesophageal reflux disease (GERD); Laparoscopic fundoplication

MeSH Terms

Anesthesia, General
Antacids
Esophagogastric Junction
Fundoplication*
Gastroesophageal Reflux*
Hand
Hernia, Hiatal
Humans
Proton Pump Inhibitors
Proton Pumps
Recurrence
Antacids
Proton Pump Inhibitors
Proton Pumps