Laparoscopic Treatment of Gastroesophageal Reflux and Hiatal Hernia

  • Jeffrey H. Peters

Abstract

Laparoscopic fundoplication is indicated for the treatment of objectively documented, relatively severe, gastroesophageal reflux disease. Care in patient selection and preoperative evaluation are essential for good results. Patients with gastroesophageal reflux and any of the following may be considered candidates for the procedure:
  1. a.

    Erosive esophagitis, stricture, and/or Barrett’s esophagus.

     
  2. b.

    Dependence upon proton pump inhibitors for relief of symptoms in the absence of documented mucosal injury (particularly those less than 50 years of age).

     
  3. c.

    Atypical or respiratory symptoms with a good response to medical treatment.

     
  4. d.

    Risk factors that predict a poor response to medical therapy (Table 16.1).

     

Keywords

Catheter Mercury Assure Barium Perforation 

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Selected References

  1. Cuschieri A, Hunter J, Wolfe B, Swanstrom LL, Hutson W. Multicenter prospective evaluation of laparoscopic antireflux surgery. Preliminary report. Surg Endosc 1993,7:505–510.PubMedCrossRefGoogle Scholar
  2. DeMeester TR, Bonavina L, Albertucci M. Nissen fundoplication for gastroesophageal reflux disease—evaluation of primary repair in 100 consecutive patients. Ann Surg 1986;204:9.PubMedCrossRefGoogle Scholar
  3. Hinder RA, Filipi CJ, Wetscher G, Neary P, DeMeester TR, Perdikis G. Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg 1994;220(4):472–483.PubMedCrossRefGoogle Scholar
  4. Hunter JG, Trus TL, Branum GD, Waring JP, Wood WC. A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease. Ann Surg 1996,223:673–687.PubMedCrossRefGoogle Scholar
  5. Jamieson GG, Watson DI, Britten-Jones R, Mitchell PC, Anvari M. Laparoscopic Nissen fundoplication. Ann Surg 1994;220:137–145.PubMedCrossRefGoogle Scholar
  6. Kauer W, Peters JH, Bremner CG, DeMeester TR. A tailored approach to antireflux surgery. J Thorac Cardiovasc Surg 1995; 110:141–147.PubMedCrossRefGoogle Scholar
  7. Peters JH, Heimbucher J, Kauer WKH, Incarbone R, Bremner CG, DeMeester TR. Clinical and physiologic comparison of laparoscopic and open Nissen. J Am Coll Surg 1995;180:385–93.PubMedGoogle Scholar
  8. Ratner DW, Brooks DC. Patient satisfaction following laparoscopic and open antireflux surgery. Arch Surg 1995;130:289–294.CrossRefGoogle Scholar
  9. Schauer PR, Meyers WC, Eubanks S, Norem RF, Franklin M, Pappas TN. Mechanisms of gastric and esophageal perforations during laparoscopic fundoplication. Ann Surg 1996;223:43–52.PubMedCrossRefGoogle Scholar
  10. Urschel JD. Complications of antireflux surgery. Am J Surg 1993;165:68–70.CrossRefGoogle Scholar
  11. Waring JP, Hunter JG, Oddsdottir M, Wo J, Katz E. The preoperative evaluation of patients considered for laparoscopic antireflux surgery. Am J Gastroenterol 1995;90:35–38.PubMedGoogle Scholar
  12. Watson D, Balgrie RJ, Jamieson GG. A learning curve for laparoscopic fundoplication; definable, avoidable or a waste of time? Ann Surg 1996;224:198–203.PubMedCrossRefGoogle Scholar
  13. Weerts JM, Dallemagne B, Hamoir E, et al. Laparoscopic Nissen fundoplication; detailed analysis of 132 patients. Surg Laparosc Endosc 1993;3:359–364.PubMedGoogle Scholar

Copyright information

© Society of American Gastrointestinal Endoscopic Surgeons 1999

Authors and Affiliations

  • Jeffrey H. Peters

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