Laparoscopic Antireflux Surgery
Oesophageal reflux disease is one of the most common disorders of the gastrointestinal tract. Treatment with H2 blockers and alginates provides symptomatic relief in the majority of cases, but is less effective in inducing healing of the inflamed oesophageal mucosa. Moreover, recurrence of symptoms is invariable with cessation of medical therapy. Omeprazole has been shown to be a more effective treatment in a number of clinical trials. However, there is concern in relation to the long-term effects of complete achlorhydria induced by this proton pump inhibitor. Surgical treatment is usually reserved for failure of medical treatment to control symptoms, non-compliance with medication and onset of complications. The most common procedure performed is some form of total or incomplete fundal wrap (fundoplication) performed through the abdominal approach, although thoracic procedures such as the Belsey mark IV operation are equally effective.
KeywordsRound Ligament Ligamentum Teres Lower Oesophageal Sphincter Laparoscopic Antireflux Surgery Crural Repair
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