Indication and Technique of Laparoscopic Antireflux Operations

  • K.-H. Fuchs
  • S. M. Freys
  • J. Heimbucher
  • A. Thiede
Conference paper


The basic pathophysiologic abnormality of gastroesophageal reflux disease is an excessive exposure of the esophagus to gastric juice, resulting in damage to the esophageal mucosa [1]. Prior to any therapy, a precise diagnosis as to the cause of this abnormal exposure is necessary. Therefore, nowadays antireflux surgery should not be planned without a diagnostic workup, including detection of the functional defect [2]. There are three main causes of gastroesophageal reflux disease known which can occur isolated or in combination. These causes are a mechanically defective distal esophageal sphincter, inefficient esophageal clearance of refluxed gastric juice, and abnormalities of the stomach or gastroduodenal segment such as increased gastric pressure, excessive gastric dilatation, delayed gastric emptying, and/or increased gastric acid secretion [1, 3].


Lower Esophageal Sphincter Gastric Acid Secretion Gastroesophageal Reflux Disease Antireflux Operation Lower Esophageal Sphincter Pressure 
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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • K.-H. Fuchs
  • S. M. Freys
  • J. Heimbucher
  • A. Thiede
    • 1
  1. 1.Chirurgische Universitätsklinik WürzburgWürzburgGermany

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