Publication detail

Dysphagia after laparoscopic antireflux surgery

Authors: Šiller Jiří | Havlíček Karel | Sákra Lukáš

Year: 2010

Type of publication: ostatní - článek ve sborníku

Name of source: 17th Czech-Japan Surgical Symposium

Publisher name: Kanazawa Medical University

Place: Kanazawa

Page from-to: 25-25

Titles:

Language	Name	Abstract	Keywords
eng	Dysphagia after laparoscopic antireflux surgery	Background: The laparoscopic fundoplication for gastro-esophageal reflux disease (GERD) is of great benefit for the patient. Persistent dysphagia occurs in 3-24 % of patients after fundoplication. Method: From 2007 to 2009 we performed 73 laparoscopic fundoplications - Nissen or Nissen-Rosseti modification (with the division of short gastric vessels). We analyzed the impact of the technical details incorporated in these procedures. Patients with intact barium swallowing act were selected for endoscopy treatment after a minimum of six weeks of conservative therapy. Conclusion: Technical modifications, such as the division of short gastric vessels and the method of hiatal closure have not influenced the incidence of the postoperative dysphagia. The reason for the postoperative dysphagia is the technical performance of fundoplication and the approach applied by the surgeon rather than the type of surgical procedure.	laparoscopic fundoplications; postoperative dysphagia

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