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Ten-year results of a randomized clinical trial of laparoscopic total fundoplication with or without division of the short gastric vessels.

Artikel i vetenskaplig tidskrift
Författare J. Mardani
L Lundell
Hans Lönroth
Jan Dalenbäck
Cecilia Engström
Publicerad i The British journal of surgery
Volym 96
Nummer/häfte 1
Sidor 61-5
ISSN 1365-2168
Publiceringsår 2009
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för kirurgi
Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning
Sidor 61-5
Språk en
Länkar dx.doi.org/10.1002/bjs.6393
Ämnesord Antacids, therapeutic use, Blood Vessels, Chronic Disease, Deglutition Disorders, etiology, Female, Fundoplication, methods, Gastroesophageal Reflux, drug therapy, surgery, Humans, Laparoscopy, methods, Male, Quality of Life, Reoperation, Stomach, blood supply, surgery, Treatment Outcome
Ämneskategorier Kirurgi

Sammanfattning

BACKGROUND: Total fundoplication is the most common antireflux operation and can be performed with or without division of the short gastric vessels. There seems to be no difference in short-term outcomes with either approach. The aim of the study was to determine whether there were the long-term differences (after 10 years). METHODS: Ninety-nine patients were enrolled in the study. Short gastric vessels were divided in 52 patients (group 1) and left intact in 47 (group 2). Ten patients were lost to follow-up and seven patients died, leaving 42 patients for analysis in group 1 and 40 in group 2. All patients were evaluated by standardized quality of life questionnaires. RESULTS: Three patients underwent reoperation within 5 years. Thirty-eight of 42 patients with a completely mobilized fundus reported no reflux symptoms, compared with 31 of 40 patients with intact vessels. There were no differences between the groups in other symptoms reflecting post-fundoplication complaints and quality of life outcomes. CONCLUSION: When total fundoplication is performed it makes no difference whether the fundus is mobilized or not. Both types of repair provide lasting control of reflux.

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