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Dergiler / Southern Clinics of Istanbul Eurasia / 2018 / Cilt: 29 - Sayı: 4

An Evaluation of our Current Approach to Gastroesophageal Reflux Disease and the Results of Anti-Reflux Surgery

Kliniğimizde Gastroözofageal Reflü Hastalığına Güncel Yaklaşımın ve Uygulanan Anti-Reflü Cerrahisinin Sonuçlarının Değerlendirmesi

Selçuk KAYA
Önder ALTIN
Sayfa
240–243
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: LNF may be considered a safe and effective surgical procedure, with appropriate preoperative evaluation, the right indications, and suitable surgical technique.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: To describe our current approach to gastroesophageal disease and evaluate results of anti-reflux surgery.
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Temel Bulgular & Veri:Methods: Seventy patients who underwent a laparoscopic Nissen fundoplication (LNF) procedure between January 2015 and December 2017 were included in the present study.
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Sonuç & Katkı:Conclusion: LNF may be considered a safe and effective surgical procedure, with appropriate preoperative evaluation, the right indications, and suitable surgical technique.
🔬Tür:Araştırma Makalesi
📍Kapsam:2015 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: To describe our current approach to gastroesophageal disease and evaluate results of anti-reflux surgery. Methods: Seventy patients who underwent a laparoscopic Nissen fundoplication (LNF) procedure between January 2015 and December 2017 were included in the present study. The clinical results of patients who underwent this anti-reflux procedure were evaluated retrospectively based on hospital data. Results: Thirty-four female (48.5%) and 36 male (51.5%) patients with a median age of 45 years (20–84 years) were evaluated. Fourteen patients (29%) underwent surgery for gastroesophageal reflux, and 56 (80%) patients for reflux+hiatal hernia. The median duration of complaints prior to surgery was 16 months (6–96 months). The median length of follow-up was 18 months (10–45 months). The clinical results were rated very good in 55 (78.6%) patients, good in 9 (12.9%), moderate in 6 cases (8.5%) and poor in 6 cases (8.5%). Conclusion: LNF may be considered a safe and effective surgical procedure, with appropriate preoperative evaluation, the right indications, and suitable surgical technique.

Abstract

Amaç: Gastroözofageal reflü hastalığına (GÖRH) güncel yaklaşımın ve kliniğimizde yaptığımız anti-reflü cerrahisinin sonuçlarını değerlendirmektir. Gereç ve Yöntem: Kliniğimizde Ocak 2015–Aralık 2017 tarihleri arasında laparoskopik Nissen funduplikasyon (LNF) yaptığımız 70 hasta çalışmaya alındı. Hastalara ait bilgiler hastane otomasyon sisteminden ve hasta dosyalarından geriye dönük olarak incelendi. Anti-reflü ameliyatı yapılan hastaların fonksiyonel sonuçları değerlendirildi. Bulgular: Hastaların 34’ü kadın (%48.5), 36’sı erkek (%51.5) idi. Yaş ortancası 45 (20–79) idi. Hastaların 14’ü (%20) gastroözofageal reflü nedeniyle, 56’sı (%80) gastroözofageal reflü+hiatus fıtığı nedeniyle ameliyat edildi. Hastaların şikayetlerinin ortanca süresi 16 ay (6–96) idi. Ortanca takip süresi 18 ay (10–45) idi. Anti-reflü ameliyatı yapılan hastaların klinik sonuçları; 55 (%78.6) hastada “çok iyi”, 9 (%12.9) hastada “iyi”, 6 (%8.5) hastada ise “orta” olarak değerlendirildi. Sonuç: Laparoskopik Nissen funduplikasyon GÖRH’da yeterli ameliyat öncesi çalışma, doğru endikasyon ve doğru cerrahi teknik ile hastaların semptomlarını kontrol etmede güvenli ve etkilidir.

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Bu Makaleye Atıf Yap

KAYA, S., ALTIN, Ö. (2018). An Evaluation of our Current Approach to Gastroesophageal Reflux Disease and the Results of Anti-Reflux Surgery. Southern Clinics of Istanbul Eurasia, Cilt: 29 - Sayı: 4, 240–243. https://ajindex.com/articles/314091

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