caa a22 4500 47579110X CHVBK 20180406123711.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s004230000159 doi (NATIONALLICENCE)springer-10.1007/s004230000159 Laparoscopic fundoplication - short- and long-term outcome [Elektronische Daten] [W. Valiati, K. H. Fuchs, L. Valiati, S. M. Freys, M. Fein, J. Maroske, H. Tigges, A. Thiede] Abstract.: Gastroesophageal reflux disease is probably the most frequently occurring benign functional disorder in the Western industrial countries. With the increasing popularity of laparoscopic anti-reflux procedures, issues on the appropriate technique have been revitalized. The purpose of this study is to evaluate the short- and long-term outcomes of laparoscopic fundoplication and reflect on the perspective of an increasing frequency of performed operations. The data sampling is based on a literature review and a questionnaire. It can be summarized that reflux recurrence due to breakdown of the wrap or herniation of the wrap can also develop in later years after the primary surgery and amount up to 8%. Persistent dysphagia is a severe problem in the first post-operative year, but usually decreases with time and is limited to rates of 3-5% on the long-term follow-up. Other functional problems, such as gas-bloat, meteorism and epigastric pain - the cause often cannot be further detected or specified - limit the quality of life of patients after laparoscopic anti-reflux surgery in the long-term follow-up in up to 5% of cases. Side effects of laparoscopic antireflux procedures can be limited to 5 to 10%, but not totally avoided. Springer-Verlag, 2000 Laparoscopic antireflux surgery Gastroesophageal reflux disease Fundoplication nationallicence Valiati W. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Fuchs K. H. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Valiati L. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Freys S. M. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Fein M. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Maroske J. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Tigges H. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Thiede A. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut https://doi.org/10.1007/s004230000159 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004230000159 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Valiati W. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut NATIONALLICENCE 700 1- Fuchs K. H. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut NATIONALLICENCE 700 1- Valiati L. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut NATIONALLICENCE 700 1- Freys S. M. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut NATIONALLICENCE 700 1- Fein M. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut NATIONALLICENCE 700 1- Maroske J. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut NATIONALLICENCE 700 1- Tigges H. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut NATIONALLICENCE 700 1- Thiede A. Department of Surgery, University of Würzburg, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer