caa a22 4500 47709824X CHVBK 20180405111533.0 cr unu---uuuuu 170330e19960201xx s 000 0 eng 10.1007/BF02625960 doi (NATIONALLICENCE)springer-10.1007/BF02625960 Gastroesophageal reflux disease associated with poor esophageal body motility is effectively treated by laparoscopic toupet fundoplication [Elektronische Daten] [G. Wetscher, K. Glaser, M. Gadenstätter, G. Perdikis, R. Lund, E. Bodner, R. Hinder] Verbesserung der gestörten Ösophagusperistaltik im Rahmen der gastroösophagealen Refluxkrankheit durch die laparoskopische Toupet Fundoplikation Summary: Background: The Nissen fundoplication, an effective treatment for gastroesophageal reflux disease (GERD), may frequently cause dysphagia in patients with poor esophageal body motility. Methods: The laparoscopic Toupet fundoplication was performed in 24 patients with gastroesophageal reflux disease (GERD) with poor esophageal body motility of whom 18 (75%) presented with intermittent (n=16) or persistent (n=2) dysphagia for solids. Patients were followed-up for up to 12 months following surgery. Results: Perioperative complications occurred in 4 patients (16.7%) including gastric perforation (n=1), intraabdominal hematoma (n=1), deep venous thrombosis of the calf (n=1) and pneumonia (n=1). There was no mortality and no conversion to open laparotomy among our patients 95.8% of patients were satisfied with surgery (Visick grade 1 or 2). Postoperatively 2 patients (8.4%) complained of dysphagia, one required reoperation due to too tight approximation of the hiatal crura. Conclusions: The laparoscopic Toupet fundoplication is an effective treatment for GERD with poor esophageal body motility. Blackwell Science Ltd, 1996 Gastroesophageal reflux disease nationallicence poor esophageal contractility nationallicence surgery nationallicence Gastroösophageale Refluxkrakheit nationallicence beeinträchtigte Ösophagusperistaltik nationallicence Chirurgie nationallicence Wetscher G. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut Glaser K. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut Gadenstätter M. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut Perdikis G. Department of Surgery, Creighton University, Omaha, USA aut Lund R. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut Bodner E. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut Hinder R. Department of Surgery, Creighton University, Omaha, USA aut Acta Chirurgica Austriaca Springer-Verlag 28/1(1996-02-01), 49-54 0001-544X 28:1<49 1996 28 10353 https://doi.org/10.1007/BF02625960 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02625960 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wetscher G. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut NATIONALLICENCE 700 1- Glaser K. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut NATIONALLICENCE 700 1- Gadenstätter M. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut NATIONALLICENCE 700 1- Perdikis G. Department of Surgery, Creighton University, Omaha, USA aut NATIONALLICENCE 700 1- Lund R. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut NATIONALLICENCE 700 1- Bodner E. Second Department of Surgery, University of Innsbruck, Anichstraße 35, A-6020, Innsbruck aut NATIONALLICENCE 700 1- Hinder R. Department of Surgery, Creighton University, Omaha, USA aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/1(1996-02-01), 49-54 0001-544X 28:1<49 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer