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KMID : 0914820150150020127
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Journal of the Korean Gastric Cancer Association
2015 Volume.15 No. 2 p.127 ~ p.131
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Laparoscopic Partial Fundoplication in Case of Gastroesophageal Reflux Disease Patient withAbsent Esophageal Motility
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Seo Kyung-Won
Park Moo-In
Yoon Ki-Young
Park Seun-Ja
Kim Sung-Eun
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Abstract
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The surgical indications for the treatment of gastroesophageal reflux disease (GERD) in patients with esophageal motility disorders have been debated. We report a case of antireflux surgery performed in a patient with absent esophageal motility as categorized by the Chicago classification (2011). A 54-year-old man underwent laparoscopic Toupet fundoplication due to apparent GERD and desire to discontinue all medications. After surgery, his subjective symptoms improved. Furthermore, objective findings including manometry and 24-hour pH-metry also improved. In our experience, antireflux surgery can improve GERD symptoms patients, even with absent esophageal motility.
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KEYWORD
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Laparoscope, Fundoplication, Manometry
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