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KMID : 1188320160100050726
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Gut and Liver
2016 Volume.10 No. 5 p.726 ~ p.730
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Antireflux Surgery in Korea: A Nationwide Study from 2011 to 2014
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Lee Jun-Hyun
Park Joong-Min
Han Sang-Uk
Kim Jin-Jo
Song Kyo-Young
Ryu Seung-Wan
Seo Kyung-Won
Kim Hyoung-Il
Kim Wook
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Abstract
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Background/Aims:Although laparoscopic fundoplication is a well-established therapy for gastroesophageal reflux disease (GERD) in Western countries, the mainstay of GERD treatment in Korea is long-term proton pump inhibitor (PPI) use. The aim of the present study was to evaluate nationwide data regarding antireflux surgery in Korea.
Methods:Data from 2011 to 2014 were collected from the Korean Antireflux Surgery Study Group and then analyzed.
Results:A total of 87 patients underwent laparoscopic fundoplication for the treatment of GERD. Preoperatively, typical symptoms were present in 81 patients (93%) and atypical symptoms were present in 51 patients (59%). Twenty-seven patients (31%) had poor PPI responses. The average surgical time and postoperative hospital stay were 116.3±42.3 minutes and 4.3±3.1 days, respectively. At 3 months after surgery, typical symptoms were completely controlled in 86.3% of patients and partially controlled in 11.7%, whereas atypical symptoms were completely controlled in 63.3% of patients and partially controlled in 23.3%.
Conclusions:This study showed that although atypical symptoms and PPI nonresponders are common, the complete control rates of typical and atypical symptoms were 86.3% and 63.3%, respectively. Laparoscopic fundoplication is an efficacious method of controlling the symptoms of GERD and has an acceptable rate of postoperative morbidity and adverse symptoms.
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KEYWORD
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Laparoscopic fundoplication, Gastroesophageal reflux disease, Proton pump inhibitors, Nationwide Korean data
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